2007 SCHOLARSHIP APPLICATION

(Includes Alumni, Brazil, Gilbert, Hubbard, Rinn and Young Scholarships)

Due to Poli Sci Department (Clark 471) by May 4, 2007

Name:_______________________ Student ID #_____________________ Date:_______
Address:________________________________________________________________City:_________________________________ State:_______________ Zip:___________
Phone:______________________ Email Address: _____________________________
Anticipated Graduation Date:________________________________________________
I am a full-time_____ or part-time_____ student (check one). GPA:_____________
I am employed at:_________________________________________________________
Please attach a resume and list below memberships in any clubs, associations, fraternities, sororities, public service organizations or other extracurricular activities.

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Please have a member of the SJSU Political Science faculty who is willing to provide a reference sign this application.

Faculty sponsor's signature:_________________________________________________

Applicant's signature:______________________________________________________

You can apply for as many Political Science Scholarships as you wish with this single form. Please indicate which scholarship(s) you are applying for:
___Alumni ___Gilbert* ___Young* ___Rinn*
___Brazil* ___Hubbard* (*essay or statement required)

I will___ will not___ attend the Political Science Department Graduation Convocation on May 25, 2007, to receive a scholarship award (please check one).