AGILE Scholarship Application Form

AGILE Scholarship in Software Engineering

Currently accepting applications for 2022/23 academic year
I. Personal Data
Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
E-mail*
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Gender

MaleFemaleOther
Race (you may check more than one)

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite
Ethnicity

Hispanic or Latino or Spanish OriginNot Hispanic or Latino or Spanish Origin
Are you a US citizen, permanent resident, or refugee?*

YesNo
Are you a first generation college student?*

Yes, neither of my parents graduated from college.No, one or both of my parents have college degrees.
II. Undergraduate Degree Information
When did/will you earn your undergraduate degree?*
Year and month
What was/is your undergraduate major?*

Computer ScienceInformation Technology or similarComputer Engineering or similarMathematicsOther STEM disciplineOther
III. Other Information
When are you planning to enroll in CCSU MS Software Engineering program?*
e.g. Fall 2021
Did you apply for admission to CCSU MS Software Engineering program?*

YesNo
Did you file FAFSA for the year when you are planning to enroll in CCSU MS Software Engineering program?*

YesNo
IV. References
Please provide full name, affiliation, and email address for at least three references*
V. Supporting Documents
Please refer to https://www.ccsu.edu/agile/requirements.html for specific requirements. Upload the requested documents in PDF format using the form elements below. Failure to provide all necessary information and documentation will delay processing of your application.

Please do not upload files with any personally identifiable information. If necessary, please redact your documents prior to subnitting them.
Personal essay*

Browse Files

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Unofficial transcripts*

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Proof of US citizenship/residency status*

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VI. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information provided in this form and the attached documents is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please save/print it for your records and retain as verification of your application.
E-Signature*
Should be Empty:

AGILE Scholarship in Software Engineering

I. Personal Data

II. Undergraduate Degree Information

III. Other Information

IV. References

V. Supporting Documents

VI. Applicant's E-Signature