FSMS SCHOLARSHIPS - FLORIDA SURVEYING AND MAPPING SOCIETY...

Info iconThis preview shows pages 1–3. Sign up to view the full content.

View Full Document Right Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: FLORIDA SURVEYING AND MAPPING SOCIETY SCHOLARSHIP FOUNDATION INC. APPLICATION (Sections I, II, III & IV to be completed by Applicant) Section I Personal Information Applicant Name: CHRISTY ___________________ SHANE _______________ ALAN _____ Last First Middle Mailing Address: 3230 SW ARCHER ROAD APT J148A ______________________ City: GAINESVILLE _____ State: FLORIDA ___________ Zip Code: 32608 ___ Home phone: 828-361-3182 ______ Work phone: __________________ Fax: __________________ Email: sachrist@ufl.edu Birthdate: 5/12/86 Age: 20 _____ UFID: 62441221 Are you a U.S. Citizen: _ X _Yes ___ No If no, explain the basis for your legal residence in the U.S.: _____________________________________________________ _______________________________________________________________________ ________________________________________ VISA#: ______________________ Military Status: Class _________ Veteran: ____ Yes __ X _ No Marital Status: NONE _______ Number of dependents including self: _ X _____ Section II Financial Information for this academic year (Married students must include total family income) A. Estimated Costs B. Financial Resources Tuition and Fees $ _ 2910 ___ Savings $ _ 1000 ___ Room & Board $ _ 10000 __ Scholarships $ _ 5674 Books $ _ 500 ____ Parent/Guardian $ _ ______ Supplies $ _ 100 ____ Vacation Income $ _ ______ Transportation $ __ 50 ____ Part-time Income $ _ 1800 Clothing $ __ 75 ____ Income of Spouse $ _ ______ Medical $ _ 300 ____ GI Benefits $ __ _____ Personal $ _ 500 ____ Education Loans $ _ 5418 Other $ _ 500 ____ Other $ __ _____ TOTAL $ __ 14935 _ TOTAL $ _ 13892 __ Amount requested from Florida Surveying & Mapping Scholarship Foundation Inc.: Any amount would be greatly appreciated. Present/Previous Educational Scholarships or Loans: (List name of fund, account, current balance and for what school period) Medallion Scholarship (Florida Bright Futures): 75% of tuition per semester Kiwanis Club of Labelle: $500 per semester Carl Johnson Scholarship: 100% of tuition per semester _______________________________________________________________________ ________________________________________________...
View Full Document

This note was uploaded on 03/18/2009 for the course SUR 5000 taught by Professor Kiker during the Spring '09 term at University of Florida.

Page1 / 5

FSMS SCHOLARSHIPS - FLORIDA SURVEYING AND MAPPING SOCIETY...

This preview shows document pages 1 - 3. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online