Fine Arts

Scholarship Enhancement Fund Cover Sheet

 

NAME OF APPLICANT:___________________________________________________

 

TITLE OF PROPOSAL:____________________________________________________

 

What other support do you have available for this project?_________________________

_____________________________________________________________________

 

What other funding have you had in the past three years?___________________________

________________________________________________________________________

 

What other sources of funding have you applied for recently or are you planning to apply

for?____________________________________________________________________

_______________________________________________________________________         

 

Social Security #:________________

 

Amount Requested:______________

 

Rank of Applicant:_________________________________________________________

 

Campus Address of Applicant:_______________________________________________

 

Campus Telephone #:______________________________________________________

 

E-mail Address:___________________________________________________________

 

School/Department of Applicant:______________________________________________

 

Signature of Applicant:_____________________________________________________

 

Signature of School/Department Director/Chair:__________________________________