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

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1 Application for Student Scholarship Awarded by St. Petersburg Panhellenic Alumnae Association Name SSN Marital Status Permanent Home Address Phone City State Zip College Address Phone City_ State Zip Which address should be used after March 15? Permanent Home High School High School Attended Overall GPA_ City, State Graduation Date University / College University or J.C. Attending_ Overall GPA If transferring from a J.C., where do you plan to attend?_ Are you accepted? Number of hours completed to date: Circle Class Fresh. Soph. Junior Senior Grad. Stud. Number of Hours Planned for Fall Semester Major Field Anticipated Graduation Date If applying for us in Graduate School, are you accepted? If so, where? Employment If employed Employer Position Address Yearly Gross Income Will you be employed during the school year? Full time Part time Income Summer employment? Anticipated income you will contribute to your college costs

2 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 Year Next Year Student Budget Worksheet

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

4 St. Petersburg Panhellenic Alumnae Association St. Petersburg, Florida Eligibility and Qualifications Applicant must be a: Selection based on: Award Amount: Current permanent resident of Pinellas County, Florida, or will attend college next year in Pinellas County, Florida AND Full-time female student in a four-year college/university or transferring to a four-year college/university AND a member of a National Sorority Student in good academic standing, OR Accepted to a graduate program Greatest consideration will be given to financial need and academic achievement. Additional consideration will be given for leadership abilities and experiences, an essay and letter of recommendation. The number of scholarship 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 extra-curricular 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? 6. Include any additional comments or information that may be applicable (optional). 7. 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 11, Please Mail To:

5 Sally Truby St. Petersburg Panhellenic Alumnae Association th Ave S Saint Petersburg, Florida Applications must be received by April 11, 2010 Award recipients will be notified by approximately May 1, They will be invited to a St. Petersburg Panhellenic Scholarship Awards Brunch to be held on May 15, 2010 If you are chosen as a recipient of the St. Petersburg Panhellenic Alumnae Association Scholarship, does that association have your permission to use your name and picture to publicize your receipt of the scholarship? Yes No Date Signature

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