2014-2015 Daniel A. & Martha F. Mica Scholarship Return to Office of Student Financial Aid Florida Atlantic University Boca Campus SU 80 RM 233 777 Glades Road Boca Raton, FL 33431 Jupiter Campus BLDG SR-134 5353 Parkside Drive Jupiter, FL 33458 Davie Campus BLDG LA-122 3200 College Avenue Davie, FL 33314 Students Name: Enter Name here. Z Number: Enter Z number here. FAU E-mail: Enter FAU E-mail. Address: No. & Street: Street Number and Address City: Enter City. State: Enter State Expected Degree: Choose an item. Zip code: Enter Zip FAU GPA: Enter GPA Major: Enter Major. Grade Level (as of Fall 2014): Choose an item. Mica Scholarship Description: The award is given to a student who demonstrates leadership capabilities and financial need. The recipient must be enrolled full time with a minimum 2.5 cumulative GPA. Deadline to submit applications to the Office of Student Financial Aid is June 2nd, 2014 by 5:00pm. Mica Scholarship Requirements: All applicants are required to submit a short essay (approximately 1 page) detailing information about themselves as well as how they exhibit the qualities of the scholarship, why they are in need of the scholarship and their career goals Directions: The Mica scholarship application must be returned to the Office of Student Financial Aid before the application deadline. All applications must have an essay attached in order to be considered for the scholarship. Applications submitted after the deadline will not be considered. I authorize the release of this application and any relevant supporting information to persons involved in the selection of scholarship recipients. Applicant’s Signature Date SFA 060