2016 Faculty Dependents' Scholarship Program Application

For Children of UCCS Faculty Members
Spring 2016

Faculty Member Must be Full-Time at UCCS

Please note:  Award amount will vary each year because available funds are split evenly between all eligible students.

Actual scholarship amounts:
2005: $752
2006: $526
2007: $725
2008: $1,062
2009: $627
2010: $481
2011: $500
2012: $800
2013: $1,000
2014: $1,100
2015: $800

Please fill out this application completely and submit online no later than November 1, 2015.

Questions? Contact Tam Doane x3349; tdoane@uccs.edu

Faculty Dependent Children's Scholarship Program
Office of Financial Aid/Student Employment
Cragmor Hall, Room 201

Name of Faculty Member:


Home Phone: Office Extension:

Eligibility Criteria (est. by Faculty Representative Assembly):

(a) Faculty member must be full-time at UCCS

(b) Recipient must be a dependent child.
(c) Recipient must be an undergraduate at CU-Boulder, CU-Denver, or UCCS.
(d) Recipient must be in good academic standing with the campus he/she is attending (not on academic probation).
(e) Recipient must be a high school graduate (or GED).
(f) Recipient can receive a maximum of eight (8) semesters of this scholarship.

I certify that the person(s) listed below are dependent children who meet the eligibility criteria listed above.


Dependent Child's Name, Address at school for Correspondence, and Student ID Number Name of CU Campus where He/She is Enrolled

Student ID Number

Student ID Number

Student ID Number