Scholarship Application Form

CSU Cincinnati Alumni Chapter Scholarship

We are delighted that you have expressed interest in receiving a scholarship from the Cincinnati Star Alumni Chapter!
PLEASE READ AND FOLLOW ALL INSTRUCTIONS CAREFULLY

You are eligible for the scholarship if you meet the following criteria:
- Home address must be in the greater Cincinnati, Northern Kentucky and surrounding areas.
- GPA of 2.5 or higher
- Preference given to those who engage in community service
Instructions:
1. Complete the FERPA Consent to Release form from the Registrar’s office which gives the chapter permission to confirm your GPA. Regarding the Consent form, please use the following information about the recipient of your records:
  
  a. Full name (of records recipient) – Cincinnati Alumni Chapter
  b. Relationship (of records recipient) – Scholarship Chairperson
  c. Address (of records recipient) – csucincyalum@gmail.com
  d. Phone number (of records recipient) – April 513.256.9142
2. Return the completed FERPA Consent to Release form to the Registrar’s office.
3. Email the completed scholarship application and completed FERPA Consent to Release form to the CSU Cincinnati Alumni Chapter at: csucincyalum@gmail.com.
4. Deadline for submission of FERPA Consent to Release form and the completed scholarship application is May 31.
5. Watch for an email from the Cincinnati Alumni Chapter during the first week of July indicating the status of your application.
Complete and Submit Scholarship Application
Scholarship Application Date:

MonthDayYear
Today's Date
Full Name:*

First NameMiddle InitialLast Name
Student ID:*
Home Address:*

(PO Box not allowed)

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address:*
Contact Number:*
(Best number you can be reached at , area code first)
Classification:

SophomoreJuniorSenior
College Major
Current Cumulative GPA:*
(ex. 3.25)
Expected Graduation Year:
(ex. yyyy)
Please list campus activities in which you are involved and state length of time of involvement:
(Campus Activities or Community service)
Using the American Psychological Association format (APA) format, please discuss one of the following topics in five hundred words or less.
1. Select a controversial issue on college campuses today and provide a solution.
2. Share why you selected an HBCU and how it will help shape your future.
3. Discuss an accomplishment, event, or realization.
4. Reflect on a time that you demonstrated leadership.
5. Recount a challenging situation. Share any lesson learned through that challenge or setback.
(Scholarship Benefit)0/500
I, {fullName} give Central State University permission to release my GPA to the scholarship committee of Central State University's Cincinnati "Star" Alumni Chapter.
Digital Signature*
(Provide your electronic signature by typing your first and last name)
Should be Empty:

CSU Cincinnati Alumni Chapter Scholarship

Complete and Submit Scholarship Application