African-American And Latino Alumni Scholarship Application

Keith S. Mills Graduate Student Educational Resource Award

Step 3 of 3: Complete the following.

EXTENDED Application Deadline is Friday, March 1, 2024.

Please note that your data is not saved until you click and submit this form.
* Indicates a required field.

African American/ Latino Alumni Scholarship Application - Graduate

African American/ Latino Alumni Scholarship Application - Graduate

  • Name Name
  • Local/Campus Address Local/Campus Address
  • Local/Campus Phone Local/Campus Phone - -
  • U.S. Citizen
    U.S. Citizen
  • Home (Permanent) Address Home (Permanent) Address
  • Home or Cell Phone Home or Cell Phone - -
  • Anticipated Date of Graduation Anticipated Date of Graduation / /
    Pick a date.
  • Maximum of 100 words allowed.   Currently Entered: 0 words.

    In 100 words or less, please prepare a summary of your personal goals.

  • I hereby declare that I am actively pursuing a graduate degree. I give my permission for the selection committee to confirm my academic credentials, citizenship status, ethnic origin and information pertinent to my financial need status with the appropriate University offices. I understand the committee will hold in confidence all material collected. If any of the information pertaining to my qualifications has been falsified, I understand that this selection committee reserves the right to reject my application.

  • Agreement
    Agreement

  • Security Check

    Please enter both words below, separated by a space.