ASEA Scholarship Application

Please read the following application carefully and complete all blanks. If information is not applicable, please enter "N/A" and explain why on the application.

Application and all related materials must be submitted between January 1st and January 31st.

Applicant name:

Application type:

Active State Employee

Dependent of ASEA Member

Address, City, State, Zip:

Applicant phone number:

ASEA member full name:

Applicant email:

ASEA member relationship:

Agency:

ASEA member phone number:

College you plan to attend / currently attend:

Planned course of study:

High school GPA:

College GPA:

ACT test score:

SAT test score:

List, with dates, all high schools and college or trade schools attended, including your present school (beginning with most current):

List school, community, and work activities in which you have participated:

List all scholarships:

Scholarship Essay (250 words or less):

Upload transcripts, letters of recommendation, and any other applicable documents (PDF or JPG only):

Upload File

I certify that I have read and understand the guidelines contained herein. I attest that all information I have provided in this application is true.

Signature

Date

Thank you for your application.

Complete bylaws regarding the John F. Motes scholarship fund can be found on our website at www.aseaar.org.