EmailMe Form - LHU Foundation Scholarship

Student ID# *

Student Name *

First Last

Contact Information

LHU Email Address *

Campus Attending *

Main

Clearfield

Local Address at LHU *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Academic Information

Academic Major *

Reminder: You must be a psychology major.

Scholarship Information

You may enter your essay in the box below or upload a word or PDF file.

Please submit a scholarship essay that describes your future goals and how this scholarship can help you meet them.

Please submit a listing of your campus activities.

You may upload documentation here.

We recommend uploading a word file or PDF document.

Name of Hometown Newspaper

Guest Names

Should you receive an award, your parents, spouse, guardian or other guest (up to 2) will be invited to the Spring Convocation. Please provide complete information so that a letter can be properly addressed.

Name

First Last

Address

Street Address City State / Province / Region Postal / Zip Code Country / Region

Name

First Last

Address

Street Address City State / Province / Region Postal / Zip Code Country / Region

Student Signature

By providing your signature below, you certify that the information on this applicaion is true and correct. In addition, you authorize Lock Haven University to release/provide academic and financial need information to the LHU Foundation Scholarship Committee for the purpose of determining eligibility for Foundation scholarships.

Signature *

Clear