GEORGIA COLLEGE & STATE UNIVERSITY
International Student Scholarship Application

INSTRUCTIONS: If you wish to apply for the International Student Scholarship, please print this form, complete all 4 parts of this form, sign it, and return it with any other documents to be included in your admission file. Please remember to include all supporting documentation with this application when you return it. Please read the guidelines and information before applying for this scholarship. If you do not wish to be considered for the scholarship, please indicate so by signing the space provided at the bottom of this page.

PART I: GENERAL INFORMATION
Name: Family/last, First/given, Middle _______________________________________________
U.S. Social Security No. (if available):_______________________
Mailing Address: Street or PO Box ______________________________________________________
City ______________ State ______________ Postal Code ____________ Country _______________
Date of Birth: Month/date/year___________________________________ Major: _____________________________

PART II: INFORMATION FOR SCHOLARSHIP CONSIDERATION
Please indicate the extent of your involvement (in years), any awards or recognition received, and any offices held in each of the following areas. (Attach additional documentation if necessary.)

A) List leadership qualities demonstrated both in and out of the high school/college setting:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

B) List other activities (honorary organizations, religious groups, political organizations, civic groups, scouting, etc.) in which your participation made a difference to you or those around you: ____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

PART III: SUPPORTING DOCUMENTATION
Each application for the International Student Scholarship must be supported by two letters of recommendation from at least one of the following: your principal, counselor, teacher, or college official. In addition, at least one other letter of recommendation from someone who has observed your abilities should be submitted to support your International Student Scholarship application.

Please print the name(s) of individuals(s) writing a letter of recommendation to support your application for the International Student
Scholarship in the following spaces.
Recommendation # 1: _______________________________________________________________

Recommendation # 2: _______________________________________________________________

PART IV: APPLICANT ATTESTATION
I, _______________________ , do attest that I have read the information and accept the guidelines for the International Student Scholarship. Further, all of the information provided by me is, to the best of my knowledge, true and accurate. I will abide by the stated rules and regulations if awarded the scholarship. I request that my application for the International Student Scholarship be considered prior to my arrival at Georgia College & State University.

Applicant's Signature: ____________________________________
Applicant's printed name __________________________________
Date _________________________________________________

I DO NOT wish to apply for the International Student Scholarship. I understand that my chances for applying and receiving the scholarship after I arrive on the Georgia College & State University campus will be limited.

Applicant's Signature: ____________________________________
Applicant's printed name __________________________________
Date _________________________________________________