Application (.pdf) - Columbia University

Liberal Studies Master of Arts Program
ONE-POINT SCHOLARSHIP APPLICATION
This scholarship is awarded annually based on need and merit and is available to all
matriculated full- and part-time Liberal Studies M.A. students. Please print or type clearly.
Application is due to the Liberal Studies M.A. Office by July 15. Late applications will not be
accepted.
I. PERSONAL INFORMATION
Liberal Studies Master of Arts Program
Columbia University
109A Low Memorial Library, MC4307
535 West 116 th Street
New York, NY 10027 USA
Full name: _____________________________________________________________________
Last First Middle Initial
Columbia ID: C00__________________________
LSMA Program (American Studies, Islamic Studies, etc.):_______________________________
Permanent Address: _____________________________________________________________
Street
Apt/Suite
_____________________________________________________________
City State Zip Country
Phone Number: _________________________
Email: _______________________________
In how many credit points do you intend to enroll in the upcoming academic year? ___________
II. EMPLOYMENT INFORMATION
List recent positions of employment, beginning with the most recent.
Title Company Employment Dates
Title Company Employment Dates
Title Company Employment Dates
Are you currently an employee of Columbia University? Yes ________
No_________
Are you currently employed as a full-time primary or secondary school teacher?
Yes __________ No __________ If yes, where? ________________________________
KNB 03/08

III. FINANCIAL INFORMATION
List all sources of income other than that from Columbia University that you expect to receive in
the upcoming academic year. Include current salary or employment compensation, government
funding, employer-paid tuition benefits, scholarships, loans and/or grants for which you are
applying or have received, savings, etc.
Name or type of income
Amount for academic year
List all major expenses or debts other than Columbia University tuition that you hold or expect to
incur in the upcoming academic year. Include loans, mortgages or rent, major medical costs,
childcare, etc. Do not list basic living expenses such as food, clothing or transportation.
Name or type of expense
Amount for academic year
IV. STATEMENT
Attach a statement specifically explaining your financial circumstances and how a partial
scholarship would help your progress toward the LSMA degree. Limit: 500 words.
____________________________________________
Student Signature
_____________________________
Date
Office Use
Date Received in LSMA Office: _________________________________
KNB 03/08