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PLEASE SUBMIT ALL PAPERS AND NECESSARY FORMS TO: (Print this page). Nancy Grace-Chairman Scholarship 12904 Astorwood Pl Riverview FL 33579-7028 APPLICATIONS MUST BE RECEIVED BY FRIDAY, April 5, 2024
If you need clarification on any point you can write to the above address, email @ or call * Items must be included
with application or application will not be considered. Student Information 1. Full Name 2. Address 3. Phone: _______________________________________________ 4. Birth Date: ________________________________________________ 5. Name and Address of UPMA Sponsor: ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ 6. UPMA member’s relationship to you: ________________________________________________ 7. School you plan to attend (name and address): ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ 8. First Year Students: Have you applied for admission? ____ Have you been accepted? _______ If accepted, please attach a copy of the acceptance letter. 9. Applicant must write and sign a letter (not
more than 400 words) describing awards, community service, school activities, position,
or offices, paid or volunteer jobs, plans and any other pertinent information
to assist the selecting committee evaluate the applications. 10. Attach your latest transcript from school: (Include latest ACT or SAT scores) 11. Have you received this scholarship before? Yes___ No___ If yes, what years? _____ 12. Please attach a wallet size photo to application. Pease sign and date this application: ________________________________________________________________ |