http://www.sandiego.edu/soles/documents/merit__scholarship_application

Today’s Date:

Merit Scholarship Application for Leadership Studies 2010­2011 Academic Year Email completed application to: leadershipstudies@sandiego.edu

Name:

USD ID# (if issued):

Address:

SS#: State :

City: Phone

(Home): Email: U.S. Citizen:

(Work):

Zip: (Mobile): Fax:

Yes

Employment Status:

No Employed ___Hrs/Wk

Not Employed

Place of Employment: Other sources of income that will support your education?

Telephone #:

List all dependents and specify those who will be attending college at least part time.

Name

Age

Relationship

College

Do you intend to apply for financial aid? Yes No Number of units you intend to enroll in if you Fall:

Intersession:

Spring:

receive financial aid: Summer:

Number of units you intend to pay for, regardless of whether you receive financial aid:

Fall:

Intersession:

Spring

Summer:

Please describe your academic and research areas of interest and identify a Leadership Studies faculty member you’d like to work with:

Please list any past research or scholarly projects you’ve been involved in:

Rev. 2/2010

Rev. 2/2010