JUNE S. ANDERSON SCHOLARSHIP FOR MTSU WOMEN
APPLICATION FORM

Name (last name first): _______________________________________________________

Permanent Address: _________________________________________________________

Mailing Address: ____________________________________________________________

Home Telephone: _____________________ Work Telephone: ________________________

Email: _______________________________ Age: ______ Marital Status: ______

Social Security # ______________________________ Children’s Ages: _________________

Name of High School: ________________________ Location: _________________________

GPA in High School: _______ Graduation Date: ________ GED Date: ________

College Attended: ____________________________________________________________

College Status (next academic year): ____ Fr ____ So ____ Jr ____ Sr

Current GPA: _____ Current Major(s): _______________ Current Minor(s): __________

Check all semesters that you plan to attend MTSU in the next school year: ____ Fall ____Spring
Summer awards are not ordinarily made. If you have a special need for summer funding, please attach a statement explaining this need.

Also include:

1. A biographical summary that includes your educational goals and short-term and long term career goals.
2. A photocopy of your latest tax return and a brief statement indicating your financial need and annual income,
     including your husband’s if applicable.
3. Official transcript from last school attended.
4. Three letters of recommendation, one attesting to your personal character, one concerning professional employment
     or volunteer service, and one describing your academic ability.