Quick Links Central Store (Office Supplies)Emergencies & Safety ReportEnvironmental Health and SafetyFor Our SuppliersFormsMarketing & Redistribution (M&R)Motor Pool (Vehicle) 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: 24 MB. Please upload proof of submitting the Employee Tuition Discount Form to the UA Little Rock Department of Human Resources.(Required)Max. file size: 24 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: 24 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: 24 MB.Please upload your confirmation email (or other documentation) for applying for the FAFSA.(Required)Max. file size: 24 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: 24 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: 24 MB.Please upload a copy of your class schedule.(Required)Max. file size: 24 MB.Please upload a copy of your final grades, including your cumulative GPA.(Required)Max. file size: 24 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.Captcha
