Scholarship Application Form

Deadline February 6th, 2009

Applicants who wish to be considered for more than one scholarship need to complete only one application form. Please check the appropriate box(es). You will only be considered for the scholarship(s) you indicate. Then fill out the rest of this form, print it, and hand delivered to Megan Robinson in room 309 Gundersen.

Please consider my application for the following Scholarships:
	The Frances Lee and Charles Dutreau Scholarship
	Cynthia Collins Scholarship
	The John Sadler Award
	The William J. Ray Memorial Scholarship
	The Michael Yeager Award
	The Golconda Award (12)
	Other Awards that may become available
First Name		Middle Initial	Last Name

Student Id

Home Address

Zip Code

Home Phone (include Area Code)

Stillwater Address

Zip Code

Stillwater Phone

College within OSU

Major Advisor

First Major

Second Major

Minors

How many credit hours including advanced standing, have you completed through fall semester 2007?

What is your overall GPA including fall semester 2007?

What is your classification this semester ?

Which languages, if any, did you study prior to coming to OSU, and for how long ?

Have you ever studied / traveled abroad ? If so, when and where ?

Which language courses are you currently taking?

What plans do you have for future study and/or travel abroad ? Be specific. Add extra lines if necessary.

Say what you can, at this stage, about your career and specialization, including graduate school, if appropriate. Add extra lines if necessary .

List any academic awards, academic honors, or scholarships that you have received during college years.

Add any additional information or comments that might be relevant to your application.

REFERENCES: Give the names, campus mailing address, and phone numbers of two of your professors whom you have already contacted and who are willing to recommend you. Since your references will be telephoned directly by the Scholarship Committee, do not ask them to write.

1. Name:

Address:

Phone:

2. Name:

Address:

Phone:

Applicant’s Signature: __________________________________

Date: _______________________________________________

Note (A): If you are a candidate for the Dutreau Scholarship, you must enclose an information sheet or brochure describing the program(s) to which you are applying. Your course of study must be centered on the language, literature and culture of the country you are visiting. The study program must be at least six weeks long.

REMINDER: Applications are to be printed and hand delivered to Megan Robinson in room 309 Gundersen. Applications will be accepted no later than 5:00 p.m. Friday, February 6, 2009. Please furnish one official Oklahoma State University transcript to accompany the application form; it must include fall 2008 course grades.

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