Meal Plan Scholarship Application
SPRING 24
Name
*
First Name
Last Name
Student ID Number
*
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Date of Birth
*
-
Month
-
Day
Year
Date
I certify that I am a United States Citizen or a permanent resident of the United States of America.
*
Yes
No
Semester
*
Please Select
SPRING 24
Select your current meal plan
Please Select
Gold 19 w $225 flex
Gold 14 w $250 flex
Gold 10 w $300 flex
CMRC 5
CMRC 5 w $100 flex
CMRC 7
CMRC 7 w $150 flex
Commuter 100 w $220 flex
Commuter 50 w $195 flex
Commuter 25 w $150 flex
Enrollment
*
Please Select
Undergraduate
Graduate
Classification
*
Please Select
Freshman
Sophomore
Junior
Senior
Grade Point Average (GPA) (On A 4.0 scale)
*
Apartment/Residence Hall Name
Room Letter/Number
List other financial assistance you will receive this semester and the amounts.
*
I certify that the information above is true and grant my permission for the information contained here to be shared with the Office of Auxiliary Services and the Financial Aid Office.
*
Auxiliary Services Office Use Only:
*
Director of Auxiliary Services Signature: __________________________________ Date: ______________________________________________________________________ Scholarship Awarded Amount: ____________________________________________
Submit
Submit
Should be Empty: