* Required


Please answer all questions COMPLETELY: All incomplete applications will be RETURNED. If you need assistance, please contact the financial aid office. All information must be printed in INK. Grants are only awarded for fall and spring semesters. DIVERSITY GRANTS MUST BE RENEWED EVERY YEAR, NO EXCEPTIONS! All recipients of diversity grants must meet the following criteria: 1) be non-black, 2) enrolled in a degree granting program, 3) meet Board approved requirements for admissions, and 4) priority will be given to those who attend the MAIN (Alcorn State) campus as a full-time student. Graduates students are not eligible for the Diversity Grant. NOTE: Must attach a copy of ASU ID or Photo ID with application.

Max file size: 10 MB

*Less than Full Time – Funds are subject to proration.


Signature

WARNING: ANY PERSON WHO KNOWINGLY MAKES FALSE STATEMENTS OR A MISREPRESENTATION ON THIS FORM SHALL BE SUBJECT TO FINE OF NOT MORE THAN $10,000 OR IMPRISONMENT OF NOT MORE THAN 5 YEARS OR BOTH UNDER PROVISIONS OF THE UNITED STATES CRIMINAL CODE.