Ozark Campus Scholarship

Semester Applying For:*

Fall

Spring

Summer

Full Name:*

Date of Birth:*

T Number:*

Address:*

City:*

State:*

Zip:*

Phone:*

High School or GED?*

High School Graduate

G.E.D.

High School Attended (If Applicable):

Graduation Date (If Applicable):

College Attended Previously:

Certificate or Degree Earned:

Marital Status:

Married

Divorced

Widowed

Single

Are you Employed?

Yes

No

Part A: Type a short essay explaining your career goals and tell a little bit about yourself.*

PART B REQUIRED: Please send a letter of recommendation from a professional reference such as a school counselor, previous teacher, employer, etc... to ozark.finaid@atu.edu. You must include your name in the subject line of the email.