Scholarship Application Form
Computer Science Department, Winona State University
 

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Last Name                                                          First Name                                                    M.I.     

_________________________________________________________________________________________

Street Address (Local)                                          City                        State                              ZIP        

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Street Address (Permanent)                                   City                        State                              ZIP        

__________________________           ________________________              ___________________________

LOCAL Telephone Number                                    Social Security Number                                    Warrior ID

__________________________________                        ___________________________

PERMANENT Area Code and Telephone Number                                    Email Address                                    

Citizenship and Visa Status if non US citizen  _____________________________________________________


CSCS,  CSAB,  CSAC,  CSAG,  CSAH,  CS Option A,  CS Option B  (Please Circle Option)


Anticipated Total Credits after Spring Semester 2009        _____________            Current GPA  ____________


Anticipated Total CS Credits after Spring Semester 2009     _____________            Major GPA  ____________

(include Math/Physics required for Major)

Current Status            Sophomore                        Junior                        Senior  
(Please Circle)                                   Fulltime                     Part-time


Expected Semester/Year of Graduation _________________________


** Please attach a copy of your current transcript (including transfer transcripts if appropriate) and a one to two page essay describing why you chose your major and your career plans.


Return to:  Scholarship Committee
                   c/o Mary Lange
                   Computer Science Department
                   Watkins 103

 
Application Deadline is February 25, 2009