Northern Arizona University Phi Theta Kappa Scholarship

0 downloads 185 Views 13KB Size Report
Open to Phi Theta Kappa students who are currently attending a two-year college and who will be attending NAU ... DAYTIM
Northern Arizona University Phi Theta Kappa Scholarship Open to Phi Theta Kappa students who are currently attending a two-year college and who will be attending NAU the following semester as an undergraduate, first-degree seeking student MINIMUM CRITERIA TO BE CONSIDERED FOR THIS SCHOLARSHIP: 1. Full Time undergraduate student 2. Admitted to Northern Arizona University as a first degree seeking student 3. Member of Phi Theta Kappa (you must attach proof of your membership to this application form) 4. Currently enrolled at a community college and transferring to NAU immediately (no break in enrollment between schools) 5. Not participating in WUE (Western Undergraduate Exchange) or WWU (Worldwide University) program. NAME: NAU I.D. NUMBER: MAILING ADDRESS: CITY:

STATE:

ZIP CODE:

DAYTIME PHONE #: E-MAIL ADDRESS: YEAR AND SEMESTER YOU WILL ATTEND NAU (I.E. FALL 2008 ) LAST YEAR AND SEMESTER YOU ATTENDED COMMUNITY COLLEGE

Student Signature Date IF A SCHOLARSHIP IS AWARDED, IT IS UNDERSTOOD THAT THE APPLICANT’S CONSENT IS GIVEN TO RELEASE ACADEMIC, FINANCIAL, or OTHER INFORMATION AS REQUIRED BY NAU OR THE DONOR(S). THE APPLICANT’S SIGNATURE CERTIFIES THAT THE INFORMATION PROVIDED ON THIS FORM IS COMPLETE AND ACCURATE.

Don’t Forget to attach proof of your Phi Theta Kappa Membership to this application form. Incomplete Applications will not be processed. Mail completed form to the NAU Scholarship Office, PO BOX 4108, Flagstaff, AZ 86011-4108 Or fax to (928)523-1551. Incomplete forms will not be processed and will be returned via mail.