SDSU: Umback Memorial Application

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Umback Memorial Scholarship

Criteria: Sophomore, Junior, or Senior Lemmon High School Graduate.
Deadline: March 15, 2006

*Name Last, First, Middle
*SDSU ID # or SSN
*Permanent Street Address
*City
*State
*Zip
*Phone Number
Local Street Address
City
State
Zip
Phone
Email Address
*SDSU Major/Minor

Present Grade Level at SDSU
	Freshman
	Sophomore
	Junior
	Senior
	Graduate

Please be thorough in the dates and listing of activities you have participated in, offices held, honors received and other applicable achievements at SDSU and in your community.
Your personal statement indicating your scholarship qualifications, student's academic interst and career objectives.

By typing the word yes in the box you are stating that all information is accurate to the best of your knowledge.

By submitting this form you are authorizing the SDSU Scholarship Committee to obtain applicable educational information from the SDSU Registrar's Office to complete your scholarship application.

South Dakota State University, Brookings, SD 57007 -- 1-800-952-3541
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