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ASU Mid-South | West Memphis, Arkansas

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Scholarship Application

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Applicant Information

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Applicant Questions

Please answer these questions completely. All incomplete applications will be discarded.
(child lives with you, and you/spouse provide more than 1/2 the total support)
(child lives with you, and you provide more than 1/2 the total support)
By selecting “Yes,” you understand written verification from a physician or social services provider may be required.
   
Max. file size: 128 MB.
Without an essay, your scholarship application will only be looked at for Academic Scholarships.
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Certify Your Application*
I certify that the information on this application is correct. Should I be awarded this scholarship, I agree to give strict attention to my studies and to the regulations of ASU Mid-South. ASU Mid-South is authorized to make this information available to scholarship donors and scholarship committees. I grant ASU Mid-South permission to release information from my acaemic records to document my eligibility for the award. I also agree to the use of my name, picture, and essay, if required, for news releases should I receive the scholarship. I agree to be present at the annual Foundation Scholarship Luncheon should I be awarded a Foundation scholarship. I understand any award offer is conditional to my meeting eligibility requirements and the continued availability of donor funds which may be revoked with or without notice at the donor’s discretion.
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