Professional Documents
Culture Documents
First
Middle
E-mail:
(print legibly)
Local Address:
Permanent Address:
Street
Street
City
Zip Code
City
Zip Code
_
Phone
Phone
Will you be a full-time, undergraduate student at Kansas State University in Fall 2014
and Spring 2015? (You must be a full -time, undergraduate Kansas State student
attending classes on the Manhattan campus to receive the scholarship.)
Yes
No
Identify Latino/a descent:
Classification: Sophomore
Country of Origin:
Junior
Senior
_Yes
No
Academic Major:
Expected Graduation Date:
List high school, college, church or community activities in which you have
participated:
All applicants will be notified as to the status of their application and the outcome of the review.