Hartman-Orosz apps

The R.T. Hartman and The Michael L. Orosz Room & Board Scholarships Application Form

Please note that it is necessary to have registered for a PLE course for the upcoming summer to be considered for a scholarship.
Application deadline is April 12.
Student First Name*
Student Last Name*
Student E-mail*
Student ID*
College/University*
Major*
Major GPA*
Overall GPA*
Credits Earned to Date*
Academic Transcript

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Please upload an unofficial copy of your academic transcript Cancelof
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Mobile Number

Area CodePhone Number
Statement of Career Interest and Goals

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Please upload a statement of career interest and goals. This statement should be no more than a single typed page. Cancelof
Describe your career interests and goals. *
How does this PLE course benefit your academic career or long-term goals?
One consideration for some of these awards is financial need. Please use this space if you would like to share information about financial need.
List the course(s) you are registered for at PLE this summer*
References
By your signature below, you agree to waive your right of access to recommendation letters written on your behalf as part of the application process for the R. T. Hartman Scholarship and any appropriate attachments.*

Clear
DateTime
Please provide the names of two people whom you have contacted and who are willing to write a reference letter for you. We will contact your references when needed.
Reference 1
Reference 1 Name*

First NameLast Name
Reference 1 Position*
Reference 1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reference 1 Phone Number*

Area CodePhone Number
Reference 1 Email*
example@example.com
Reference 2
Reference 2 Name*

First NameLast Name
Reference 2 Position*
Reference 2 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reference 2 Phone Number*

Area CodePhone Number
Should be Empty:

The R.T. Hartman and The Michael L. Orosz Room & Board Scholarships Application Form

Application deadline is April 12.

References