2022 In-House Scholarship Application

Student Name

First Middle Last

Year In School (Fall 2022)

Email

Phone

Cumulative GPA

Declared or Intended Major

Years living in / planning to live in Chapter House

Parent Name

First Last

Parent Email

Scholarship Basis -- I am applying for a scholarship based on the following (select all that apply):

Please descripe why you are applying for a scholarship based on the option(s) you selected above.