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Department of Sociology
Jack Imel, Thurman Coburn, Karns, and Marci Straley Scholarships

Name:Age:
Major:GPA:
Classification next year:Marital status:
Social Security Number:Sex:
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:
Other financial aid you expect next year, including amounts:
Other sources and amounts of income expected:
Will you promise to make at least one mail and/or phone contact with the donor of the scholarship?  Yes No
As specifically as possible, state your plans for next year.
State your educational and vocational plans.
Describe your educational and work background. (i.e., areas of study, academic achievements, work achievements, etc.)
What makes you a qualified applicant for an academic scholarship?