VIRGINIA TECH ALUMNI ASSOCIATION - RICHMOND CHAPTER
2015 SCHOLARSHIP APPLICATION
Applicants must have accepted an official offer of admission to Virginia Tech and must reside within
the geographic boundaries of the Richmond Chapter of the Virginia Tech Alumni Association.
Additional sheets may be enclosed if the space provided is not sufficient to answer any question(s).
Applicants are highly suggested (but not required) to have a GPA of at least 3.5, a combined
SAT score of at least 1200 or an ACT score of 28, and a SAR (Student Aid Report) which
includes the EFC (Expected Family Contribution) based on a completed federal FAFSA form.
Deadline for postmarked submission of this scholarship application is May 1, 2015.
Applications received with a postmark after May 1, 2015 will be automatically declined.
Return application to:
Richmond Chapter of the Virginia Tech Alumni Association
ATTN: Scholarship Committee
P.O. Box 25066, Richmond, VA 23260-5066
PLEASE TYPE OR PRINT CLEARLY
Name: __________________________________________ Date of Birth: ______________________
Address: ________________________________________ Telephone: ______________________
________________________________________________ VT Application #: ___________________
E-mail Address: __________________________________ U.S. Citizen? ______________
Your Parent’s Name(s): __________________________________________________________________
Current High School: ____________________________________________________________________
Name of Guidance Counselor: _______________________________________________________
Grade Point Average: ________ on a ________-point scale. Class Rank: ________ of ___________
SAT Scores: Total (M + CR) ____________ Math: ___________ Critical Reading: ____________
ACT Score: __________
VT Program of Study (letter code):
NOTE: PLEASE ATTACH A HIGH SCHOOL TRANSCRIPT THAT SUPPORTS THE ABOVE INFORMATION.
We reserve the right as a donor agency to request information on applicant’s financial need status from Virginia Tech.
Virginia Tech Alumni Association - Richmond Chapter
P. O. Box 25066 • Richmond, VA 23260-5066 • (804)741-1156
scholarships@richmondhokies.org • www.richmondhokies.org
 Please list up to 4 school, employment, and/or community extracurricular activities:
(Include any leadership positions and dates of participation.)
Activity
Dates
1) ______________________________________________________________________________
2) ______________________________________________________________________________
3) ______________________________________________________________________________
4) ______________________________________________________________________________
 Please list up to 4 Awards and/or Honors that you have received during High School:
1) ______________________________________________________________________________
2) ______________________________________________________________________________
3) ______________________________________________________________________________
4) ______________________________________________________________________________
 On a separate sheet of paper for each, answer the following short essay questions:
(Please limit your responses to a suggested 350 word maximum for each question.)
Please write the LAST 4 DIGITS ONLY of your Virginia Tech Application # at the top of each page.
1) Focusing on academics and culture, what are the top three reasons why you chose to attend
Virginia Tech when compared to other colleges/universities?
2) Describe three unique or interesting things about yourself you think would be beneficial for the
Scholarship Committee to know/consider as we review your application.
3) Tell us about someone or an event that has made a big impact in your life OR an
event/obstacle/setback you had to overcome and the lesson(s) you learned from it.
4) How do you see yourself exemplifying the university’s motto of “Ut Prosim” (“That I May Serve”)
later in life?
 List any family members that are Virginia Tech alumni and/or currently attending Virginia Tech:
________________________________________________________________________________
________________________________________________________________________________
By my signature below, I attest to the accuracy of the statements on this application and that the
attached short essay questions are my original thoughts. In addition, I hereby give my permission to
the Richmond Chapter of the Virginia Tech Alumni Association to verify all information provided.
Furthermore, I consent to my name, school, and scholarship award information being published by
any Virginia Tech Alumni Association newsletter, website, and/or other media outlet.
Signature: _________________________________________________ Date: ________________
Applicants will be acknowledged by e-mail upon receipt and considered during the month of May.
Virginia Tech Alumni Association - Richmond Chapter
P. O. Box 25066 • Richmond, VA 23260-5066 • (804)741-1156
scholarships@richmondhokies.org • www.richmondhokies.org