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You are here: Montana Tech >> Scholarships >> Scholarship Form

New Student Scholarship Form

If you have not applied for admission CLICK HERE to Apply Over the Web...

Complete this application for all new and transfer student scholarships, please note additional information is required for the Marie M. Moebus Presidental Scholarships.

CANNOT PROCEED WITHOUT THIS STEP

Create User ID: (First 2 letters of First Name and Date of Birth)
Example: CA120182

User ID:

SECTION 1

Name :
	Last	First	Middle	SSN
Email:
Address:			Phone:


City	County	State	Zip

Citizenship	High School		Graduation Date

Parent(s)/Guardian(s) name(s):
Are you a transfer student?			If yes, you must submit official college and final high school transcripts to be considered.

Are you a Montana Resident?

SECTION 2 (Not required for College of Technology Scholarships)

My HS class size is:		ACT Score: Total		Math:		English:
My HS class rank is:		SAT Score: Total		Math:		Verbal:

My HS GPA is:

Transfer Students GPA:

Credits:

SECTION 3 (select from 4-Year or 2-Year Option)
4- Year Marie M. Moebus & Montana Tech Scholarship Applicants Only
First Choice:
Second Choice:
Third Choice:

2- Year College of Technology Scholarship Applicants Only
Business:	Business Technology

	Accounting Technology

Health:
Trades and Technology:

SECTION 4 (Optional for College of Technology Scholarships)

High School Activities

In the spaces provided below, list your employment, school, community and athletic activities for grades 9-12. Transfer students and freshmen over traditional age may substitute a current resume for completion of this page.

EMPLOYMENT

Name of Business, Type of Work	Date(s) Employed	Full or Part Time	Hours/Week

SCHOOL & COMMUNITY ACTIVITIES

Name of Activity Club/Organization	Year(s) of Participation	Award/Position of Leadership

If you have other activities you would like to list, please list them here. (Limit 100 characters)

ATHLETIC ACTIVITIES

Sport	Year(s) of Participation	Jr. Varsity /Varsity	Position (s)	Award(s)/Letter(s)

If you have other athletic activities you would like to list, please list them here. (Limit 100 characters)

You may be required to submit additional information based upon the scholarship type(s) you are applying for. Additional information required is as follows...

Marie M. Moebus

An essay of 500 words stating why you are seeking this degree
Two letters of recommendation

Montana Tech
(4-Year)

No additional information is necessary

College of Technology
(2-Year)

Two letters of recommendation
A paragraph or two explaining your future plans and why you have chosen this profession

Mail additional information to:

Montana Tech Admissions Office
1300 W Park Street
Butte, Montana 59701

By Submitting this form, I certify that the above information is complete and correct.

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