Return your application packet to:
Student Outreach Services in Room 106 of the
Student Services Building or
Mail to:
Student Outreach Services
San Francisco State University
1600 Holloway Avenue
San Francisco, CA 94132.
Completed application packets that meet the eligibility requirements received or postmarked by the July 12, 2013 deadline will be reviewed by the Scholarship Committee. Students selected to receive the scholarships will be notified in August. Students not selected will be notified shortly thereafter.
Name
Student ID #
Address
City/State/ZIP
Telephone #
Email Address
Circle Your Class Level at SFSU in Fall 2013:
First Time Freshman
Freshman
Sophomore Junior
Senior
Major
Career/Professional Goal
Overall Grade Point Average
Note:
all information collected as a part of the application process for
the Dr. Gloria Hing Scholarship will become the property of the Scholarship
Committee, will be kept confidential and will only be used by the
Scholarship Committee for purposes of evaluating applicants.
________ Initial here if you authorize release of the information provided
with this application to other student aid, scholarship funding sources,
or donors for consideration of other scholarships, awards, prizes,
and fellowships.
My signature below certifies that I have read and understand all the conditions and requirements of an applicant for the Dr. Gloria Hing Scholarship as described on the front page in the “Eligibility Requirements and Procedures” sections and that I meet all eligibility requirements. I understand that if I also receive Federal or State financial aid for the 2013-2014 academic year, the scholarship will be coordinated with my other aid. Every attempt will be made by OSFA to minimize the effect of the scholarship upon my financial aid.
____________________________________________________________________
Signature
Date