Scholarships Leading to Graduation for Arkansans

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SLGFA Scholarship Application 2024-2025

If you have any questions regarding qualifications for this scholarship, please contact ucatransfer@uca.edu

Application deadline August 1, 2024

First Name *

Last Name *

UCA ID# *

Email Address *

Street Address *

City *

State *

Zip Code *

Cell Phone Number *

Last semester & year attended at any institution (i.e. "Spring 2023") *

Name of most recently attended institution (i.e. "UCA") *

Approximate cumulative GPA (for ALL college courses taken) *

Under 2.5 cumulative GPA

2.5 cumulative GPA or higher

Approximate number of credit hours required to graduate *

More than 30 credit hours

30 or fewer credit hours

Anticipated Starting Semester at UCA *

Major *

Anticipated Graduation *

Are you a resident of Arkansas? *

Yes

Are you a U.S. citizen? *

Yes

Please review the list below and check all of the reasons that resulted in you dropping out of school. *

Family Responsibilities

Financial Constraints

Legal Issues

Natural Disaster

Separation/Divorce

Medical Issues

Military Deployment

Work/employment issues

Other:

Required

Please describe in the space provided below, the circumstance(s) that caused you to drop out of school *

By typing my name in the space below, I agree to the following statement: *

I agree to provide SLGFA, if selected for a scholarship, with my contact information and consent allowing SLGFA to contact me via text; a release allowing SLGFA to use my name or likeness for purposes of promoting the scholarship; a release allowing UCA to furnish information to SLGFA sufficient to process and supervise this scholarship; and a waiver allowing SLGFA to access my academic records. I also understand that I must provide SLGFA a copy of my most current transcript; and I must furnish to SLGFA; in a manner acceptable to SLGFA, the most current forms required by UCA to be executed by me in aid of graduation, including but not limited to an intent to graduate declaration or equivalent, and a certification by my advisor that the courses that I am taking are appropriate to achieving a degree in that major within the time remaining on the scholarship.

Date *

YYYY

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