The University of Mississippi
Department of Journalism
Scholarship Application Form

Scholarships will be awarded on the basis of academic merit, professional motivation and financial need. Applications MUST
be received in the Journalism office by March 1 for consideration for that fall. Scholarship amounts vary and some may be
renewable. A complete list of available scholarships is available in the Ole Miss catalogue. Be sure to print and complete both
pages of the scholarship form and return it along with the statement of interest.

PRINT CLEARLY OR TYPE

Name ________________________________ Address ___________________________________

City ________________________ County ____________ State _____ Zip ____________________

Social Security # _________________________ Phone ___________________________________

I expect to be classified as (circle one):----Freshman----Sophomore----Junior----Senior----Grad Student

My intended sequence is (circle one): ---------- Print------------Broadcast----------Undecided

Are you receiving other scholarships from Ole Miss? (please circle):---------Yes----------No

If so, please list: ___________________________________________________________________

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Please describe your involvement to date in any media, and specifically any jobs, internships, etc.

_______________________________________________________________________________

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If possible, describe what you plan to do after graduation from Ole Miss ________________________

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Proceed to Page Two of Scholarship Application