Penn State Lehigh Valley Scholarship Application

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All students who are offered admission and submit a Free Application for Federal Student Aid (FAFSA) are considered for scholarships. A student application for campus scholarships provides rich, supplemental information and allows Financial Aid and the Scholarship Committee to base their final decision on all the information that is available to them at the time of the awarding process. Students selected as the nominee from the scholarship committee will be notified no later than July 30th and February 28th respectively.

Click link for available scholarships: http://lehighvalley.psu.edu/scholarships

Penn State ID Number or Email *

First Name *

Last Name *

Home Address *

City *

State *

Country

Zip *

Preferred Phone Number *

Penn State Email *

College Credits Completed: (Earned since graduating high school or earning a GED). *

0-30 credits

31-59 credits

60-89 credits

90 credits of more

Select the most accurate statement.

I am a:

First Year Student (earned less than 18 college credits since graduating high school or earning a GED)

Transfer Student (first time attending Penn State and have completed over 18 college credits, since graduating high school or earning a GED)

Returning Student (attended Penn State previously and attended within the last year)

Clear selection

Intended Major at Penn State

High School Attended *

High School Location (City, State, Country) *

First Year or Transfer Student self-reported Cumulative GPA

Did you file a current Free Application for Federal Student Aid (FAFSA)?

Yes

Clear selection

If yes, are you eligible for a Federal Pell Grant?

Yes

Clear selection

Describe leadership experience and community service participation: *

Personal Statement - In 500 words or less, describe specific qualities, traits, or characteristics which might make you the ideal candidate for one (or more) of our campus scholarships. *

In accordance with the Family Educational Rights and Privacy Act of 1974 (FERPA), I hereby authorize the Pennsylvania State University to release personally identifiable information from my education records, including but not limited to major, activities, grade point average, financial need information, and other information to donors who will be considering me for the scholarship for which I have applied. This release of information is necessary for the selection process for the award. I also authorize the University to periodically release personally identifiable information to the scholarship donor for the purpose of updating the donor on my progress at the University. I understand that (1) I have the right not to consent to the release of my education records under FERPA; (2) I have the right to receive a copy of such records upon request; (3) and that this consent shall remain in effect until revoked by me, in writing, and delivered to the Financial Aid Office at Penn State Lehigh Valley. *

I Agree

I Do Not Agree

Electronic Signature *

Penn State University requires that you certify your application by submitting an electronic signature. To certify your application, please provide an electronic signature by typing your full name in the box below. By providing your electronic signature, you certify that all the information in the application is accurate and true.

Date: *

YYYY

**For priority consideration, submit the scholarship application by April 15.**

Submit

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