Ethan Frome

COMPLETE ALL SECTIONS. INCOMPLETE APPLICATIONS WILL NOT BE

REVIEWED

Diversity Scholarship Program

2024-2025 Application

Application Deadline: Applications (online or faxed) MUST be in our office, SMSU 425, on or before April 1, 2024 by

11:59 pm. If you plan to mail or drop off a paper application, it MUST be in our office by April 1, 2024, by 5:00 pm.

Purpose:

The purpose of the Diversity Scholarship Program is to expand and enrich Portland State's learning

community

by recognizing

and

supporting outstanding

students from first generation and various cultural, ethnic and socio

economic backgrounds,

with diverse talents, interests, and life experiences. The Diversity Scholarship Program is

committed

to helping

students

achieve

their academic goals. The program promotes diversity and

student

participation

in campus life

through

volunteerism and

academic excellence. Scholarship recipients will share their unique strengths and diverse perspectives through their involvement in

on-campus activities, in the classroom and

through their

participation in community service. The Diversity Scholarship is a tuition-

remission credit in the amount of 12 undergraduate credits at the resident tuition rate excluding fees (actual amount varies).

Eligibility requirements:

High School Students

•

Fewer than 30 college credits with a 3.0 cumulative high school GPA or GED completion (55 total score or better)

•

Must have applied for admissions to Portland State University by April 1, 2024

•

Must enter Portland State University in fall 2025

Incoming transfer students

•

Minimum of 30 transferable college credits, but no more than 134 credits with 2.50 cumulative college-level GPA

•

Must be working to complete first bachelor’s degree

•

Must have applied for admissions to Portland State University by April 1, 2024

•

Must enter Portland State University in fall 2025

Current PSU undergraduates

•

No more than 134 credits with 2.50 cumulative college-level GPA

•

Must be working to complete first bachelor’s degree

Selection Criteria:

The scholarship is awarded to students who best exemplify the purpose of the Diversity Scholarship Program. Priority for the

Diversity Scholarship is given to Oregon residents with high financial need as defined

by federal

guidelines and who are

“first-

generation”

college students (neither parent has a four-year college degree from any country). International students are not

eligible for this scholarship.

Based on the above description, are you a

first-generation

student? Yes  No 

Have you been admitted? Yes  No  If no, what date did you apply for admissions

__________________

Have you submitted a FASFA (Free Application for Federal Student Aid)? Yes  No 

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of 6

FIRST NAME MIDDLE INITIAL LAST NAME PSU SID

STREET ADDRESS TELEPHONE

CITY STATE Zip Code CELL PHONE

PRIMARY EMAIL ADDRESS BIRTH DATE

DATE OR TERM ADMITTED TO PSU IF ADMITTED WITH CONDITIONS PLEASE LIST THE CONDITIONS:

HIGH SCHOOL ATTENDED GRADUATION DATE

COLLEGE(S) ATTENDED CREDITS DATES

COLLEGE CREDITS TOTAL INTENDED MAJOR(S) OR AREA OF STUDY

Highest level in school your father or guardian completed:

 Master’s/Ph.D./M.D./J.D.

 Bachelor’s degree from a U.S. College or University

 Ba

or’

s deg

ee f

oun

try

side

U.S.

 Some college/Associate’s degree

 High school/GED

 Did not graduate from high school

 Unknown

Highest level in school your mother or guardian completed:

 Master’s/Ph.D./M.D./J.D.

 Bachelor’s degree from a U.S. College or University

 Ba

or’

s deg

ee f

oun

try

side

U.S.

 Some college/Associate’s degree

 High school/GED

 Did not graduate from high school

 Unknown

Page

of 6

A. Essay (required) – Print or type your name and student

identification

number on each page

Please provide short answers (Maximum of 500 words for each question) to all of the following questions:

1. Describe a significant life experience that illustrates how you will contribute to a campus community that values diversity and

inclusion.

2. Describe a personal experience that influenced who you are today and your pursuit of a college education. What are

your educational goals and career aspirations?

3. Briefly describe your present financial situation for the coming year. What financial challenges do you anticipate

encountering as you pursue a college education?

