Indiana Broadcasters Association

Applicant must have an overall 3.0 GPA (on a 4.0 scale)
Applicant must be a resident of the State of Indiana.
Applicant must be a current college student
Applicants must be actively participating in a college broadcast facility OR working for a commercial broadcast facility while attending an IBA Member Educational Institution.
IBA Scholarship is good toward educational expenses at any IBA Member College/University offering a major in Telecommunications or Broadcast Journalism, or that has a Radio/TV facility on campus.

Submit your application to the IBA Office.

APPLICATION DEADLINE: Postmark by: March 3, 2008

For Questions: Contact the IBA Offices at 1-800-342-6276 or 317-573-0119
3003 E. 98th Street, Ste. 161, Indianapolis, IN 46280

INDIANA BROADCASTERS ASSOCIATION
SCHOLARSHIP APPLICATION
for College Students

Instructions

(read carefully & follow EXACTLY)

This application must be completed by the STUDENT, NOT THE PARENT

1. Complete the Transcript Request Form and send it to your College Records Office.

2. Complete this application.

3. Submit online or mail this application and transcript postmarked by March 3, 2008 to:

Indiana Broadcasters Association
Scholarship Administrator
3003 E. 98^th
Street, Ste. 161
Indianapolis, IN 46280

IMPORTANT NOTE: The Indiana Broadcasters Association will award a Minority Scholarship to a current College Student in the name of Rev. Charles Williams.

Please check here if you are an African American and if you would like to be considered for the Rev. Charles Williams Scholarship.

Applicant Information

First Name

Middle Name

Last Name

Street Address

City & State

Zip

Home Phone

Birth Date

E-Mail

Parent/Guardian

First Name

Last Name

Address

City & State

Zip

Phone

Education & Work History

Please describe in your own words any jobs you have held or work you have performed during the past three years, either for your family at home, part-time jobs or for outside employers

List all colleges and universities you have attended and dates of attendance. List the institution(s) you are presently attending first:

1
2
3

What is your Major?

What is your Minor?

What special recognition have you received for outstanding school work such as honors, prizes or scholarships in college?

Specify what part you have played in extracurricular activities in college. Designate by number the year in which you participated in each activity as follows: 1 - Freshman, 2 - Sophomore, 3 - Junior, 4 - Senior.

What are your favorite recreational activities?

What are your hobbies?

Have you received any special recognition in connection with your recreational activities or hobbies?
Yes
No

If so, what?

Who is your college advisor?

College Academic Advisor telephone number

Essay

On the following box include an essay that will be used to evaluate your genuine interest in continuing an education in Telecommunications or Broadcast Journalism.

Privacy Statement

The Indiana Broadcasters Association (IBA) secures your personal information, identifiable information you provide on the IBA Scholarship Application in a controlled, secure environment, protected from unauthorized access, use or disclosure. When personal information is transmitted through the IBA website, it is protected through the use of encryption.

The IBA Scholarship Applications are disseminated to the IBA Scholarship Committee, comprised of educational institution communications department head and academic advisors, public and commercial radio and television broadcasters, for use in selecting the Scholarship Recipients. All information contained in the IBA Scholarship Application is considered confidential. Upon completion of the annual IBA Scholarship Program, all scholarship applications are destroyed.

INDIANA BROADCASTERS ASSOCIATION

MEMBER COLLEGES/UNIVERSITIES

Anderson University

Ball StateUniversity

Butler University

DePauw University

Earlham College

Franklin College of Indiana

Goshen College

Huntington College

Indiana StateUniversity

Indiana University

Indiana Wesleyan University

IUPUI

Manchester College

Purdue University

Rose Hulman Institute of Technology

Specs HowardSchool of Broadcast Arts

Saint Joseph's College

Taylor University

Tri-State University

University of Evansville

University of Indianapolis

University of Notre Dame

University of Southern Indiana

Valparaiso University

Vincennes University

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