Mortar Board Junior Scholarship Application

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Application Forms are due by Sunday, October 1, 2023, 5 p.m.

NOTE: Selected participants must attend an interview with the Mortar Board Scholarship Committee.

This application asks information regarding your collegiate activities and has a few essay style questions. The application takes about 20 minutes to complete.

If you have any questions or concerns please contact Mortar Board Scholarship Chair, Eli Moore: ehm1921@jagmail.southalabama.edu

Email *

First name *

Middle Name

Last name *

Student J number *

Jagmail Address *

Address *

City *

State *

Zip *

Major/Minor *

Phone *

Credit Hours Earned *

Years at USA (check all that apply) *

2021-22

2020-21

2019-20

2022-23

Required

Other Colleges/Universities attended (include years attended)

No. Hours Transferred

Are you employed? *

Yes

Required

If so, how many hours per week?

Job Title

Responsibilities

(THIRD YEAR) Campus Organizations / Office & Committees *

List organization and office/committee, then rank your participation in each activity: blank=don't attend, 1=only attend, 2=participate, 3=active. Be sure to include activities at all institutions.

(SECOND YEAR) Campus Organizations / Office & Committees *

List organization and office/committee, then rank your participation in each activity: blank=don't attend, 1=only attend, 2=participate, 3=active. Be sure to include activities at all institutions.

(FIRST YEAR) Campus Organizations / Office & Committees *

List organization and office/committee, then rank your participation in each activity: blank=don't attend, 1=only attend, 2=participate, 3=active. Be sure to include activities at all institutions.

Honors or Awards received (academic or otherwise)

Contributions to major or department. (List any activities not included above.)

On-going community/civic/religious activities. (Include the number of hours per week for each activity.)

Any other significant activities not included above.

Mortar Board has permission to review my education record.

Required

Essay *

Mahatma Ghandhi once said "It's easy to stand in a crowd, but it takes courage to stand alone.” In 500 words or less, what does standing alone mean to you, and when have you ever had to stand alone for something?

Send me a copy of my responses.

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