MASTER OF EDUCATION TRIBAL COHORT SCHOLARSHIP APPLICATION

**Please Note**
You must have a Current Free Application for Federal Financial Aid (FAFSA) filed at UMD.

Date:______________________________________

Name:_____________________________________

Address:__________________________________________________________________________________

City____________________________________State__________________________Zip Code____________

Daytime Phone Number(Area Code) (________) _________-_______________

UMD ID NUMBER____________________________________EMAIL_____________@d.umn.edu

SSN#_________________-__________-_____________________

Expected Graduation Date:______________________________________

Enrollment Status:____________Full Time ___________Half Time _____________Less than half-time

Amount Requested $__________________ (maximum request $500.00) per semester.
Please indicate the (one) semester: Fall:______________Spring:______________Summer_________Year_______
Please NOTE that only one Request PER SEMEMSTER is permitted.

The scholarship is need-based, please explain your need. Please note, if you are awarded the scholarship, it will be applied to your STARS University Account ( Tuition, Fees, Books, etc.)

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Signature_________________________________________Date_________________________________________

revised April 2006