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?*
Must be a member of a PTA for 30 days to qualify for scholarship.
How long have you been a Florida resident: Years/Months?*
Expected Graduation Date*
Date Format: 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
College/University 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
PTA/PTSA Involvement and Experience
Do you have any experience in advocating for children?
- Yes
- No
If yes, please explain:
Essay*
Submit an essay (Answer the question: Where Are You Going, Where Have You Been? Discuss your goals, field of study, reasons for seeking this scholarship, along with what PTA/PTSA means to you and your level of participation. Be sure to include any extenuating circumstances which might contribute to your consideration). 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 official Florida high school transcript
Upload official SAT score report
Upload official ACT score report
Upload first personal reference
Please up load a recommendation from a high school staff member or guidance counselor.
Upload second personal reference
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).
Upload a copy of your 2019-2020 Florida PTA Membership Card
Additional documents
Please upload any additional documents you feel might add to your consideration.

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Florida PTA Scholarship Application Form

Florida PTA Scholarship Application

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