Current semester: ___Fall
___Spring
20_______
APPLICATION FOR THE
U OF L WOMEN’S CENTER
ANN T. ALLEN ENDOWED SCHOLARSHIP
(Deadline to apply is July 10, 2015 for Fall 2015 semester)
Please type or write legibly in black ink.
Applicant’s full name
_________________________________________________________
Mailing address:
_________________________________________________________
__________________________________________________________
Telephone number(s)
____________________E-mail: _______________________________
Student ID number:
____________________Date of birth (mm/dd/yy):_________________
Undergraduate student class standing: ___Freshmen ___Sophomore ___Junior ___Senior
Declared major(s):_______________________________Minor:_______________________
Overall undergraduate GPA
______________
Intended use of funds (check all that apply):
___tuition
___housing
___books
___other (Please specify)_____________
Have you received the Ann T. Allen Endowed Scholarship in the past?
___yes ___no
If yes, when? __________________________________Amount of award? _____________
Requirements: (Checklist)
*Explain in a 500 word statement/essay explaining financial need, your goals in obtaining a degree and
intended use of the funds awarded. (Use a separate page and attached to application).
*Include an unofficial transcript (including last semester and current enrollment)
*Copy of your 2015-16 FAFSA (Free Application for Federal Student Aid) confirmation plus financial
aid/scholarship awards from other sources
*Signed letter of recommendations from two professors at U of L
Note: Instructors/Professors should submit their recommendations directly to the Ann T. Allen Endowed Scholarship
Committee (c/o Phyllis M. Webb), U of L Women’s Center, #4 Administrative Annex Bldg., University of
Louisville, Louisville, KY 40292)
I certify that all of the above is true and to the best of my knowledge.
Original signature below: (No photocopies):
_________________________________________________
Date:__________________________