Scholarship Request Form

Intermodal Transportation Institute
Scholarship Application
Personal Information
Last Name
First Name
Your Current Employer
Middle Name
Title
Financial Information
Are you receiving education benefit dollars from your company? Yes
No
Amount________
Have you applied for any other financial aid or scholarships?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
All students accepted into the ITI Executive Masters program are eligible to be considered for a
scholarship. Scholarships are awarded based on financial need. All awarded scholarship funds
will appear as a part of your financial aid award in webCentral and will disburse to your
account each quarter at the tuition due date.
Scholarship funds will be applied toward the cost of the program. Students may not use
scholarship awards to offset travel expenses.
A student must remain in good academic standing throughout the duration of the program in
order to maintain a scholarship award.
Intermodal Transportation Institute - University of Denver, 2400 South Gaylord St., Denver, CO 80208-1300
PH: 303.871.4702 · FAX: 303.871.7819 · [email protected]