First name *

Middle name

Last name *

Daytime telephone #

Date of Birth *

1st semester of attendance at VIU Spring 2011 Summer 2011 Fall 2011 Spring 2012 Summer 2012 Fall 2012 Spring 2013 Summer 2013 Fall 2013 Fall 2013 Fall 2013

Expected graduation date

Program *

Email address *

Which scholarship are you applying for Special Achievement Scholarship Fresh Start Scholarship New Horizon Scholarship Student Activity Scholarship Presidential Academic Scholarship Deans Academic Scholarship Work on Campus Student Staff Employment Scholarship *

RULES AND REGULATIONS
1. Scholarships cannot be awarded to applicants who receive any other type of outside scholarship (Example: Government scholarships).
2. Cumulative GPA’s will not be rounded for eligibility requirements.
3. Students are eligible to be awarded one scholarship per semester.
4. Students who are awarded scholarships may combine their scholarship award with one other university sponsored discount (Example: VA Residency Discount)
5. All application materials must be received by the application deadline. Incomplete applications will automatically be denied.
6. There is no guarantee that a scholarship award will be made solely because the applicant is qualified.
7. Academic merit holds the most weight when reviewing most scholarship applications. Each application will be reviewed individually and in the case of a tie, the committee will rely on this hierarchy to make their award decisions.
8. I understand that this application will be active only for the semester in which I apply for the scholarship. If I wish to be considered for future scholarships, I understand that I must resubmit a scholarship application.
I certify that the information provided in this application form, along with all other information I have provided to VIU, is accurate and complete. I understand that any misrepresentations or omissions will be cause for my application to be automatically denied.