Cruden-Riggs Scholarship Application

Online

UMD Cruden-Riggs Scholarship
Application
Fall 2008

First Name _____________ Middle Initial ______ Last Name ______________________

Address ___________________ City _______________State ______Zip_______________

Hometown__________________________________________________________________

Current Phone: ( ) _____-_______ Gender ____________________________________

ID Number _____________________________ UMD e-mail_________________________

For Office Use Only
Enrollment Status Spring 2008 FT PT
Class Standing Spring 2008 (Year) 1 2 3 4 5 6 Grad Student
Cumulative GPA _____

A complete scholarship application packet includes the following materials:

__ Letter describing your active support and contributions to gay, lesbian, bisexual, transgender people and issues as specified in the selection criteria
__Demonstrated commitment to stay at UMD through graduation
__Copy of APAS Report
__Explanation of financial need

Information on scholarship recipients may be sent to respective hometown media and the campus newspaper. Please check the box below if you DO NOT wish to have information released to the media and sign your name on the designated line below.

__Do not release information to hometown media or the campus newspaper, if I am a recipient of the Cruden-Riggs Scholarship

Signature ____________________________________________________________

Your complete scholarship application should be delivered or sent to:

Cruden-Riggs Scholarship Administrator
c/o Deborah Petersen-Perlman
273 Darland Administration Building
University of Minnesota Duluth
Duluth, Minnesota 55812

DEADLINE: All applications must be received by December 12, 2008.