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Department of Psychology
Jack Imel, Thurman Coburn, Karns, Ladd, & Marci Straley Scholarships

Classification next year:Marital status:
Social Security Number:Gender:
SNU mailing address:SNU phone:
Home mailing address:Home phone:
City: State: Zip:
Have you held one of these scholarships before?  Yes No
If so, please list scholarships and dates:
Will you promise to make at least one mail and/or phone contact with the donor of the scholarship?  Yes No
Other financial aid you expect next year, including amounts:
Other sources and amounts of income expected:
As specifically as possible, state your plans for next year.
State your educational and vocational plans.
Describe your educational and work background (include such information as areas of study, your academic achievements, and your current GPA. Also include types of work you have done, and achievements in your work.).
Describe your participation in extra-curricular activities, especially noting those which are related to your vocational choice.
What should the scholarship committee know in order to evaluate both your need for a scholarship and your qualifications for receiving it? In other words, what makes you a good candidate for an academic scholarship?