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Scholarship Application

Each fall and spring recommendations for scholarships and awards to veterinary students are made by the CVM Awards and Scholarships Committee. To make these recommendations, the committee members obtain information from the KSU Office of Student Financial Assistance and request the following information from students who wish to receive scholarships and awards.

If you would like to be considered for an award and/or scholarship, you must complete this form by
8:00 a.m. on Tuesday, September 10, 2013.



First Name : *  
Last Name : *  
Email : *  
Class : *  
Wildcat ID :
(9 digit number found on your ID card)

State where your hometown is located:
County where your hometown is located (if in Kansas): *  
Location of high school from which you graduated : *  
Approximate number in high school graduating class : *  
State where you received your undergraduate education :
State where you received your high school education :
State where you received your elementary education :
I was raised :  
State where you plan to practice after graduation (optional) :
(You may select up to '3' states by your order of preferences)

Is a portion of your KSU tuition and fees paid by a state contract? :
Do you pay in-state or out-of-state tuition? :  
Have you participated in the annual CVM Student Telefund?:
What is your current, total amount of educational debt? (in USD):
(All educational debt up to and including the current academic year)
(Numbers only)
What is your racial/ethnic background? :  
What are your career interests? :
(Please choose a maximum of 3)

What clubs have you participated in while attending veterinary college? :

List three leadership positions held within the College of Veterinary Medicine:    Organization :          Position held :                                      


Are you married? With dependents?

How many dependents? (Do not include yourself) :

What was your undergraduate GPA? (Optional) :  
(Numbers Only)
Ex: 3.7
Do we have permission to release your GPA and class rank to the CVM Awards and Scholarships Committee? :
By checking this box I state that the information I have given on this form is correct and complete. I understand that the information will be used by the CVM Awards and Scholarships Committee while making recommendations for the distribution of scholarships and awards. 
  Date : 07/25/2014