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Facilities Management
Facilities Management Educational Scholarship Application
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Please let us know what applicant type you are.
(Required)
New Employee Applicant
Returning Employee Applicant
New Dependent/Spouse Applicant
Returning Dependent/Spouse Applicant
Please select your department.
(Required)
Facilities Management
Procurement Services
Department of Public Safety
Please enter your T Number.
(Required)
Please enter your Direct Supervisor.
(Required)
Please enter the name of your full-time benefits-eligible spouse/parent/guardian.
(Required)
Please select your spouse/parent/guardian's department.
(Required)
Facilities Management
Procurement Services
Department of Public Safety
Please select what you need this scholarship to pay.
(Required)
Tuition and books
Tuition only
Books only
Do you expect to receive another scholarship, grant, financial aid, etc. for this semester?
(Required)
Yes
No
Are you an undergraduate or graduate student?
(Required)
Undergraduate
Graduate
How many credit hours will you be taking this semester?
(Required)
Less than 6 credit hours
6 credit hours or more
Please select which campus you will be attending.
(Required)
UA Little Rock
Pulaski Tech
Other college
Which college will you be attending?
(Required)
Have you already taken college courses?
(Required)
Yes
No
Please enter the name of the college you attended.
(Required)
Please enter the address of where you attended college.
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Did you attend another college?
(Required)
Yes
No
Please enter the name of the college you attended.
(Required)
Please enter the address of where you attended college.
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Please state why you are a good candidate for the scholarship and your goals for attending college.
(Required)
Please upload a copy of your unofficial transcript from any college where you took a course.
(Required)
Drop files here or
Select files
Max. file size: 49 MB.
Please upload proof of submitting the Employee Tuition Discount Form to the UA Little Rock Department of Human Resources.
(Required)
Max. file size: 49 MB.
Please upload proof of submitting the Spouse/Dependent Tuition Discount Form to the UA Little Rock Department of Human Resources.
(Required)
Max. file size: 49 MB.
Please upload proof of submitting the Spouse/Dependent Tuition Discount Form to the UA Little Rock Department of Human Resources.
(Required)
Max. file size: 49 MB.
Please upload your confirmation email (or other documentation) for applying for the FAFSA.
(Required)
Max. file size: 49 MB.
Please upload a copy of your detailed student account balance after the tuition discount and any other financial aid has been applied.
(Required)
Max. file size: 49 MB.
Please upload a copy of your detailed student account balance after the tuition discount and any other financial aid has been applied.
(Required)
Max. file size: 49 MB.
Please upload a copy of your class schedule.
(Required)
Max. file size: 49 MB.
Please upload a copy of your final grades, including your cumulative GPA.
(Required)
Max. file size: 49 MB.
Consent
(Required)
I agree to the privacy policy.
The federal Family Educational Rights and Privacy Act (FERPA) protects the privacy of educational records that the university maintains. By agreeing to this consent, I give permission for UA Little Rock or the Facilities Management Employee Focus Group scholarship committee to disclose to the donor and any review committee the information provided in connection with this scholarship application for the purpose of the review of my application and the administration and promotion of the scholarship program. This may include information from my educational records, such as my official transcript, letters of recommendation, and financial aid information. This permission is granted for each semester I am awarded a scholarship/grant.
