BPW Scholarship Application 2021 BPW Scholarship Application Full Name * Address * Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Home Phone * Cell Phone Date of Birth (MM/DD/YYYY) * FAMILY INFORMATION Student Lives With * Both Parents Mother Father OtherOther Ages of siblings still residing at home Number of siblings currently attending a higher education instution beyond high school: CURRENT EDUCATION - Please upload a copy of your ACT/SAT Scores Highest ACT Score: Highest SAT Score: Class Rank: Class Size: * Unweighted GPA: * HIGHER EDUCATION GOALS List colleges or vocational schools you have applied to in order of preference: 1. Name and Location of School: Application Status: Applied Accepted Pending 2. Name and Location of School: Application Status Applied Accepted Pending 3. Name and Location of School: Application Status Applied Accepted Pending FINANCIAL ASSISTANCE INFORMATION – THIS SECTION MUST BE COMPLETED Do you qualify for any of the following? Free or reduced lunch program (Do you qualify only - you may or may not be receiving) * Yes No Pell grant assistance? if yes please upload your SRA report * Yes No Florida Bright Futures? * Yes No Have you completed a FAFSA (Free Application for Federal Student Aid)? * Yes No Financial Circumstances Are you a single parent? * Yes No Do you live with a single parent? * Yes No Are you, your parent or caregiver unemployed? * Yes No Are you, your parent or caregiver disabled? * Yes No Is more than 1 household member attending college? * Yes No Does your family have a significant loss of household income? * Yes No Does someone in your family have a medical condition and/or expenses? * Yes No Are there other financial circumstances you would like to share with us? * Yes No Please explain: What other scholarships and/or financial aid sources do you expect to receive (or you have already been notified that you will receive), if any? * Estimated costs for first year of school for the school you will be attending: Tuition: * Books/Supplies: * Room/Board (if you will be living on campus): * Rent/Travel (if you will be living off campus): * Expected Family contribution from your FAFSA? * REAL estimated amount your family can/will contribute your first year? * Expected Family Contribution Estimated amount that you can/will contribute in first year? * Amount of money you have saved for college: * Do you work? * If yes, where and for how long and how many hours per week? * Personal Essay Write about your goals and plans for the future, achievements, setbacks and skills. Explain to the reader who you are and why you have chosen to attend a post-secondary school. You may type directly into this field or copy/paste from a Word document. You will need to make sure that you have checked for correct spelling and grammar. Please be sure to check formatting if you copy and paste your essay. You may type directly into this field or you may copy/paste from a Word document. Check for correct spelling and punctuation. Please be sure to check formatting if you copy and paste your essay. 3500 characters. * Extracurricular activities, work experience, community service (3500 characters) Provide a list of your extracurricular activities, work expense, community service, honors and/or awards over the last two years. * NOTE: All the required documents must be uploaded properly and legible to be considered. The best way to assure these are uploaded correctly, is to make sure all the documents are in PDF format. Screenshots, photos of documents taken with your phone and webpages will not upload properly. UPLOAD YOUR RECENT TRANSCRIPT SHOWING YOUR UNWEIGHTED GPA. Please highlight your unweighted GPA on your transcript prior to uploading the document. Your transcript should include Fall semester grades if you are currently enrolled or your most recent transcripts indicating your cumulative unweighted GPA. UPLOAD FAFSA/SAR REPORT DO NOT INCLUDE TAX INFORMATION Please upload a copy of your SAR report showing your EFC score. Your FAFSA report should include your 2017 Tax return information or may be disqualified. ACT SCORE REPORT AND/OR SAT SCORE REPORT Please upload the most recent Score report to support your ACT and/or SAT Score for this application. If you need to upload 2 score reports, please scan them together in one document and then upload. UPLOAD YOUR FAFSA/SAR REPORT DO NOT INCLUDE TAX INFORMATION Drop a file here or click to upload Choose File Maximum upload size: 100MB UPLOAD YOUR MOST RECENT TRANSCRIPT * Drop a file here or click to upload Choose File Maximum upload size: 100MB UPLOAD YOUR ACT/SAT SCORE REPORT Drop a file here or click to upload Choose File Maximum upload size: 100MB If you are human, leave this field blank. APPLICATIONS MUST BE RECEIVED NO LATER THAN April 1, 2021 If you have any questions, please email Holly Selders hselders@csbtfl.com
