THE TAMPA PALMS WOMEN'S CLUB INC. SCHOLARSHIP
APPLICATION FOR SCHOOL YEAR JUNE 2009-MAY 2010

NON-TRADITIONAL AGE FEMALE UPERCLASSMAN

QUALIFICATIONS
Applicant must:

• Be an Upper level student (Junior or Senior)
• Have applied for financial aid with the Financial Aid Office
• Be a Hillsborough or Pasco county resident
• Be enrolled in a minimum of at least 6 credit hours per term
• Be a female student at least 25 years of age prior to June 2009 semester
• Be enrolled as an undergraduate student for school year June 2009-May 2010
• Have achieved at least a 3.2 cumulative GPA for work completed at USF

• This signed application
• A typed Academic/Career goals statement
• Include expected graduation date
• All academic and employment experience since H. S.

Return all information to:

Tampa Palms Women's Club
Scholarship Coordinator
16101 Compton Drive
Tampa, Fl. 33647

Deadline: Postmark by Saturday, April 4, 2009
Contact: Scholarship Coordinator at (813) 977-2650 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 2008 at USF Hours Completed thru Dec 2008

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