Application for the Rose A. Berry Scholarship

The University of Central Arkansas Foundation, Inc.
College of Education

Spring Deadline: Application must be received by April 1.

Spring Award: To be determined

Scholarship Criteria: Admission to undergraduate Elementary K-6 program or K-12 Special Education program.

Selection is based upon 60 hours completed at UCA with cumulative GPA of 3.0

Note: Only recipient will be notified

Name * First Last
Student ID (Example: B012345678) *
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Telephone * - (###) - ### ####
Cell Phone * - (###) - ### ####
Email Address *
Major *
Major GPA *
Cumulative GPA *
Total Number of Hours *
Total Number of Hours earned at UCA *
Parents / Guardians (if applicable)
Parents / Guardians Address (if applicable)
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Explain need for scholarship. *