The Putnam County

African-American Cultural Arts Scholarship

P.O. Box 1907

Putnam County - Palatka, Florida 32178-1907

Sample Scholarship Application


Please return by March 20, 1998
To:
Criteria for Selection:
    1. Applicant must express genuine need for financial assistance as well as academic potenital (3.0 min GPA)
    2. Application Must Be Typed
Name of Applicant:

Address:

Phone Number:

Parent(s):

Occupation of Parent(s):

Total number of persons in household:

Total annual household income; please check one:
( ) $9,000-$15,000 | ( ) $15,001-$21,000 | ( ) $21,001-$27,000
( ) $27,001-35,000 | ( ) $35,001-$45,000 | ( ) $45,001and up

Grade Point Average: Unweighted

Career Aspirations: Explain what your future plans are; employment, etc.
Attach pages if necessary.

Signature of Applicant:

Date:

    1. Two letters of recommendations.
    2. Copy of current transcript.
    3. Please list the name of the clubs, organizations, and extra curricular acivities in which you are presently participating.
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