Staff Scholarship Application

Personal Information
Name *
Panther ID *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Date of Hire * MM / DD / YYYY
You must have been an employee for at least a year and not otherwise on probation. See Details.
Degree Program *

Degree program you are currently pursuing.
School *

The college/university currently attending. Applicants do not have to be attending Georgia State.
Major *
Grade Point Average *
Enter a number between 3 and 5.

3.0 minimum required.
Essays

Complete the essay section by clicking on the grey arrows and typing your answers. The text area is limited to 1000 characters. You may not exceed 1000 characters for each answer. Once all the questions have been answered, enter your name and the date at the bottom of the form, then click "Submit." If you are a Georgia State University Student, you will need to sign the waiver form.
I. Career Goals *
Maximum Allowed: 1000 characters. Currently Used: 0 characters.
II. Personal Statement *
Maximum Allowed: 1000 characters. Currently Used: 0 characters.
III. Contributions to Community *
Maximum Allowed: 1000 characters. Currently Used: 0 characters.
Sign and Date
Name *
Date * MM / DD / YYYY
Staff Scholarship Waiver Form

If you are a Georgia State University student, you must sign the Staff Scholarship Waiver Form below.
Name
Date MM / DD / YYYY
Do Not Fill This Out