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Alumni Association Scholarship Application

Please type information, print out and return completed application by April 2 to: Alumni House, 286 Central Ave., Fredonia, NY 14063

Name of parent/guardian/grandparent who attended Fredonia:

(Please include parent’s last name in college)

General Information

Name:

Permanent Address:

Telephone Number: Fredonia “F” number:

College Address (if different than above):

E-mail Address:

Local Telephone Number: Birth date:

Current Status: Entering freshman Entering Transfer Enrolled Student

Please provide two letters of reference (cannot be from someone related to you), one from someone familiar with your academics and one from someone familiar with your character. Please provide a third name (no letter necessary), with contact information of someone from either category:

Third reference:

(Name) (Address) (Position)

(E-mail address and/or telephone number):

Academic Profile

Entering Freshman

High School Attended:

Anticipated semester of enrollment at SUNY Fredonia: Fall 20 Spring 20

Unweighted High School Average: Rank in Class:

SAT (Verbal): (Math): ACT: Regents Diploma?:

Intended Major:

Transfer Student

Anticipated semester of enrollment at SUNY Fredonia: Fall 20 Spring 20

College(s) attended Dates Hours Earned

Degree Earned: Date of Graduation:

Intended Major: Current GPA:

Enrolled Student

Number of Hours Earned: GPA:

Major : Minor/Concentration:

School or Campus Activities

Extracurricular School Activities. Please indicate dates:

Honors and Awards (Include other scholarships you may have received. Please indicate dates):

Out of School Activities - on or off campus (Church- related, civic, volunteer, etc. Please indicate dates):

Work Experience

(Employer) (Hrs/Wk) (Dates)

(Employer) (Hrs/Wk) (Dates)

(Employer) (Hrs/Wk) (Dates)

Please share why you selected SUNY Fredonia:

Personal Statement

On a separate sheet of paper, please complete a personal statement telling us about those things which have shaped your life. Include your short and long term goals, and any other pertinent information which will assist us in evaluating your application.

Before mailing this application, please include (or request to be sent to the Office of Alumni Affairs) an official transcript (or transcripts if applicable).

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