Last 4 digit of SSN:

Last Name:

First Name:

Street Address: Apt#

City: State: Zip:

Telephone: E-mail:

High School: Expected Graduation Date:

Please specify each scholarship for which you would like to be considered.

I wish to be considered for the following scholarship(s):

• Bank Of America Florida's Community Scholar Award
• Fanjul Academic and Community Excellence Award
• Depan International Freshman Student Scholarship
• FAU Presidential Scholarship
• M. Brenn Green Scholarship
• Martin Luther King, Jr. Award
• Martin Luther King, Jr. Scholar Award
• National Merit Scholar
• National Merit Achievement/Hispanic - Scholarship Finalist
• National Merit/Achievement/Hispanic - Scholarship Semifinalist
• Salutatorian Scholarship
• Valedictorian Scholarship
• Walter Gaeser Scholarship
• Welcome to FAU Scholarship

High School involvement:

Community Service:

Work Experience:

Personal Essay (Topic of Your Choice):

Submission of this document serves as your electronic signature. Submission online certifies that the information provided is complete and correct to the best of your knowledge. Any use of false names or identities is considered fraud.

I authorize the release of this application and any relevant supporting information to persons involved in the selection of scholarship recipients.