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*
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: What does PTA/PTSA mean to you, and what is your level of participation? Discuss your goals, field of study, and reasons for seeking this scholarship. 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 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 2019-2020 Florida PTA Membership Card
Max. file size: 128 MB.
*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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