Osher Application

Eligibility Criteria

Must be seeking your first undergraduate degree as a newly matriculating freshman or transfer student.
Must be applying for admission to Middle Tennessee State University, either for part-time or full-time enrollment, for the 2013-2014 year.
Must have been out of school for 5 or more years (cumulative) since high school.
Demonstrate financial need.
Show academic promise and commitment to obtaining a degree.
Applications are due on April 26, 2013. Scholarship award recipients will be notified by June 15, 2013.

An "*" indicates a required field.

Personal Information

*First Name: MI: *Last Name:

*"M" Number:

*Street Address:

*City: *State: *Zip:

Home Phone (###-###-####):

Cell phone (###-###-####):

*MTSU Email Address:

*Other Email Address:

*Preferred Email:

*Date of Birth (mm/dd/yyyy): *Sex:

*Marital Status: *Are you a US Citizen?

Name(s) and Ages of Children:

Occupation:

Brief Employment History:

Educational Background Information

Name of school last attended (high school or college):

Date that you last attended this school:

GPA from high school or most recent post-secondary institution:

*Do you plan to enroll full or part-time:

*Intended Major: Minor (if applicable):

*Student Status:

Extracurricular activities (include high school, college, community)

Honors, recognitions, and awards received (high school, college, community)

*Have you submitted (or do you intend to submit) a Free Application for Federal Student Aid?

If yes, give date:

*Essay

Explain your life goals and any extenuating circumstances you wish the committee to consider to help us define your worthiness and your financial need for this scholarship. Explain how this scholarship would help you reach your goals. Please limit your essay to 500 words.

*I attest that the information contained in this application is true and acknowledge that providing false information may disqualify me from receiving this award.