Made possible by the family and friends of the late Rod Serling, who was a visiting professor in the television-radio department for many years. (Note: this is different from the Rod Serling scholarships awarded incoming freshmen.)
Please clearly print or type
Applicant name:____________________________________________________________
ID#:______________________________________________________________________
Permanent address:__________________________________________________________
Current year in school:_______________________ Cumulative GPA:_________________
Major:_______________________________ Minor:_______________________________
Concentration:__________________________ Advisor:____________________________
I certify that I have completed this application personally and that the information I have provided is complete and truthful.
_______________________________________________ _______________
Signature of Applicant Date
Attach your resume. Be sure to include your honors, achievements, professional experience, and jobs.