QUALIFICATIONS
Applicant must:
Return all information to:
Tampa Palms Women's Club
Scholarship Coordinator
16101 Compton Drive
Tampa, Fl. 33647
Deadline: Postmark by Saturday, April 5, 2008
Contact: Scholarship Coordinator at (813) 977-1162 with any questions
regarding this application
Please Print or Type:
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Last Name
First Name
Student ID Number
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Street Address
City
State
Zip Code
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Day Phone/Night Phone
E-mail Adress
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Major
Cumulative GPA thru Dec 2007 at USF
Hours Completed thru Dec 2007
By signing this application I give permission to the University of
South Florida to provide any and all of
my Academic and Financial
Aid records to the Tampa Palms Women's Club Board of Directors for
its reivew.
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Signature Required