Tim Penny Scholarship Application
Please complete the form below to apply for a position with us.
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
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Phone Number
*
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Expected Graduation Date
*
Major/Minor
*
Year in School
*
Current MN State College or University
*
Student ID
*
GPA
*
Upload Your Resume
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Essay Upload
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Transcript Upload
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Letter of Recommendation Upload
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Internship plan/proposal
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If an internship has already been secured, please provide an additional attachment including:• Internship title• Agency/Internship site• Internship address• Name of internship supervisor• Supervisor phone number• Supervisor email• Start date of internship• Internship credits to be earned• Number of credits completed or in progress• Name of Academic Advisor
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Are you applying for the State or Federal Fellowship?
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State
Federal
How did you find out about the program?
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Friend or Family
Academic Advisor
Professor
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Social Media
Class
Students United Staff
Student Government
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Signature
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