Scholarship Application Form | Greater Naples (FL) Branch

Full Name*
First Last
Email Address*
Are you a resident of Collier County or southern Lee County?
- Yes
- No
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Cell Phone
Other Phone
For which scholarship are you applying?
- Local Scholarship—for local women, age 21 and over, who are pursuing an associate’s, bachelor’s or master’s degree at an accredited college or university and who demonstrate academic achievement and financial need.*
- STEM Scholarship—for graduating high school seniors or older students pursuing a Bachelors’ or Masters’ degree in one of the STEM (science, technology, engineering and mathematics) disciplines, who demonstrate academ-ic achievement. Applicants for this scholarship need not demonstrate financial need or answer questions about financial need or income.*
- Scholarship for Future Educators— for sophomore or older students pursuing a bachelor’s or master’s degree in future early childhood education, elementary, and secondary teachers or a post-bachelor’s Teacher credential certificate. Applicants for this scholarship must demonstrate financial need and a satisfactory academic record.*
Date of Birth*
Total gross household income last year:
How many people are supported by this income?
Describe the people dependent on your total household income
Please describe anything else about your need for scholarship assistance you would like the Scholarship Committee to consider:
Have you applied for federal aid?
- Yes
- No
For what other scholarships have you applied?
At which college or university are you enrolled?
Include Name, City and State
What is your course load for the next semester?
How many credits/hours do you now have?
What is your overall GPA?
Attach Resume*
Max. file size: 2 MB.
2MB Maximum File Size
Attach Essay*
Max. file size: 2 MB.
2MB Maximum File Size
#1 Letter of Recommendation
Max. file size: 3 MB.
#2 Letter of Recommendation
Max. file size: 3 MB.
Attach Official transcript*
Max. file size: 2 MB.
2MB Maximum File Size
I certify that my application is complete and ready for review. I also certify that all information I have supplied is true, correct and complete.
NOTICE: All information submitted by scholarship applicants is held in confidence, except that awardees are asked to consent to disclosure of their names, the fact of their receipt of an award, their school and course of study, their essays and their photographs. Absent objection, the Foundation will publicize such information in the newsletter of the Branch, on the Branch’s website and Facebook page, on the Foundation’s Facebook page, via a press release and, if applicable, to founding donors. The essays written by scholarship awardees may also be disclosed to past and potential donors. Each interviewed candidate will be asked to sign a notice and consent form approved by the Foundation Board. Objection is not disqualifying.