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University of Michigan Club of Charlotte, NCScholarship ApplicationThe University of Michigan Club of Charlotte, NC offers merit/need-based book scholarships to promising scholars from the Charlotte, NC metropolitan area who enroll as undergraduate students at the University of Michigan.Any student from the Charlotte, NC metropolitan area applying to the University of Michigan as an undergraduate may apply for these scholarships. You may apply for the scholarship concurrent with, or after, your application to the University. Enrollment to the University is a prerequisite to receiving the award. Applications for the club scholarships are due anytime prior to the academic year, which begins in September. A committee of Club members will review the applications and select a pool of finalists for interviews. Please complete the application below and either EMAIL to tomdev@umich.edu or send the completed form to:Scholarship CommitteeC/O Tom De VriesThe University of Michigan Club of Charlotte, NC1932 Summerhill Dr.Charlotte, DC 28212-7140For further information, you may also call Tom De Vries at 704.975.1786.Thank You and GO BLUE!!!.PLEASE PRINT OR TYPE ALL INFORMATION.Your name ___________________________________________________________________________ (Last, First, M.I.)Date of Birth _______________________ Your Address ________________________________________________________________________ ________________________________________________________________________ (Street, City, State, ZIP)Telephone (_________)____________________________EMAIL Address __________________________________High School _________________________________ Guidance counselor __________________________and itsAddress _________________________________ Telephone (______)___________________________ _________________________________ Grade Point Average/Maximum _____________________ Class Rank______________ Out of How Many? _________ Have you been accepted to the University of Michigan? _______ Replied that you are attending? ________Name of parent/guardian; name of second parent/guardian____________________________________________________________________________________ Address of parent/guardian (if different than yours)____________________________________________________________________________________ ____________________________________________________________________________________Telephone (_________)____________________________ PLEASE CONFINE ALL ANSWERS TO THE SPACES GIVEN BELOW, NOT TO EXCEED TWO PAGES. PLEASE DO NOT ATTACH EXTRA SHEETS. Please list your courses this year. Please list your courses last year. _______________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ ________________________________________Please list any academic and service awards you Please list any other colleges or universities to which have received. have applied. _______________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ ________________________________________Discuss any paid employment experience you have had. Discuss any volunteer experience you have had. Discuss your two most significant extracurricular activities.1. 2.Why did you choose the University of Michigan? What are your long-term goals and how will the University of Michigan help prepare you? How will any scholarship funds you receive from us facilitate you attending the University of Michigan? ................
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