Application Form
Application for Undergraduate Scholarships and Awards
The Department of History
East Carolina University
Greenville, North Carolina, USA 27858
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NAME:
SOCIAL SECURITY NUMBER:
LOCAL/CURRENT ADDRESS:
LOCAL/CURRENT TELEPHONE:
EMAIL ADDRESS:
PERMANENT ADDRESS:
PERMANENT TELEPHONE:
ATTACH THE FOLLOWING:
Statement of need (some Department of History Scholarships and Awards are based on financial need).
A 500-word essay and biographical statement about why you are pursuing a degree in history; include high school/college academics, extracurricular activities, leadership experiences, campus and community service, honors and awards, employment, and career goals).
An example of your best writing, in the form of a clean copy, that you have completed for one of your history classes (can be an essay, a book review, a research paper, or any form of expository writing).
On a separate sheet, please provide names and complete mailing addresses of family and friends to whom you would like an invitation to the Awards Ceremony sent.
I certify that all of the above statements are true and that the essay and written work are my own.
Signature _______________________________________
Date __________________
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(To be completed by History Department staff)
Overall GPA: ____________
History GPA: ____________
Submit completed application to:
Director of Undergraduate Studies
Department of History
Brewster A-316
East Carolina University
Greenville, NC 27858
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Last Revised: September 21, 2006