University Of Maine-Farmington-SSS-Scholars Application

Application

Name*

First NameLast Name

Date of Birth

mm-dd-yyyy

Email Address*

example@example.com

Phone Number

(999)999-9999

May we text you at this number?

YesNo

Are you currently enrolled as a UMF student?

YesNo

Next semester, will you be....

A first-year student.A transfer student.A current UMF student beyond the first year.

Are you a UMF student?

Yes, I currently attend UMF.No, I am planning to attend UMF in the future.No, I do not attend UMF and am not planning to attend UMF in the future.

We're sorry, you are not eligible to apply for the Johnson Scholars Program. Best wishes in your search for scholarships.

When will you begin attending UMF?

mm-yyyy

Have you participated in TRIO or Gear Up prior to your acceptance to UMF?

YesNo

Do you have a disability?

YesNo

Before college enrollment did you live with your biological or adoptive parents?

YesNo

Did one or both of those parents graduate with a four-year college degree?

YesNo

Please briefly describe why you are applying for the Johnson Scholars program. Which opportunities excite you the most?

I hereby give consent to the staff of the Financial Aid Office/Student Accounts Office/Student Employment Office at the University of Maine at Farmington to release and discuss program eligibility information including tax return information disclosed under section 6103(l)(13) of title 26 with respect to the applicant and contained in my financial aid, student employment, and student account records, with representatives from UMF TRIO programs for the purpose of determining eligibility for the TRIO Johnson Scholars program. The information released may only be used for this specific purpose and no other purpose. I certify that the information reported on this statement is, to the best of my knowledge and belief, true, correct, and complete.

Signature

Note: By submitting this application, you grant Johnson Scholars Program staff permission to contact the UMF Financial Aid Office about your eligibility for program services and scholarships.