LINCOLN UNIVERSITY

HORACE MANN BOND-LESLIE PINCKNEY HILL SCHOLARSHIP

ELIGIBILITY

Candidates must:

Be seniors or recent graduates (within the last five years).

Be accepted as full-time students in a professional program of medicine (including Podiatry), dentistry, or law at Pennsylvania State University, Temple University, or the University of Pittsburgh.

Be residents of Pennsylvania and citizens or permanent residents of the United States.

Be nominated by Lincoln University.

Demonstrate high academic performance and maintain satisfactory progress.

 

APPLICATION

RETURN TO: OFFIC OF INSTITUTIONAL RESEARCH, 206 LIVING LEARNING CENTER

 

Name of Student: ____________________________________________________  Today’s Date: ____/____/____

 

You are classified as a: ¨ Senior      ¨ Junior      ¨ Sophomore                 ¨ Freshman

                                        ¨ Recent Graduate    Date of Graduation:  ____/____/____    Degree: _____________________            

 

Social Security #: _______________________      Cumulative GPA: _____________ Major: ____________________

 

Home Address: ______________________________________________________________________________

 

 CITY _____________________________ STATE ___________________ ZIP ____________       

          

Home Telephone: (       )            -                Campus Extension: ____________ Campus Box: _____________

 

Are you a resident of Pennsylvania? ¨ Yes ¨ No If no, do you intend to be a resident within the next three years?

¨ Yes ¨ No

 

Are you a United States’ citizen? ¨ Yes ¨ No If no, have you applied for citizenship? ¨ Yes ¨ No

 

Have you taken the GRE? ¨ Yes ¨ No  Score:  ______________

If no, date you intend to take the GRE:          ____/____/____

 

Have you taken the LSAT? ¨ Yes  ¨ No  Score:  ______________

In no, date you intend to take the LSAT:        ____/____/____

 

Have you taken the MCAT?  ¨ Yes  ¨ No  Score:  ______________

In no, date you intend to take the MCAT:      ____/____/____

 

Discipline that you intend to study: ¨ Dentistry       ¨ Law            ¨ Medicine            ¨ Podiatry

 

University(s) that you are applying (or have applied) to: ¨ Pennsylvania State University   ¨ Temple University

                  ¨ University of Pittsburgh     ¨ Other  ____________________________________________________

 

If you have applied, have you been accepted?  ¨ Yes ¨ No

 

 

SIGNATURE  ________________________________________________________________________________________

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