Scholarship Program And Application (Page 2 of 2) in pdf

Scholarship Program And Application Page 2

Arizona PTA Scholarship Application Form

Complete this application with ALL REQUIRED ATTACHMENTS

Must be postmarked no later than February 15, 2012.

Return to:

Arizona PTA

Attention: Scholarship Chair

2721 N. 7

Avenue, Phoenix, AZ 85007-1102

Package must contain all of the following items with this signed application when

received at the State Office to be eligible for review.

1. An official transcript of high school and/or college work just completed.

2. A personal essay outlining your goals in college and life. Expand on how you chose this

goal. Explain how academic choices, clubs, activities, volunteer work and/or internships

you have been involved with support your goal.

3. Provide a letter of recommendation, on school letterhead, from a faculty member of the

last school you attended that can highlight your academic achievement and

extracurricular activities.

Name:_________________________________________________________________

Address:_______________________________________________________________

City:____________________________ Zip:__________ Phone:__________________

Name of Current School Attending:__________________________________________

Year of High School or GED Graduation:__________ Grade Point Average:_________

Arizona Resident: Yes No

Marital Status: Single Married Divorced Widowed

Are you a Parent: Yes No

Number of children (siblings or dependents) under age 18 currently living in your home:______

If you are receiving any other type of educational financial assistance, please list the

scholarships, grants, or loans you have received and the amounts:

____________________________________________________________________________

If you are a dependent of your parents/guardians, are you receiving financial assistance from

your parents/guardian and/or others: Yes No

I plan to attend ________________________________________________________________

I confirm this is a NCA Accredited Arizona community college, college or university.

______________________________

_________________

Signature of Applicant

Date

***Application containing all attachments must be postmarked no later than February 15, 2012***

Scholarship Program And Application Page 2