University of Memphis School of Accountancy 2016/2017 Scholarship Application Due March 1, 2016

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1 University of Memphis School of Accountancy 2016/2017 Scholarship Application Due March 1, 2016 Consideration will be given for all scholarships in accounting. Please check your class status as of August, 2016 Graduate Graduate hours completed Undergraduate Freshman Sophomore Junior Senior Full time Part time Please note that most scholarships require full time status. Student Information Last Name First Name Middle Initial Street Address City State Zip Code Home Phone Number ( ) Cell Phone Number ( ) U.S. citizen? Yes No County of Residence Date of Birth Gender Race Address University User ID (UUID) Marital Status? Single Married Divorced Number of Dependents? Academic Information Undergraduate Scholarships If you are applying for an undergraduate scholarship, please complete this section. If you are applying for a graduate scholarship, please skip this section. Declared major(s) Declared minor(s) Cumulative GPA Major GPA Expected Graduation Date Status in Spring 2016 (Check one): Full time Part time Number actual/expected cumulative hours: Current Fall Spring Academic Information Graduate Scholarships If you are applying for a graduate scholarship, please complete this section. If you are applying for an undergraduate scholarship, please skip this section. Undergraduate College or University Fogelman College of Business Page 1

time status. Student Information Last Name First Name Middle Initial Street Address City State Zip Code Home Phone Number ( ) Cell Phone Number ( ) U.S. citizen?

2 City State Country Graduation Date Undergraduate Cumulative GPA Degree(s) Received Undergraduate Major Major GPA Graduate degree program enrolled in Concentration Expected Graduation Date Graduate Cumulative GPA GMAT Score GRE Score Status in Spring 2016 (Check one): Full time Part time Number actual/expected cumulative hours: Current Fall Spring Honors, Awards, Activities & Certifications Please list any honors or awards you have received, as well as any academic activities (e.g. business fraternities, student organizations) you are involved in, indicating any leadership roles and/or offices held (additional page may be added if necessary). Certification(s) currently held or pursuing: Please list any activities and memberships in organizations outside of college, indicating any leadership roles: Fogelman College of Business Page 2

Please list any honors or awards you have received, as well as any academic activities (e.g.

3 Employment Information If you are not currently employed please skip to the next section of the application. Place of employment Dates of employment Street Address City State Zip Code Position Number of hours per week Immediate Supervisor Phone Number ( ) Career Goals Please briefly describe your career aspirations with respect to the field of business and accounting. Do you plan to further your education after graduation? Yes No If yes, please describe your future educational plans. Fogelman College of Business Page 3

Phone Number ( ) Career Goals Please briefly describe your career aspirations with respect to the field of business and accounting.

4 Scholarships & Financial Aid Are you receiving any scholarships at the University of Memphis? Yes No If yes, please list the name(s) of the scholarship(s) you ve received with the award amount and the academic year they were received in. 1. Scholarship Name Award Amount Academic Year(s) 2. Scholarship Name Award Amount Academic Year(s) 3. Scholarship Name Annual Award Amount Academic Year(s) Do you receive any other type of financial aid at this time? Yes No If yes, please list the name of the financial aid you ve received with the award amount and the academic year they were received in. (Examples include Pell Grant, subsidized and unsubsidized student loans, etc.) 1. Type of Financial Aid 2. Type of Financial Aid 3. Type of Financial Aid Please list any extenuating circumstances in terms of financial need: Fogelman College of Business Page 4

Scholarship Name Award Amount Academic Year(s) 3. Scholarship Name Annual Award Amount Academic Year(s) Do you receive any other type of financial aid at this time?

5 Agreement I understand the procedures for admission outlined in this application. To the best of my knowledge, the information provided in this application is valid and omissions have not been made. I acknowledge that if an omission has been made, I may forfeit my eligibility for FCBE scholarship consideration in this award year as well as subsequent semesters. I give permission for information to be given to appropriate committees so that they may recommend eligible recipients. I give permission for my application to be released to a scholarship sponsor. I am aware that scholarship recipients will be asked to write donor thank you notes, attend special University events, participate in community service and take part in programs specific to these scholarships and the University community. Failure to do so will forfeit my eligibility for FCBE scholarship consideration in this award year as well as subsequent semesters. Signature of Applicant Date Please return completed application along with an unofficial transcript as of Dec by March 1, 2016 to: Charlene Spiceland Scholarship Committee Chair FCBE School of Accountancy The University of Memphis 201 Fogelman College Administration Building Memphis, TN Incomplete applications will not be considered! In addition, you must complete the scholarship application form through the Tiger Scholarship portal (see the university scholarship website). Applications for scholarship are processed without regard to sex, age, race, color, creed, national origin or physical handicap. In 1987 and later years, scholarship benefits are considered to be taxable income to the recipient. An Equal Opportunity / Affirmative Action University Fogelman College of Business Page 5

I give permission for information to be given to appropriate committees so that they may recommend eligible recipients. I give permission for my application to be released to a scholarship sponsor.

Scholarship application deadline: April 15, 2014

THE KIWANIS CLUB OF ABILENE FOUNDATION, INC. 473 CYPRESS ST., SUITE 107, ABILENE, TX 79601 (325) 673-1341 Building One Child and One Community at a Time Scholarship application deadline: April 15, 2014