4. Imagine: You are a Service Learning project coordinator. Please describe a service learning project you would coordinate?

Why did you choose this project? How would you get others involved in the service learning opportunity?

Note: Think about and write your answers carefully. Your responses are important in the selection process. Please have your essays

reviewed for grammar, content, and spelling by at least two individuals.

B. Recommendations

Please ask two people not related to you, but who can speak to your academic ability and potential for success in college to

write a letter of

recommendation

on your behalf.

Recommendation letters should come from people who are familiar with your academic abilities, achievements, community

involvement, and/or potential for college success. One recommendation should be from a teacher/professor,

counselor/adviser, or principal. The other recommendation could be from an employer or community member.

Recommendations should not come from an immediate family member, classmate, peer, or friend. Please have the writer

include the following information: academic capabilities, motivation, personal characteristics, experiences, and achievements

Be sure that they include the following on all letters: student’s name, own name and title, relationship to student.

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C. Indicate

school/community

activities in which you have been involved (Attach a separate sheet if necessary).

School (clubs, government, sports, etc.) Dates

Community Service/Community Involvement Dates

(family obligations, tribal participation, religious group participation, club membership, volunteer activities, etc.)

D. Please indicate all awards, honors, special talents or interests (Attach a separate sheet if necessary).

Awards and honors

Special talents or interests

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E. Financial Information: ONLY COMPLETE THIS FORM IF YOU HAVE NOT BEEN AWARDED FINACIAL AID

Are you currently employed?

Yes  No  | If yes, who is your employer?

What is the average number of hours your work per week?

Does your employer provide tuition assistance? Yes  No  | If yes, what is the amount

Please list your current financial status and the projected income/ expenses as specified below.

Please list your total projected earnings from working in 2024. $

If you parent/spouse/other

has supported you in the last year, what is the relationship and the amount? Relationship

Please list current “outside sources” of additional funding for school and projected “outside sources” of additional funding for

school for the 2024-2025 academic year.

Academic Year 2024-2025

Personal Loans $

Scholarships $

Other funds $

As of today, what is your (and spouse’s) total current balance of

Cash

Savings

Checking

Debts Owing to: Amount owed

Please list all present educational debts and amount owed:

Please Estimate total educational cost to attend PSU for the 2024-2025 academic year

Please use the space below or attach a separate sheet to describe and/or clarify any financial issues, expenses, or constraints that

are not addressed in the section above and to explain any significant (>$1,000) changes to your financial need for the upcoming

2024-2025 academic year.

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Checklist for the 2024 – 2025 Diversity Scholarship Application

 Applied for admission to Portland State or currently a regularly admitted student

 Completed and signed this scholarship application form

 Answered all four required essay questions

 Transcript(s) are included with this application:

• I am a high-school senior and I have attached a copy of my high-school

transcript

(Copies of unofficial transcripts are

acceptable)

• I am a college student and I have attached a copy of all my college-level transcripts

(Copies of unofficial transcripts are

acceptable)

 Two letters of recommendation

 Copy of current financial aid award or completed financial information sheet (included in packet)

I hereby authorize Portland State University to furnish copies of my academic record, this application, and

letters of recommendation

to the PSU Diversity Scholarship Committee to review in considering my application.

I further authorize release of information for publicity purposes (if selected for a scholarship).

Applicant’s Signature Date

PSU supports equal opportunity in admissions, education, and use of facilities by prohibiting discrimination in those areas based on

race, color, creed or religion, sex, sexual orientation, gender identity, national origin, age, physical or mental disability, or veteran

status.

Return to:

Multicultural Retention Services

Smith Memorial Student Union

425

Mail code:

Portland State

vers

PO Box

751

Portland, OR

97207-0751

Portland State offers a wide variety of scholarships to meet the needs of our diverse student body with scholarships based on:

•

Academic achievement

•

Specific major and career choices

•

Financial need

•

First generation status

•

Diverse and unique backgrounds

•

Service to school and community

•

Leadership skills

•

Disabilities

For more information please visit the following website: http://www.pdx.edu/dmss/diversity-scholars