Mississippi State University
Bagley College of Engineering
Office of Undergraduate Affairs
160 McCain Hall
Box 9544
(662) 325-2267
SCHOLARSHIP APPLICATION

(NOTE - Utilize the internet browser Firefox to avoid any application submission errors)

Personal Information:
First Name: Middle Name: Last Name: Prefered Name:
NetID: Date of Birth:
Major: Current MSU Classification:
Anticipated Graduation Date:
Cum. GPA: Last Semester's GPA: Hours Completed at MSU:
Hours Transfered from Community College: Other University:
State of Legal Residence: City: County:
Parent's Name:
Home Address:
Telephone:
Your MSU Mailing Address:

MSU Telephone: Alternate Telephone:
E-Mail Address:
Are you a U.S. Citizen?:
Marital Status: Spouse's Name:
Career Goals:

Educational Financial Information:
Semester for which aid is requested:
Statement of Need (Optional):

Other Information:
Do you participate in the Cooperative Education Program:
If yes, indicate next work semester:, school semester

Do you agree that the above information is correct?



**ALL SCHOLARSHIPS REQUIRE STUDENTS TO BE ENROLLED IN A MINIMUM OF 12 CREDIT HOURS EACH SEMESTER TO RECEIVE SCHOLARSHIPS. SOME DEPARTMENTAL SCHOLARSHIPS REQUIRE MORE; PLEASE CHECK WITH SPECIFIC DEPARTMENTS FOR DETAILS ON SCHOLARSHIP REQUIREMENTS.