Martin Horn Scholarship Application Martin Horn Scholarship Application Form 2023-2024 Step 1 of 3 33% Name* First Middle Initial Last PeopleSoft ID* Academic Major* Academic Minor GPA as of February 2024* Class Standing as of Fall 2023* 54 - 85 EARNED credits = Junior 86+ EARNED credits = SeniorPermanent Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* COLLEGIATE ACTIVITIESPlease list your participation in any collegiate-level activities by organization, office, and date.AWARDS AND RECOGNITIONSPlease list any awards or recognition that you have received by event, award and date. Written Document*Accepted file types: pdf, Max. file size: 100 MB.Unofficial Transcript*Accepted file types: pdf, Max. file size: 100 MB.EligibilityPlease check the following boxes to certify that you have met the criteria for this scholarship. If any criteria are not met, you are ineligible for this scholarship, and we encourage you to try again in the future. I am a Communication major I have completed both COMM 1000 and COMM 1100 I have completed two additional COMM courses (in addition to COMM 1000 and COMM 1100) At the time of submission, I have completed at least 54 credits of coursework and have Junior or Senior standing By signing below, I hereby grant permission to the University of Connecticut to release information pertaining to my academic standing and qualification for the Martin Horn Scholarship to the authorized committee that maintains the scholarship at the University for which I am applying.Signature* Date* MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged.