THE TAMPA PALMS WOMEN'S CLUB INC. SCHOLARSHIP
APPLICATION FOR SCHOOL YEAR JUNE 2008-MAY 2009

NON-TRADITIONAL AGE FEMALE UPERCLASSMAN

QUALIFICATIONS
Applicant must:

Please submit:

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