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FAIRLEIGH DICKINSON UNIVERSITY
Silberman College of Business
Louis &
Elizabeth Rice
Scholarship
Demographic Information:
Name: _____________________________________________________
SSN/FDU ID: ______________________________
Last
First
MI
Addres
s:____________________________________________________________________________________________________
Street
Apt No
City
State
Zip
Home Phone: __________________________________ Cell Phone: __________________________________
Email Add
ress: __________________________________________________________________________________
(please write clearly)
County: ________________________
Length of Time as NJ Resident: ______________________
Years/Months
Ethnicity (optional):
A
frican American
(Circle one)
Asian
Caucasian
Hispanic
Native American
Other
Academic Information:
Major: _______________________
Total Earned Credits: _________________
CGPA: _____________________
List Current Major
(List
total completed credits only)
(List CGPA of Total Earned CR
)
Full Time: ____________________
Enrolled in Honors Program: __________
Child of FDU Alum: __________
Yes/No
Yes/No
Yes/No
Campus: ___________________
Madiso
n/Teaneck
Financial Aid & Scholarship Information:
Have you filed the FAFSA: _________________
If Yes, Date Filed: _________________________________
Do you currently receive FDU funding: _______
If Yes, Please List: ___________________________
______
Miscellaneous Information: Please note that this section is important as the scholarship committee uses this information to
evaluate applications.
Participate in FDU Athletics Program: __________
If Yes, Please List: ______________________
___________
Yes/No
____________________________________________________________________________________________________________
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Please detail Community Service Activities (if applicable):
________________________________________________________
____________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________
________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Please detail H
obbies/Interests/Extra Curricular Activities (if applicable):
_____________________________________
_
____________________________________________________________________________________________________________
______________
______________________________________________________________________________________________
____________________________________________________________________________________________________________
__________________________________________________
__________________________________________________________
____________________________________________________________________________________________________________
______________________________________________________________________________________
______________________
In the space provided below, please submit an essay (approximately 500 words)
responding to the
following:
Bitco
i
n is a new type of money that does not rely on central authorities but is accepted as payment
for goods and services a
nd repayment of debts
.
Describe how this process is implemented
. In your
response be sure
to address
some
of the following
, security features, reasons why merchants would accept
payment in bitcoins, whether or not you expect bitcoins to become a widely a
ccepted alternative to
traditional currencies, and concerns regarding domestic and international monetary policy.
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Signature:___________________________
Date:
_____________________________________
***Please return
both a
hard copy
to the address below and a
soft copy
to the e
-
mail address
SDC.Scholarship@gmail.com
by 5pm on
Monday, September 23
rd
, 2013.
Student Development Comm
ittee
(H
-
DH2
-
11)
Silberman College of Business
Fairleigh Dickinson University
1000 River Rd
Teaneck, NJ 07666
PLEASE NOTE THAT NO APPLICATION WILL BE CONSIDERED AFTER THE DUE DATE.
Please direct any questions to
SDC.Scholarship@gmail.com
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