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Home
About
Leadership
Testimonials
Contact
Applications
Apply for Undergraduate Scholarship
Apply for Doctoral Scholarship
Apply for Law School Scholarship
Friends of CUNY
Scholars
Belle Zeller Scholars
Kibbee Scholars
Events
Upcoming Events
Past Events
Donate
Undergraduate Application
Home
Undergraduate Application
Undergraduate Application
Click here for full instructions: (PDF)
I, certify that I have read and understand the instructions for applying for the Belle Zeller Scholarship.
Name
*
COLLEGE INFORMATION
CUNY ID
College
Major
Cumulative GPA
Number of Credits
Expected Date of Degree
PERSONAL INFORMATION
Email address
*
Secondary Email
Phone Number
*
Street Address
State
City
Zip
EMPLOYMENT INFORMATION
Employer
Work phone
Work Address
Employer 2
Work Phone (Employer 2)
Work Address (Employer 2)
Employer 3
Work Phone (Employer 3)
Work Address (Employer 3)
COMMUNITY SERVICE
Organization Name
Address
Dates
Supervisor
Duties
Organization Name 2
Address 2
Dates 2
Supervisor 2
Duties 2
Organization Name 3
Address 3
Dates 3
Supervisor 3
Duties 3
EXTRACURRICULAR ACTIVITIES
Organization Name
Address
Dates
Description of Activity
Organization Name 2
Address 2
Dates 2
Description of Activity 2
Organization Name 3
Address 3
Dates 3
Description of Activity 3
OTHER ACTIVITIES
Activity Name
Dates
Description of Activity
AWARDS
Award Name
Awarded by
Description
Year awarded
UPLOADED DOCUMENTS
Transcript
Statement
Bursar Receipt
Send
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