A CIT Service
Scholarship and Fellowship Interest Form
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Please take a moment to answer a few questions about yourself. This information will help me determine the best way to support you in your search for and/or application to scholarships and fellowships. Thank you.
Year in school
Anticipated graduation date
What is your citizenship status?
Permanent resident/Green card holder
Other, please specify
Some scholarships and fellowships are open only to individuals from historically underrepresented groups. If you are interested in such a scholarship, please indicate your ethnicity.
What are your long-term career plans or goals?
Which scholarship(s) are you interested in applying for? Leave blank if you don't know.
Describe your community service, leadership, and extracurricular activities (including athletics and the arts). Include dates of participation.
Please list any scholarships, honors, or awards you've received (academic and other).
Describe any research experience you have had.
Describe any foreign language abilities you may have, any plans you have for continued foreign language study, and any study abroad experience you have had.
Name three things you feel passionate about or commitment to that relate to your career goals or scholarship aspirations.
Name three experiences or interests that set you apart from your fellow students.
I certify that the information provided on this form is true and accurate.
Please list a few dates and times in the next two weeks when you would be available to meet with the Fellowships Coordinator.
83 Windham Street, Willimantic, Connecticut 06226 USA
Phone Number: (860) 465-5000