2008-2009 Morris Coupling Company and Louis I. Pollock Family Scholarship Application

FOR STUDENTS ENROLLED OR PLANNING TO ENROLL AT PENN STATE ERIE, THE BEHREND COLLEGE

Consideration for this scholarship shall be given to students enrolled or planning to enroll at Penn State Erie, The Behrend College, who are in good academic standing or who manifest promise of outstanding academic success, and who have a demonstrated financial need as determined by the 2008-2009 Free Application for Federal Student Aid.  First preference shall be given to employees and children of employees of Morris Coupling Company.

DO NOT COMPLETE THIS APPLICATION UNLESS YOU OR YOUR PARENT WORK FOR MORRIS COUPLING COMPANY.


First Name:  Mid Init: 

Last Name:   

PSU ID: 

Email:

Home/Permanent Address 1 :

Home/Permanent Address 2:

City:   State:   Zip:

Name of Family Member Employed by Morris Coupling Company:

Relationship to Student:

RELEASE STATEMENT:

In accordance with the Family Rights and Privacy Act of 1974, I hereby authorize the Financial Aid Office at Penn State Behrend to release the information contained on this application, in addition to grade point average, to representatives of the organization sponsoring the scholarship and members of the scholarship committee for use in evaluating scholarship applicants.

I understand that scholarship awards may be adjusted or revoked due to unsatisfactory academic progress, change in enrollment status, ceased enrollment at Penn State Behrend, or otherwise failing to meet the guidelines of the awarded scholarship.

SUBMIT THIS APPLICATION BY FEBRUARY 1, 2008.


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Updated September 27, 2007
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