UNIVERSITY OF ARKANSAS - FORT SMITH

SCHOLARSHIP APPLICATION
Application Deadline is June 1st
Social Security Number or UA Fort Smith ID # _________________________ Legal Name___________________________________________________________________________________________________ Last Name First Name Middle Name Mailing Address________________________________________________________________________________________________ Number and Street or P.O. Box # City State ZIP Home phone number _______________ Cell phone number _______________ Date of Birth (Month/Date/Year) ______________ Intended major ______________________________________ Current college GPA (if applicable)__________________ UA Fort Smith and the UA Fort Smith Foundation offer many scholarship opportunities. Please select the scholarship category or categories for which you qualify: Provosts Scholarship- Current UA Fort Smith students with a minimum cumulative 3.0 GPA and have completed at least 60 hours Current Student Scholarship- Current UA Fort Smith students with at minimum cumulative 2.5 GPA and have completed at least 30 hours. Transfer Student Scholarship- A minimum cumulative 3.0 GPA with priority given to students who have completed an Associate degree. Returning Student Scholarship- Returning to college after at least two years of not attending school. New Opportunity Scholarship for Non-Traditional Students- Must be entering college after several years in the workforce or home and have never attended college. Other (Please list the specific scholarship you are applying for)___________________________________________________ Essay Include a short, one page essay, describing your educational goals and the effort you have made to reach them. Activities (optional) Please include a resume listing your extracurricular, community, and other significant activities. Include only activities that required more than mere membership. Please use full organization names and list any positions held, responsibilities, and accomplishments.

I certify that the above statements are made in good faith and are true and complete to the best of my knowledge. The University of Arkansas - Fort Smith is authorized to make this information available to scholarship donors and the Universitys scholarship committee. I understand that I must be officially admitted to UA Fort Smith before a scholarship can be awarded. Applicants Signature _____________________________________________ Date __________________________________
Mail to:

UA Fort Smith Financial Aid Attn: Scholarship Coordinator P.O. Box 3649 Fort Smith, AR 72913