Scholarship Application Form
Computer Science Department, Winona State University
 

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Last Name                                                          First Name                                                    M.I.     

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Street Address (Local)                                          City                        State                              ZIP        

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Street Address (Permanent)                                   City                        State                              ZIP        

__________________________                          __________________________________

LOCAL Area Code & Telephone Number                                         Social Security Number

CS                Option A                          OR                          Option B?            (Please Circle)


Total Credits through previous semester    _____________            Current GPA  ____________


Total Credits completed toward CS
Major through previous semester               _____________             Major GPA    ____________


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


Expected Date of Graduation _________________________


** Please attach a copy of your current transcript(s) and a one-page essay describing why you chose CS/CIS as a major and what your career plans are in your chosen field.


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