Stonecoast MFA Scholarship Application

University of Southern Maine

Stonecoast MFA in Creative Writing

Scholarship Application

Last Name _____________________First Name _____________________Initial ______

Address ________________________________________________________________

City/Town __________________________________ State ________ Zip ____________ 

Home Telephone__________________ Student I.D. Number _______________________

E-Mail Address _______________________ Number of Semesters at Stonecoast ______

Concentration ________________________________ Total earned credit hours _______

Anticipated Graduation Date _______________________

Which scholarships would you like to apply for? _____________________________________________________________________

_____________________________________________________________________

• Are you recognized by USM as a Maine resident? Yes _____ No _____

• Have you applied for Financial Aid?           Yes _____ No _____

I give USM permission to publish my name as a MFA scholarship recipient Yes __ No __

Additional Information (Optional):

Attach a one-page outline listing your writing activities, community and writing affiliations.

Signature: ________________________________________     Date: _____________