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Scholarship Application

USF Sarasota-Manatee Scholarship Application
Summer 2013
Application Deadline: April 22, 2013

PLEASE NOTE! Summer scholarships will be awarded for one semester only. *A current year FAFSA (Free Application for Federal Student Aid) must be received by USF by the application deadline in order to be considered for these scholarships.

1. Name:  
2. USF ID Number:      
3. Address:  
  Street Address Apt#  
 
  City State Zip Telephone
4. General Information:      
a. What is your gender?    
b. What is your marital status?    
c. Are you a Florida resident?    
d. County of Residence?    
e. Occupation?
f. Number of hours worked? Name of Employer?
         
5. Ethnic Origin (Optional):  
6. Student Classification at USF for Fall 2013:  
7. Anticipated date of Graduation: Year: Major:
8. Total number of family members in the household (include yourself):  
9. * Please discuss your financial need and your educational goals for the committee to consider?  
 
10. * Are you a community volunteer?     
List three organizations which you actively participate with:    
 
         
I am applying for the following scholarship(s):      
         
Apply only for the scholarships you qualify for.      
         
Brunch on the Bay Endowed Scholars Program  
Selby Foundation – Achievers Scholarship  
Selby Foundation – Future Educators Scholarship  
Laurey T. Stryker Scholarship For NEW Undergraduate Students  

 
I certify that the information on this application is true and I hereby authorize the University of South Florida and any of its designated officials to release information from my official college records to the USF Sarasota-Manatee Scholarship Committee.  
 
Check to certify your acceptance of the above statement.