Application for Student Scholarship Awarded by St. Petersburg Panhellenic Alumnae Association St. Petersburg, Florida

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1 Eligibility and Qualifications Applicant must be: Selection based on: Award Amount: Application for Student Scholarship Awarded by St. Petersburg, Florida A current permanent resident of Pinellas County, Florida, or will attend college next year in Pinellas County, Florida AND A full-time female student in a four-year college/university or transferring to a four-year college/university OR Accepted to a graduate program AND A student in good academic standing, AND A member of a National Panhellenic Conference Sorority Financial need and academic achievement Additional consideration will be given to leadership abilities and experiences An essay and letter of recommendation The number of scholarships awarded and the amount will be determined according to funds available. It is hoped that the range will be $750 - $1,000. To complete the application, attach the following: 1. A complete list of extracurricular activities for high school and college. List organizations, clubs, offices held, committees, community service, awards, honoraries, etc.). 2. A statement from your Financial Aid Officer regarding any financial assistance (grants, scholarships, loans, aid) you are receiving now and/or anticipate receiving next year. 3. A letter of recommendation from a faculty member or other collegiate advisor. 4. An official university transcript (transcripts if more than one college or university). At least one semester must be completed and reflected on transcript(s). 5. A short essay addressing the following: Why you are applying for this scholarship? Include any additional comments or information that may be applicable (optional). Return the above five required items and this scholarship application. (Transcripts may come separately.) The application and transcript must be received on or before April 15, 2016.

2 Application for Student Scholarship Awarded by Name NPC Sorority affiliation Number Years Phone (Home) Permanent Home Address City State Zip College Address Phone City State Zip Which address should be used after March 15? Permanent College High School High School Attended Overall GPA City, State Graduation Date University / College Where currently attending Overall GPA Number of hours completed to date: Circle Class - Freshman Sophomore Junior Senior Graduate Student If transferring, where do you plan to attend? Are you accepted? Number of Hours Planned for Fall Semester Major Field Anticipated Graduation Date If applying for use in Graduate School, are you accepted? If so, where? When? If employed Employer Position Address Yearly Gross Income Will you be employed during the school year? Full time Part time Income Summer employment? Income Anticipated income you will contribute to your college costs

3 Family If married, Husband's Name Address Employer Position Address Yearly Gross Income Father's Name Address Employer Position Address Yearly Gross Income Mother's Name Address Employer Position Address Yearly Gross Income Number in family dependent on the total family income List other family members attending college/where: Have you received any financial aid, loans, scholarships or grants? If so, please list name and amount (include current financial aid statement from University Financial Aid Office) Current School Year Next School Year

4 Student Budget Worksheet List your anticipated expenses and income for the next school year. Annual Costs Tuition/Fees Room/Board Books/Supplies Sorority Dues/Fees Clothing Transportation Personal Other (specify) TOTAL Annual Resources Applicant s Contribution Parent or Spouse Support Employer Contribution/Reimbursement VA/Social Security Benefits Financial Aid, Grants, Scholarship (List and Specify) Other (specify) TOTAL These amounts should come close to balancing. If the totals do not balance, how do you plan to make up the difference?

5 To complete the application, attach the following: 1. A complete list of extracurricular activities for high school and college. List organizations, clubs, offices held, committees, community service, awards, honoraries, etc.). 2. A statement from your Financial Aid Office regarding any financial assistance (grants, scholarships, loans, aid) you are receiving now and/or anticipate receiving next year. 3. A letter of recommendation from a faculty member or other collegiate adviser. 4. An official university transcript (transcripts if more than one college or university). At least one semester must be completed and reflected on transcript(s). 5. A short essay addressing the following: Why you are applying for this scholarship? Include any additional comments or information that may be applicable (optional). Return the above five required items and this scholarship application. (Transcripts may come separately.) The application and transcript must be received on or before April 15, Mail to: Anne McIntyre th Street North, #305 Saint Petersburg, Florida Phone: (727) Award recipients will be notified by early May, They will be invited to a St. Petersburg Panhellenic Scholarship Awards Brunch to be held May 21, 2016 If you are chosen as a recipient of the Scholarship, does that association have your permission to use your name and picture to publicize your receipt of the scholarship? Yes No Date Signature

Application for Student Scholarship Awarded by St. Petersburg Panhellenic Alumnae Association

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