UL LAFAYETTE HONORS PROGRAM

Application for Honors Scholarships
Mark the appropriate box(es) for the scholarship(s) you are eligible for only. Complete the attached application
and return it with this cover sheet and a transcript to the Honors Program or mail to P.O. Box 43250, 70504.

DEADLINE: FRIDAY, SEPTEMBER 20th, 2013 by 1200 NOON.
Applications without a transcript (official or unofficial) will not be considered.
NAME:________________________________________CLID:______________________________________
KEITH LINDLEY SCHOLARSHIP (2)
MAISE & GRANT MOLETT SCHOLARSHIP (1)
Amount: $1,750 year -- $875/semester
Amount: $1,200 -- $600 semester
Qualifications:
3.2 gpa or better
full-time sophomore, junior or senior
Major: Engineering or Science

Qualifications:
3.2 gpa or better
full-time sophomore, junior or senior

GORDAN RICKELS ENDOWED HONORS
SCHOLARSHIP (2)
Amount: $1,550 -- $775 semester

JAMES DEVIN MONCUS FAMILY
FOUNDATION SCHOLARSHIP (1)
Amount: $10,000
($2,500 1st semester junior & senior year)
($2,500 2nd semester junior & senior year)

Qualifications:
full-time freshman, sophomore, junior or senior in
good standing, active member of the Honors Program
Qualifications:
Humanities, Engl, Hist, Phil, Mod Language major Full-time student—entering junior, Graduate of Lafayette
Demonstrate a love of music by continuing studies,
Parish High School, U.S citizen, 3.2 gpa or higher,
performance and/or composition
participate in community service

DR. LOUIS HOUSTON (1)
Amount: $500 semester
Qualifications:
3.2 gpa or better
full-time sophomore, junior or senior
financial need

RAYMOND BOURQUE, SR.
MEMORIAL SCHOLARSHIP (1)
Amount: $550-- $275 semester
Qualifications:
3.2 gpa or better
full-time sophomore, junior or senior
financial need

ORAN ROBERT PERRY BURKE MEMORIAL
SCHOLARSHIP (5)
Amount: $1,000 semester

ANNA M. & DWIGHT T. COLES ENDOWED
HONORS SCHOLARSHIP (1)
Amount: $2,250 for fall and spring

Qualifications:
3.2 gpa or better
full-time sophomore, junior or senior
financial need

Qualifications:
Active in Honors Program, U.S. Citizen,
Sophomore, 3.5 gpa or higher

or expect to receive: Name of scholarship Amount Length School year __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ List any honors or awards received at UL including honorary societies. Senior Hours Completed: _____________ Anticipated date of graduation: GPA: ____________ Honors Credits: ________________ ______________________________ List all UL scholarships. Junior.University of Louisiana at Lafayette Honors Program Scholarship Application (Type or write in black ink) Name: _________________________________________ CLID: _______________________________ Address: _______________________________________________________________________________ Last First Streett or P. etc. Honors Board. Honors courses completed (excluding seminar): ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ Honors Program Involvement: __________________________________________________________________________________________ _________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ . Box City State Zip Contact: __________________________________________________________________________________ Telephone Cell Telephone High School:______________________ Major: _________________ College:___________________ Classification (Please circle): Freshman. etc: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Describe your involvement in the Honors Program: Honors courses. conferences. committees. etc. Honors Baccalaureate program.O. office held. seminar. Pell Grants. you have received. are currently receiving. Sophomore. committees.

__________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Work experience: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ What are your plans and goals for the future? Please elaborate. ____________________________________ ____________________ Signature Date Attach a transcript (official or unofficial) and return to the Honors Program office (Judice-Rickels Hall. SEPTEMBER 20th. Reminder: Applications without transcripts will not be considered.) Describe how you demonstrate your love of music: (For the Gordon Rickels’ scholarship only) __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Your signature indicates that you agree to allow the Scholarship Committee to review your record and application. LA 70504 DEADLINE: FRIDAY. Lafayette. O. 2013by 12:00 NOON .Involvement in extra curricular and community activities. Box 43250. room 205) or mail to P. attach supplemental sheets. __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Explain why a scholarship would be meaningful on a financial need basis: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Write a short essay explaining why you feel you should receive an award: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ (If additional space is needed.