Scholarship Application for Undergraduate Students

Please take some time to fill out the scholarship application below. If you would prefer a hard copy, please follow the link for a PDF version of the application.

View the list of available Mass Communication scholarships.

Instructions: Please complete the entire application. If the application is incomplete, you may not be considered for a scholarship. Respond to each section as accurately as possible.

Personal Information: Name(Required)

First Middle Initial Last

T-Number (Start with "T")(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Address (If different than mailing address)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone (___) ___-____(Required)

Email(Required)

Specify minor, sequence, and expected graduation date(Required)

Number of Credit Hours Completed(Required)

Grade Point Average(Required)

I am applying for the following scholarship(s)(Required)

Scholarship recipients must attend the SMC Scholarship Award Luncheon in April. Will you attend?(Required)

What should we say to the audience at that luncheon about you? Be brief and highlight your accomplishments.(Required)

What are your professional goals? (This information might also be used at the luncheon.)(Required)

List your media experience if any. (This information might also be used at the luncheon.)(Required)

Give a brief description of community service activities, extracurricular activities, honors, achievements, and leadership positions (attach a separate sheet if necessary).(Required)

Financial Information: Did you receive a scholarship from UA Little Rock last year?(Required)

If so, name of scholarship(s).

Describe your financial need.(Required)

Please list the amount of income earned in the last calendar year through: Your work (full or part-time)(Required)

Please list the amount of income earned in the last calendar year through: Your spouse's work(Required)

Please list the amount of income received in the last calendar year through: Your parents(Required)

Other income that pertains to your educational expenses: Loan(s)(Required)

If applicable, please specify

Other income that pertains to your educational expenses: Other grants/scholarships(Required)

If applicable, please specify

Veteran's Benefits(Required)

Other sources of income(Required)

If applicable, please specify

Total

Name(Required)

This will act as your signature

First Middle Initial Last

Date(Required)

mm/dd/yyyy

Certification(Required)

I certify that all information and statements I have provided on this application are true and correct to the best of my knowledge. Donors or agencies outside of UA Little Rock occasionally request information contained on this application. I permit the release of educational, personal, and financial information to the individual donors or outside agencies, to be considered for scholarships. I understand that an incomplete or falsified application may cause me to be disqualified.

Captcha