Isenberg Scholarship Application. Student Identification. Gender. State of Permanent Residence. Race (optional)

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1 Isenberg Scholarship Application Isenberg Scholarship Application for the Academic Year Student Identification ID number (SPIRE 8 digit) First Name Middle Initial Last Name Permanent Address Permanent City Permanent State Permanent Zip Permanent County (i.e. Berkshire County) Cell Phone UMass Amherst Only (Required) Date of Birth (mm/dd/yyyy) Gender Male Female State of Permanent Residence Race (optional)

2 White/Caucasian African American/African Hispanic/Latino/a Asian American/Asian American Indian Pacific Islander Other Are you a US citizen? Academic Information High School High School City, State Entered UMass Amherst as a First Year Student Transfer Student Are you an online Isenberg student? If you are an online student, are you full time or part time? Full time Part time Primary Major noted in SPIRE

3 Accounting Finance Operations and Information Management Hospitality and Tourism Management Management Marketing Resource Economics (must have declared by October 1, 2012) Sport Management Undecided in BBA/PR SOM Track Which BBA major do you intend to declare in Fall 2015? Accounting Finance Management Marketing Operations & Information Management Primary focus Casino Club Food & Beverage Lodging primary focus at this time Tourism / Convention / Events Second Major noted in SPIRE Accounting Finance Operations and Information Management Hospitality and Tourism Management Management Marketing Resource Economics (must have declared by October 1, 2012)

4 Sport Management Undecided in BBA/PR SOM Track If Undecided in BBA/PR SOM Track, which major do you intend to declare in Fall 2015? Accounting Finance Management Marketing Operations & Information Management Second Major Primary focus Casino Club Food & Beverage Lodging primary focus at this time Tourism / Convention / Events Are you a Commonwealth Honors College student? If yes, will you be starting Fall 2016 as a sophomore? If you will be starting Fall 2016 as a sophomore, do you intend to live in honors housing?

5 Minor Cumulative UMass GPA Number of semesters completed at UMass Amherst Expected Semester of Graduation Are you planning to return to UMass Amherst for the academic year? Please provide additional information about your plans for the academic year if you are a current senior and returning to campus. If you are not a senior and plan to be away for either or both semesters please provide information about your plans (150 words or 1200 characters maximum this includes spaces). Employment Information Are you employed during the school year? Do you work more than one part time job while in school?

6 How many hours do you work in a week? 1 5 hours 6 14 hours hours hours more than 31 hours Could you stay in school if you were not working? Do you have work experience in the food service/restaurant industry? Do you have work experience in the lodging industry? Employer Information Employer's Name: Describe Responsibilities Job Title Financial Information Amount ($) you have personally contributed toward educational expenses (both from personal savings

7 and current income) for the academic year: Amount ($) received in Educational Loans for the academic year: Amount ($) received in Grants/Waivers for academic year: Total student debt ($) from educational expenses. Include all years in college. Did you file the FAFSA for the academic year? If no, why not? Are you receiving financial aid for academic year? Have you received any scholarships while at UMass Amherst? If yes, list all scholarships, amounts and year received. Include Isenberg, UMass Amherst, athletic, and all outside scholarships. Describe your financial contribution to your education. If you have overcome hardship or endured a significant sacrifice for your education please explain (150 word or 1200 character maximum this includes spaces).

8 SCHOLARSHIP SPECIFIC QUESTIONS Please complete the following questions. Many scholarships have specific criteria and your answers to these questions will help to determine your eligibility for them. Please note that each short answer question has a 150 word or 1200 character maximum (this includes spaces) unless otherwise noted. Did you transfer from a community college? Please indicate which community college you attended. What is your marital status? Single Married Divorced Widowed Are you a single parent?

9 Are you a child from a single parent home? Are you a first generation college student? Are you a current or former member of the United States Military? If yes, what is your military status: Active Duty Reserve Veteran National Guard Other Have you been deployed to Iraq or Afghanistan? Are you a student athlete at the NCAA Division I level? Please describe your athletic experiences at UMass Amherst. (150 word or 1200 character maximum)

10 List your active community service activities. Describe the difference you have made. (150 word or 1200 character maximum) List your most important extracurricular activities in college, including clubs, intra murals, etc. (150 word or 1200 character maximum) Are you an active member of an Isenberg student club? Please indicate which Isenberg student club are you an active member of. Accounting Association Association of Diversity in Sport Association of Latino Professionals of America Beta Alpha Psi

11 Business Law Club Managers Association of America Delta Sigma Pi Eta Sigma Delta Isenberg Honors Council Isenberg Management Club Isenberg Marketing Club Isenberg Operations and Information Club Isenberg Real Estate Association Isenberg Women in Business Jewish Leaders in Business Mark H. McCormack Department of Sport Management Leaders Club Meeting and Event Managers Association Minutemen Equity Fund Minutemen Fixed Income Fund National Association of Black Accountants Net Impact UMass Undergraduate Protect our Breasts The Isenberg Undergraduate Consulting Group The National Society of Minorities in Hospitality UMass Board of Entrepreneurship UMass Investment Club University of Massachusetts Finance Society Women in Sport Management Other (Please specify) Describe a leadership experience in which you made a difference on campus or in your community. (150 word or 1200 character maximum)

12 Are you planning to study abroad at any point during the academic year or summer of 2017? What country do you plan to study in? Describe your purpose for studying abroad. (150 word or 1200 character maximum) Describe your future goals and aspirations. (150 word or 1200 character maximum) Do you have a confirmed internship during the summer of 2016 or the academic year? If yes, please describe your internship plans. Include if this internship is paid or unpaid and if it is full time or part time. (150 word or 1200 character maximum)

13 Are you currently a young entrepreneur while in school? If yes, briefly describe the your start up venture and future business plan. (150 word or 1200 character maximum) Have you worked for a small or family owned business? If yes, describe your employment experience in a small or family owned business. (150 word or 1200 character maximum)

14 FINAL STATEMENT Your final statement is a very important part of your scholarship application and should be given special time and attention. Please ensure your final statement is complete. (150 word or 1200 character maximum) Do you have any pending conduct cases with the Dean of Students Office or Residential Life Staff? Have you been found responsible for a violation of the Residential Hall Community Standards or the Code of Student Conduct? By submitting this application, I acknowledge and authorize the Dean of Students Office to discuss my student conduct record with the Isenberg Undergraduate Programs Office. A scholarship cannot be awarded to a student with the current sanction of Deferred Housing Removal, Deferred Suspension, Suspension, or University Probation. Powered by Qualtrics