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

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

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.

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