APPLICATION FORM - USF Art



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SCHOOL OF ART AND ART HISTORY

UNDERGRADUATE SCHOLARSHIP-ART APPLICATION FORM

Summer 2014 – Paris Program

Name: _____________________________________________ USF ID #: U______________________

Address: ___________________________________________________________________________

City/State/Zip: ______________________________________________________________________

E-Mail Address: __________________________________________________

(Only your official USF e-mail will be accepted.)

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Major/Concentration: _________________________________________________________________

(You must be a declared art or art history major within the USF School of Art and Art History and have committed to the Paris program and paid the deposit in order to be eligible for this scholarship.)

Cumulative USF GPA: ____________________ (A minimum GPA of 3.00 is required to apply.)

Year in School: ______ Freshman ______ Sophomore ______ Junior ______ Senior

Expected Graduation Date: Semester: __________________Year:_______________

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Are you currently receiving a scholarship grant from the School of Art and Art History? Y_____ N _____

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The application deadline is Thursday, January 30, 2014 by 5 pm. Your application must fit in

a 9” x 12” envelope. The packet must include the following: a completed application, five images for

studio art student applications or a one-to-two page research paper for art history students. CD’s are acceptable, but must be MAC-compatible and must be labeled with the program it was created in.

Mail to: Attention: Wallace Wilson, Director Deliver to: School of Art and Art History

Undergraduate Scholarship Grant USF, FAH 231

School of Art and Art History

University of South Florida

4202 East Fowler Avenue, FAH 110

Tampa, FL 33620

NOTE - IF YOU FAIL TO ENROLL AS A FULL TIME STUDENT (AT LEAST 12.0 UNITS) OR YOUR USF CUMULATIVE GPA FALLS BELOW A 3.00, YOUR SCHOLARSHIP WILL BE WITHDRAWN.

List 2 references (Preferably teachers or professors)

Name:

School or Program:

Email: ____________

Name:

School or Program:

Email: ____________

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By signing below, I acknowledge that I understand that if awarded a scholarship grant, I must fulfill the following requirements to qualify and keep my award: be a declared studio art or art history major, be a full time student (12 units in the fall and spring semesters, 6 units in the summer)*, and maintain a 3.00 USF cumulative grade point average. Failure to do so will result in termination of my grant.

Print Name

Signature Date

*Students in their last semester may enroll in less than full time, pending application for graduation and remain eligible for the scholarship.

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For office use only:

Application received ___________________________________________

BANNER Check/Eligible ___________________________________________

Notification ___________________________________________

Revised: 1-8-14

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