Millersville University - Merit Scholarship Application

Merit Scholarship Application

* - denotes a required field

Personal Information Last Name: *
First Name: *
Middle Initial:
Date of Birth: * (MM/DD/YYYY)
Millersville ID: *
MU Degree Program:

Extra-Curricular Activities

	9	10	11	12
Music
Vocal
Band
Jazz Band
Orchestra
Publications
Literary Magazine
Newspaper
Yearbook
Academic Clubs
Debate Team
Environmental
French Club
Future Business Leaders (FBLA)
Future Teachers
German Club
Health Related Club
National Honor Society
Spanish Club
Student Government
Class Officer
Student Council President
Other Council Officer
Theatre/Dance
Performance
Technical
Service
Church Youth Group
Habitat for Humanity
SADD
Tutoring
Scouting
Eagle
Silver
Ethnic/Religious Clubs
Black Student Union
Latino Club
Hillel
CYO
Athletics (list sport) :: add sport

Other Activities (list) :: add activity

Honors & Awards :: add honor/award

In the space below, please provide other information you wish the committee to consider. If applicable, be sure to include such things as bilingual ability, first generation to attend college, educational or economic challenges you have met, part-time employment or internships held, volunteer work, and other experiences, characteristics, or talents not included under the “Extra-Curricular Activities” listing.

* I certify that the information provided on this form is correct.

Note: Students who are dependent children of Millersville University employees or any State government employee eligible for tuition remission and out-of-state residents are ineligible for Board of Governor Scholarships.

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Millersville University
PO Box 1002
1 South George St.
Millersville, PA 17551

717.872.3011
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