CE&CF SCHOLARSHIP APPLICATION (Alpha Xi Active Chapter Member)

Applicants Name *

Email Address *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Current Year in School/Total Years for Major (i.e. 3/4, 4/5 etc.): *

College and Major: *

Most Recent Cumulative GPA: *

Alpha Xi Activities / Offices / Honors / Awards: *

University Activities / Offices / Honors / Awards (Include years on Dean’s List): *

Community Activities / Offices / Honors / Awards: *

Remarks / Comments as to why you think you should receive a scholarship or award. *

List involvement during all your years at The University of Cincinnati on this application. Detail, including dates (years) are also important.

Name