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School of Communication SCHOLARSHIP APPLICATION FORM FOR ACADEMIC YEAR 2014-2015 APPLICATION DEADLINE – FEBRUARY 28th, 2014 Before completing this application, please refer to the scholarship brochure available from the School of Communication office or meet with your advisor to determine scholarship(s) for which you are eligible. This application form can be used to apply for any School of Communication scholarships for which you are eligible on this one application, but you must check all scholarships for which you are applying. A complete application consists of the following: 1.) a completed School of Communication Scholarship application, 2.) a completed transcript or LOUIE printout of all college work, or if you are an entering freshman, your most recent high school transcript, (applications without transcripts will not be considered) 3.) student letter, and 4.) any other support material required by a specific scholarship (incomplete applications will not be considered). Student’s Name: ___________________________________________________________________ Last First M.I.. Local Mailing: ____________________________________________________________________ Number/Street Apt. No. ___________________________________________________________________ City State Zip Code Telephone: (Local) _____________________________ Student ID Number _________________ (Home/Parents) _____________________________ (Cell) ________________ Email Address: _________________________________________________________________ Enrollment Status: (check one) _____ Continuing Student _____ Incoming Freshman _____ Transfer Student Hours Completed ________ Check your Major Status: Hours in Progress________ Cumulative GPA ________ _____ Not a School of Communication Major _____ Major in the School of Communication Check the program in Communication that is your Major and supply Program or Emphasis area: _____Advertising _____ Merchandising _____ Communication Studies _____Electronic Media & Film _____ Photography _____ Visual Communication _____Journalism _____ Public Relations _____ Photo Journalism/Documentary Program Emphasis ______________________________________ Minor ____________________________ Check all Scholarships for which you are applying: _____ School of Communication Alumni Scholarship _____ Student Media Activity Tuition Assistance ___ KJACK Radio ___ UTV-62 ___ NAZ-Today News ___NAU Forensics Program ___ NAZ Today Production ___ The Lumberjack Student Newspaper ______Scripps News Scholarship ___NAZ Today ___ Lumberjack Newspaper ___ KJACK Radio Rev: 8/2/2017 Electronic Media & Film _____ Arizona Broadcasters Association _____ Bruce Wayne Dyer Memorial _____ Eric & Myrene Temple _____ Bill Close Broadcast Journalism _____ Sandusky/K-JACK Radio Journalism _____ Guy C. Brown Memorial _____ Robert B. Larson _____ Jan Stevens Lifestyles Journalism _____ Mason Walsh Memorial _____ Scripps Recruiting _____ Melvin T. Hutchinson Memorial _____ Wylie Smith Sports Journalism _____ Reader’s Digest Feature Writing _____ Scripps Journalism Strategic Communication: Advertising _____Duncan Jennings Memorial Scholarship _____E.B. Lane Memorial Scholarship _____ Scripps Strategic Comm. Advertising Strategic Communication: Merchandising _____ Merchandising Leader of the 21st Century Photography/Photojournalism/Documentary _____ Mariah Dunleavy Memorial _____ Scripps Photojournalism/Documentary _____ Moller Merchandising _____ Moller Photography Scholarship Strategic Communication: Public Relations _____ Scripps Strategic Communication: Public Relations Communication Studies _____ Harold C. Larson Speech or Pre-Law _____ Klonda Lynn Speech Visual Communication _____ Mary E. Bayless Visual Communication _____ Moller Visual Communication Student Letter - Please type an explanation of why you want/need the scholarship(s) for which you are applying. Include a list of scholarships and other financial aid you are now receiving as well as those you anticipate receiving next year with the amount of each award. Then, list in reverse chronological order (most recent to least recent) high school or college clubs and organizations with which you have been involved. Include honors, offices/positions held, responsibilities taken on, etc. Finally, type a 200-250 word statement in response to the question: “What effect would you want your career to have on your communication field?” Please type all application materials neatly and follow appropriate writing standards and style. Remember to attach an unofficial transcript or LOUIE printout of all college work. ALL APPLICANTS: By signing below, it is understood and consent is given to release academic, financial or any other information (as required by NAU and/or the donor) to those responsible for making award decisions. By signing below, I certify that the information on this form is complete and true. ____________________________________________ Applicant’s Signature ________________________________ Date Submit your application to the School of Communication office between January 7th and 5 p.m. Friday, Feb. 28th, 2014 or mail to: School of Communication, Northern Arizona University, Box 5619, Flagstaff, AZ 86011-5619, by February 28th, 2014. Incomplete applications will not be considered. Rev: 8/2/2017
