Center for Student Engagement and Academic Enrichment (SEAE)

College of Education and Human Services (COEHS)
Textbook and Ancillary Materials Scholarship Fund Application

Students completing the scholarship application are required to be enrolled in one of the undergraduate or graduate programs within the COEHS.
Scholarship awards are limited to $100 per award.
Scholarship funds are available on a first-come, first-served basis.

By completing this application, you acknowledge the following: If renting, you will need to have a credit card on file to ensure that you return the book (s) at the end of the rental period. Hard copies of textbooks purchased through these funds must be returned by the end of the semester to CSEAS in Shippen 211. It will then be cataloged and made available to future student use.

Upon review of the application, a determination will be made, and an e-mail notification will be sent to each applicant from Dr. Samuel R. Benbow, Scholarship Administrator, with further directions.

For more information, contact Dr. Benbow, Shippen Hall, Room 211, 717-477-1781, and/or SEAE@ship.edu

Scholarship Application Form

Student Name

Student ID #

Phone Number (Include Area Code)

Email Address

Local Address (in full)

Number of Credits Completed

Major (s)

Minor (s)

Do you currently receive financial aid?

In a few sentences, please explain the need for financial support from this fund.

Request #1: Course Prefix/Number/Name

Request #1: Name of Textbook or Ancillary Materials

Request # 1: Cost

Request #2: Course Prefix/Number/Name

Request #2: Name of Textbook or Ancillary Materials

Request #2: Cost

Request #3: Course Prefix/Number/Name

Request #3: Name of Textbook or Ancillary Materials

Request #3: Cost

Security Code An error has occurred while getting captcha image

All information and data provided in conjunction with this application will be kept strictly confidential and used only as a basis for awarding financial support through the COEHS Textbook and Ancillary Materials Fund program.