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Scholarship Application Form
Applicant's Biographical Information
First Name
Last Name
Middle Name
Jr. etc.
Sex
Male
Female
Address Line 1
Address Line 2
City
State
Zip Code
Mailing Address, if different
Home Phone
Cell Phone
Email
Date of Birth
Social Security Number
In what ways are you and/or your family affiliated with Jewish life?
Education
High School
Expected Graduation Date
Weighted GPA
Unweighted GPA
SAT Score
ACT Score (composite)
Have you been accepted to UCF?
Yes
No
If yes, UCF Student ID #
Do you intend to be a full-time student?
Yes
No
Probably Field of Study
Probably Career Plans
Family
Father
Full Name
Check if Deceased
Occupation
Employer
Home Address, if different from yours
Email Address
Phone Number
Mother
Full Name
Check if Deceased
Occupation
Employer
Home Address, if different from yours
Email Address
Phone Number
Other Family
Brothers
Ages
Sisters
Ages
Academic Honors
Describe any scholastic distinctions and/or honors you have earned since ninth grade.
Extracurricular & Personal Activities
Activity 1
Indicate Year
Hours per week
Position
Activity 2
Indicate Year
Hours per week
Position
Activity 3
Indicate Year
Hours per week
Position
Activity 4
Indicate Year
Hours per week
Position
Activity 5
Indicate Year
Hours per week
Position
Choose one extracurricular activity and briefly explain its importance to you.
Work Experience
List jobs (including summer employment) held during high school. Please also indicate the employer, position, nature of work, dates, and hours/week.
Letters of Recommendation
Letter of Recommendation from a School-Related Person
Letter of Recommendation from a Non-School-Related Person
Applicant's Personal Statement
Write about a person or incident in your life that you would describe as a defining inspiration to you. (Maximum 500 words. Please type using 12 pt. font)
Applicant Signature
Date
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