Scholarship Application

Your Name

Phone Number

Your Address

Date of Birth:

Your Email (required)

What best describes your entering semester and year:
 Fall Spring Summer
 Junior Senior Post-Grad

Declared Major:

Career Objective:

University or College you will be attending during this scholarship request:

Name(s) of University/College previously attended: Name/ City/State/ Dates Attended/Graduation Date:
1)
2)
3)
4)

Other: Please list any work experience, internships, honors, awards or any other Sales or Marketing experience or information that may apply.

Optional: Applicants may also submit an additional one page explanation of why they would like to receive the scholarship and how it will benefit them:

How did you learn of our scholarship program?

Are you related to an SMS member?
 Yes No

You must also attach a copy of your most recent transcipt

I voluntarily give this information and certify that none of the information provided on this application is false nor have I willingly withheld any pertinent information. Furthermore, if I have provided false or withheld information, the Sales & Marketing Society of the Mid-South has the right to cancel the scholarship and give the money to another candidate or place it back in the education account at the discretion of the Scholarship Committee. I give permission for this information to be given to appropriate committees so that they may recommend eligible recipients. If selected, I authorize my name to be released in the media and I will use the scholarship funds for educational purposes only.
and check that you agree: