Ohio State ATI Scholarship Application

Ohio State ATI Scholarship Application
For Entering Students
Priority Deadline: March 1

 

General Instructions:
After submitting the application online, you must mail a copy of your current high school, or, if applicable college transcript to the Financial Aid Office, Ohio State ATI, 1328 Dover Road, Wooster OH 44691. This transcript is in addition to the transcript submitted with the Application for Admission.

Your care in completing this form is very important, selection criteria are based on the accuracy and completeness of the information you provide. You may need to turn off any popup blockers to complete this form.
 

Proposed Major:

Dual Major:

General Information

First Name:         Middle Name:         Last Name:

Last 4 digits of Social Security Number:         Date of Birth (mm/dd/yyyy):

Permanent Street Address1:

Permanent Street Address2:

City:         State:         Zip:

Ohio County (if applicable):

High School:         Graduated (mm/yyyy):

Permanent Home Phone:         Cell Phone Number:

Email Address:

Please check the appropriate box: 

1. Black, non-Hispanic 2. American Indian or Alaskan  
3. Asian or Pacific Islander 4. Hispanic 5. White, non-Hispanic

Enrollment Plans:

Quarter(s) I will be attending (check all that apply)    Summer        Autumn        Winter        Spring

I plan to enroll (check only one)

Full-Time (12 or more credit hours) Three-Quarter Time (9-11 credit hours)
Half-Time (6-8 credit hours) Less than Half-Time(1-5 credit hours)

Transfer Student Only: List the college/university you transferred from:

Extracurricular Activities: Briefly list your extracurricular activities, including leadership positions. Please type your response below. Keep your entry under 500 words. Do not insert pictures, spreadsheets etc.

Goals: Please describe your goals and plans for a career in your chosen field of study. Please type your response below. Keep your entry under 500 words. Do not insert pictures, spreadsheets etc.

Personal statement: Use the space below to provide any additional information that would assist the committee in the selection process. Keep your entry under 500 words. Do not insert pictures, spreadsheets etc.

By submitting this application I affirm that the information which I have provided on this application form is complete, accurate, and true to the best of my knowledge. Pursuant to the Family Educational Rights and Privacy Act of 1974, as amended (FERPA), I hereby authorize The Ohio State University to release the scholarship application information provided by me, as well as other official and unofficial Ohio State information regarding my academic progress and status, to scholarship donors for the purpose of providing the donors with information concerning my eligibility as a scholarship recipient. I also understand that furnishing false information may result in revocation of any scholarship(s) or may result in disciplinary action pursuant to The Ohio State University Code of Student Conduct.