Florida PTA Scholarship Application Form

Florida PTA Scholarship Application

If applying for more than one type of scholarship, please be sure to check each box.

Type of Scholarship Applied For:*
- University
- Fine Arts
- Community College
- Vocational/Technical
Be sure to check all boxes that are applicable.
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
County (e.g., Broward, Miami-Dade, Pasco, etc.)*
Phone*
Email*
How many years have you been an active PTA/PTSA member?*
How long have you been a Florida resident: Years/Months?*
Expected Graduation Date*
MM slash DD slash YYYY
Name of High School*
Name of PTA/PTSA*
Grade Point Average (weighted)*
Grade Point Average (unweighted)*
SAT Score
ACT Score
What post-graduate school do you plan to attend:*
Field of Study:*
Father/Guardian*

If not applicable, please use n/a or none.
Address*
Street Address Address Line 2 City State ZIP Code
Employer*
Position*
Email*
Phone*
Mother/Guardian*

If not applicable, please use n/a or none.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Employer*
Position*
Email*
Phone*
Activities - School
Activities - Community
Awards/Recognitions
Work History (or submit your resume below)
Optional: Resume
Max. file size: 128 MB.
PTA/PTSA Involvement and Experience
Do you have experience in advocating for children?
- Yes
- No
If yes, please explain:
Essay*
Submit an essay: How can PTA help support your community? Please specify a challenge you face within your local school community and explain how PTA can address this challenge. Maximum word count: 500.
Do you have a 504/IEP you would like to be taken into consideration?*
- Yes
- No
Name of Guidance Counselor*
Guidance Counselor Phone Number*
Upload unofficial Florida high school transcript
Max. file size: 128 MB.
*Please note uploaded files will not be accessible if using the "Save and Continue" option.
Upload unofficial SAT score report
Max. file size: 128 MB.
*Please note uploaded files will not be accessible if using the "Save and Continue" option.
Upload unofficial ACT score report
Max. file size: 128 MB.
*Please note uploaded files will not be accessible if using the "Save and Continue" option.
Upload first personal reference
Max. file size: 128 MB.
Please up load a recommendation from a high school staff member or guidance counselor. *Please note uploaded files will not be accessible if using the "Save and Continue" option.
Upload second personal reference
Max. file size: 128 MB.
Please upload a recommendation from a community member (non-relative) such as clergy, employer, or neighbor (must have one reference from school and one from community). *Please note uploaded files will not be accessible if using the "Save and Continue" option.
Upload a copy of your current Florida PTA Membership Card
Max. file size: 128 MB.
Students must be a PTSA member as of 11:59 PM on Tuesday, February 21st. *Please note uploaded files will not be accessible if using the "Save and Continue" option.
Additional documents
Max. file size: 128 MB.
Please upload any additional documents you feel might add to your consideration. *Please note uploaded files will not be accessible if using the "Save and Continue" option.

Save and Continue Later

Florida PTA Scholarship Application Form

Florida PTA Scholarship Application

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