@mulerider.saumag.edu To: ralph@mulerider.saumag.edu From: %email% (%last name%) Subject: Scholarship Applicant Date: %date% County: %county% SSN: %SSN% Birth date: %birth date% Last Name: %last name% First Name: %first name% Middle Name: %middle name% Home Address: %home address% Home Phone: %home phone% City: %city% State or Province: %state% Zip Code: %zip code% Citizen of USA?: %citizen of USA?% If not a citizen of USA, then what country?: %country of legal residence% Legal resident of AR?: %legal residence of AR?% Parent or Guardian's Name and Address: %parent or guardian's address% Date of Expected entry into SAU: %date of expected entry into SAU% Name and Address of High School: %high school name and address% Name of HS Guidance Counselor, Principal, or Contact Person: %contact person% Year of High School Graduation: %year of high school graduation% HS GPA: %high school gpa% High School and Community Activities: %high school and community activities% Special Honors: %special honors% Other Special Talents or Interests: %special talents or interests% Other Art-related experiences: %other experiences% Thank you, %first name%!

The following information has been submitted for an art scholarship to the Southern Arkansas University Art Department. This information will be forwarded to the contact person that you have designated. Please print out a copy for your own records.

date: %date% county: %county% SSN: %SSN% birthdate: %birth date%
last name: %last name% first name: %first name% middle name: %middle name%
home address: %home address%
city: %city% state: %state% zip: %zip code%
home phone: %home phone%
citizen of Arkansas? %legal residence of AR?% US citizen? %citizen of USA?% If not, what country? %country of legal residence%

parent or guardian's name & address: %parent or guardian's address%
expected entry date at SAU: %date of expected entry into SAU%

high school contact person: %contact person%
high school name and address: %high school name and address%
year of high school graduation: %year of high school graduation% high school gpa: %high school gpa%

high school and community activities: %high school and community activities%
special honors: %special honors%
special talents or interests: %special talents or interests
other experiences: %other experiences%

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Last revised on 11/1/96.

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