BCAA Student Award Application
CUNYfirst EMPLID *
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Last Name *
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First Name *
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Are you a current Brooklyn College *
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Date of Birth
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Place of Birth *
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Ethnicity (optional)
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Street Address *
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City *
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State *
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Zip Code *
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Telephone *
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Email *
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When do you expect to graduate from Brooklyn College? *
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Briefly describe your long term goals: *
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Please list the high school you attended: *
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Please list the college(s) you attended: *
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Graduate Program or Undergraduate Major: *
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Number of credits completed to date: *
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GPA *
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Please list any college activities you have participated in:
Organization, Responsibility, and please list specific dates for each activity
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Please list any off-campus activities you have participated in:
Organization, Responsibility, and please list specific dates for each activity
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Please list any scholastic honors or distinctions you have received:
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Describe a challenge and how you overcame it.
If you wish to elaborate you may do so in your essay.
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Are you currently employed?
Employment History
Employer, City, State, Start Date, End Date, Hours Per Week, Responsibility
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Letter of Recommendation #1
First Name, Last Name, email, organization, relationship
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Letter of Recommendation #2
First Name, Last Name, email, organization, relationship
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Applications are due February 13, 2019. Please email letters of recommendations to scholarship@brooklyn.cuny.edu
In addition to the application and two letters of recommendation, please provide a personal statement of no more than 500 words in the box below. The statement should include your interests, professional achievements and plans. Indicate how your graduate study will contribute to your personal growth and prepare you to make contributions to society.
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"I consent to have my educational records reviewed by members of the scholarship committee who are not employees of the college's in order for me to be considered for a scholarship." *
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