Apply to Shawnee State University

SSU Office of Admission

(740) 351-4778

SSU Development Foundation
Scholarship Application


Award Year 2013-2014

IMPORTANT: February 1, 2013 is the application deadline for Development Foundation scholarships. Although answering any item on this form is optional, you will be considered for every available award if all questions are completed.

19

Yes
No Male
Female


Scholarship Specific Information

Please check the following scholarship-specific information if it applies to you.


Son/daughter of a Scioto County firefighter, police officer, statetrooper, or sheriff deputy. (Submit proof with application)*

Mobility Impaired (Requiring use of wheelchair)

American Savings Bank employee or child/grandchild of employee



USEC American Centrifuge employee or immediate family member of employee



Child or grandchild of Vietnam-era veteran (Submit DD214 of relative with application)*

Working full time while attending Shawnee State University

Scioto County, Ohio 4-H Member (Submit copy of membership card with application)*

From Single Parent Home

Member of Shawnee State Honors Program

Prior Bachelor's degree

Maintained a 3.0 GPA in Foreign Language or Linguistics courses

Graduate of Scioto County Career Technical Center by June, 2013 (For Freshman Only)

Attended and graduated from New Boston School District


Attended and graduated from Washington Local School District


Shawnee State senior whose athletic eligibility is exhausted

Two East High School (Sciotoville) sports letters



Check here to apply for the Barnes and Noble Textbook Scholarship

Recipient of Wendy’s High School Heisman Award

* Important: If proof of membership or employment is not returned with scholarship application, student will not be considered for that particular scholarship. The information can be faxed to (740) 351-3435, mailed to SSU, Financial Aid Office, or brought into the Financial Aid office.

By Submitting this application you give permission to the SSU Financial Aid Office to release financial and academic information to prospective donors.

Required I certify that I have read the form above in its entirety and that the information given herein is complete and accurate. I understand that I may lose or be required to repay funds that I receive if information, which affects financial aid award amounts, is omitted or inaccurate.