General Scholarship Application Form
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3General Scholarship Application Form
Name____________________________________________________________________________
First
Last
Address__________________________________________________________________________
Street
City
State
Zip Code
Home phone (
)______________Cell phone (___)________________ Email_________________
*EmplID #_____________________________ Gender: _______ Male _______ Female
U.S. Citizen ______Permanent Resident ______ Student Visa _____ Other ______
Nationality_____________________________
Degree: ______ Undergraduate ______ Graduate
Status: _____ Full-time ______ Part-time
Major ____________________
Minor ____________________
Number of currently registered credits ______
What scholastic honors or distinctions have you received?
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
List the most significant extracurricular and community activities (sports, art, music, clubs,
social or public service etc.) in or out of Lehman College, in which you have participated.
Organization
Duties/Activities
Length of Time
Name & Contact Information
Of Supervisor or Faculty Advisor
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
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Parent category: Business