Freshman / Transfer Grant-in-Aid / Talented Student Award

Applicant Information

( )

Name: Last, First, Middle Nickname Grade Pt. Average Area Code Phone No.

Student publications experience (list positions held, dates), journalism courses completed (with grades):

Other extracurricular activities:

Honors, scholarships and other recognition received:

Professional career objectives (after graduation):

Briefly describe any special financial circumstances:

Enclose clips and samples of your work (if available)

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FOR OFFICE USE

Approved for:

_____ TSA in amount of _____ semester hours or $__________ for _____ semester 20______

_____ GIA in amount of $__________ for __________ semester 20______

__________________________________________ ____________________________

Chair, Dept. of Journalism Date