University Grant Application

First Name*

Last Name

Gender:

Mailing Address

City

State

Zip

Phone Number (Used to contact you)

E-mail Address

Student Status

Which grant are you applying for?
Presidential Grant Dean's Grant Achievement Grant
Lea County Grant Permian Basin Grant USW Campus Ministry and Leadership Grant
Christian School Grant

High School

High School Graduation Year

Have you attended any colleges?

Have you taken dual credit classes at any college?

Have you received an Associate's Degree from New Mexico Junior College?

Birthday (MM/DD/YYYY

General Education Goals

GPA Range (If known)

Submit


Certification: I certify that the information provided on this application is complete and correct to the best of my knowledge. I further certify that if I am chosen as a scholarship recipient, I will use the funds only for expenses related to my education.