ACM Form

Academic Common Market

7/3/2009

ACM Application

ACM Home | About The ACM | UA's ACM Programs

Application for ACM Out-of-State Tuition Scholarship

NOTES:
1.	A Student must already be admitted to The University of Alabama to apply for an ACM scholarship.
2.	Undergraduate students complete all items below, must have at least a 25 ACT composite score or 1130 SAT composite (math and verbal only), and must have at least a 3.00 overall High School GPA.
3.	Graduate students complete all items except item 8 and item 9.

Application Form:

Please, fill in the following informartion.

1. Student Name:


First Name	mi	Last Name

2. UA Campus Wide ID:

8-digit student CWID

3. Home Address:


Address Line1		Address Line2

Your Home City		Your home state and 5-digit Zip Code

4. Phone Number:

() -		() -
Home Phone		Cell Phone

5. Email:


BAMA email		Personal email

6. UA's ACM Major:

7. ACM Start Term:

8. High School GPA:

must be in X.XX format, GPA carried out to 2 decimal points, do not round up.

9. Test Score:
(Composite Score for ACT or Composite/ Math+Verbal for SAT)


Test Type		Score		Test month & year; leave unselected/blank if unknown

10. Have you applied for ACM residency certification in your home state?

11. Certification:

BY clicking the "Submit" button below, I affirm that all of the information above is accurate. I also understand that The University of Alabama must verify the above information and that it must be in accordance with UA guidelines for an ACM scholarship to be granted. Further, I understand that the University may grant an ACM scholarship contingent upon the final high school GPA's being at or above the minimum, and that if it is not at or above the minimum, the scholarship may be canceled.

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