Scolarship - Mossie J. Richmond, Jr. Afak Haydar Memorial...

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Mossie J. Richmond, Jr. – Afak Haydar Memorial Scholarship for International Students Graduate Application Form Application deadline is Thursday, March 31, 2011, 5:00 p.m. PART I: DEMOGRAPHIC INFORMATION Name: ________________________________________ Student ID Number: __________________ Country of Citizenship: _________________________________________ Visa Status: ___________ Local Address: _____________________________________________________________________ Telephone Number: ________________________________________________________________ E-mail Address: ____________________________________________________________________ Date Entered ASU: ________________ Expected Date of Completion: ________________________ Field of Study: _____________________________________________________________________ Semester Hours Completed: ____________________________ G.P.A.: _______________________ PART II: ACADEMIC ACHIEVEMENTS List all academic honors that you have received including scholarships, Dean’s List, Chancellor’s List, assistantships, and academic awards. _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ PART III: ACADEMIC ACTIVITIES List all activities in which you have been involved at ASU that are related to your courses and major, and professional goals. _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________
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Scolarship - Mossie J. Richmond, Jr. Afak Haydar Memorial...

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