REQUIRED DOCUMENTS

Scholarship Application

Financial Aid Award Letter

Transcript

Documentation of: o Community Service or o Student Leadership

Essay
The essay must be at least 2 pages, typed and answer the following questions:
1.
Why did you choose to attend an HBCU, specifically PVAMU?
2.
What are the benefits of diversity in your field?
Write a Thank You Letter to the donor.
SOWK Scholarship Criteria
Applicant must be a Senior, Social Work major
** Recipients are required to submit a thank you letter to the donor. **
Submit applications, in an envelope or folder, to the Department of Social Work Education. Applications submitted without ALL documentation will not be processed.
Semester Deadline to Submit Completed Application
Spring 2017 October 15, 2016
All scholarship awards are contingent upon the applicant providing final transcripts and enrolling full-time at Prairie View A&M University.
Revised April 2013
ALT

Application for:
Marianna P. Pollard Scholarship Fund (Seniors ONLY)
Flossie M. Byrd Scholarship
Class of 1960 Scholarship
A PPLICANT I NFORMATION
Name Campus ID
Return application to:
W.R. Banks Room 231
OR mail to:
Prairie View A&M University
Department of Social Work Education
P.O. Box 519, MS 2203
Prairie View, TX 77446
Date of Birth
Mailing Address
City
E-Mail
Black/African American
White (Not Hispanic)
State Zip Phone
Male Female
Are you a U. S. Citizen?
Are you a Resident of Texas?
Yes
Yes
Hispanic
Asian/Pacific Islander
No
No
American Indian
Other ______________________________
If No, what country are you a citizen? _________________________________
If No, what State are you a resident? __________________________________
E DUCATION P OST S ECONDARY (institution currently enrolled)
Major Anticipated Degree Title
B.S. B.A. .Other_______________________
Current GPA (at the end of last semester)
________________Current GPA
Expected Graduation Date (Month/Year)
_____________________/___________
Classification Freshman
Organization Membership
Sophomore
Extracurricular Activities
Junior Senior
Community Involvement
Have you completed the Free Application for Federal Student Aid (FAFSA)?
Are you currently receiving financial aid (grants, loans, work-study, or scholarships)?
Yes
Yes
No
No
Where do you live? On-Campus Off- Campus
I certify that the information provided on this application is complete and accurate. I understand that providing false, misleading or incomplete information will be the basis for denial or revocation of scholarship funds. I understand that the Office of Student Financial
Services reserves the right to modify my award (financial aid/scholarship, etc.) at any time due to changes in my eligibility, enrollment status, housing status, availability of funding; or receipt of any funds not included in my original award.
If necessary, Prairie View A&M University may release my academic information to University Colleges/Departments as well as outside donors. Prairie View A&M University has permission to release this information for review, recruitment and public relations. I further understand that awards depend on the availability of funds and financial need.
Student Signature Date
Dependent Independent
Housing Owed________________
Leave Blank
Internal Scholarship Office Only
Cumulative GPA_______
Overpayment Received
Yes No Verified by
Cumulative HRS______
_____________________________