BEFORE COMPLETING THIS APPLICATION FORM, PLEASE READ THE FOLLOWING:
Read the entire application form before attempting to complete any section.
Do not complete this application if you are seeking an Academic Scholarship. Academic scholarships are awarded as "Honors at Entrance" and awarded through the admissions office.
Talent Scholarships require full-time enrollment, 2.5 GPA, and participation in related programs.
PERSONAL INFORMATION
Last Name:
*
First Name:
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Date of Birth:
*
Permanent Mailing Address:
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City State Zip:
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Home Phone Number:
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Alternate/Cell Phone Number:
E-Mail:
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High School Attended:
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Location (City and State):
*
Cumulative GPA:
*
Year in College:
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Major:
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Instrument:
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TALENT/FINE ARTS SCHOLARSHIPS
Select the Scholarships you would like to be considered for:
Art
Band
Dance
Journalism
Orchestra
Piano
Strings
Theater Art/Drama
Vocal Music
Radio Performance
ADDITIONAL SCHOLARSHIP INFORMATION
Please complete this section. Final decisions will be made upon submission and receipt of required documentation and completion of auditions.
Qualifications:
Briefly list your qualifications, accomplishments and honors for the scholarship for which you are applying. List major activities in high school and college: club/sports participation, leadership experience, instruments played, activities and involvement in plays, recitals, musical productions, etc.
Educational Plans:
Comment briefly concerning your educational, vocational or career plans. Please include any other pertinent information or circumstances that would be helpful in assessing your eligibility for a scholarship.
I understand that by completing this application, I will be considered for Scholarships at Dixie State College, and that I am not guaranteed a scholarship.
I have read the instructions and certify that the above information provided in this application is true and correct to the best of my knowledge. I also declare that if I attend Dixie State College, I will abide by the academic, scholastic and social standards of the college. A student found guilty of non-disclosure or misrepresentation in completing this form will be subject to disciplinary action and/or dismissal from college.
I accept the above statement.
FERPA (Family Educational Right and Privacy Act) requires that students give written permission to have other individuals such as parents, spouse, etc. access their Dixie State College information. Please complete an Information Release Form at http://www.dixie.edu/reg/info-release.doc if you wish to allow information to be discussed by a third party. Please submit the completed form to the Registrars Office.
NEARLY 7,000 CURRENTLY ENJOYING THE BEST EDUCATION UNDER THE SUN...AND COUNTING Copyright � 2008 Dixie State College of Utah - 225 S. 700 E. St George, UT 84770 - Phone: (435) 652-7500
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