TBMSF - Collegiate

GEORGE STEINBRENNER MEMORIAL MARITIME SCHOLARSHIP (COLLEGIATE)

SEE www.TBMSF.org/DATES for all deadlines
The George Steinbrenner Memorial Maritime Scholarship Foundation was established in 2015. The mission of the scholarship is to provide financial assistance to graduates of the "Maritime Technology" program of Jefferson High School and other public institutions in Hillsborough County Public Schools. The George Steinbrenner Memorial Maritime Scholarship assists individuals enrolling for post-secondary education leading to a career in the Maritime Industry; including, but not limited to two or four year academic programs at maritime academies, colleges or universities.

• Please refer to our website http://tbmsf.org/dates/ for all applicable scholarship submittal dates.
If any quesitons do not apply to you in this application, please put N/A in the space.

If you have any questions about the application, please contact your Maritime Instructor:

Jefferson High School - John Paradis - (813)312-3433 - john.paradis@sdhc.k12.fl.us

Other Schools – admin@tbmsf.org
If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
Read and Understand the instructions. *

Yes, I have
Today's date:

Month Day Year
Date
I. Personal Data:

Tell us about yourself
Full Name *

Mr/Ms First Name Middle Name Last Name Suffix
Home Address : *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Mobile/Daytime #. : *

Area Code Phone Number
E-mail : *
Where the confirmation will be sent to
Current High School
Number of years attended high school
I will be attending the following school:
Date you will begin:

Month Day Year
Date
Address of school:
Phone Number of school

Area Code Phone Number
What year will you enter school?

Freshman Sophomore Junior Senior
Will you be a full-time student?

Yes No
Will you be a commuting student?

Yes No
When Do You Anticipate Graduating? *
(Month/Year)
Will you live on campus? (if applicable)

Yes No
If you are not living on campus, where will you be living?
ACT or SAT score sheet on official high school transcript is required IF they are required for your intended post-secondary school.
ACT Score:
SAT Score
List the contact information for your parent(s) or legal guardian(s). Use the NOTES section at the bottom if you need more space.
Name - Parent 1

First Name Last Name
Address - Parent 1

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number - Parent 1

Area Code Phone Number
Name - Parent 2

First Name Last Name
Address - Parent 2

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number - Parent 2

Area Code Phone Number
Major Area of Study:
List progam expenses you expect to incur:

(Approximate figures acceptable) Make additional comments if needed.
A. Tuition: Amount
B. Books: Amount
C. Room & Board: Amount
D. Other expenses: Amount
Additional Expenses (please explain):
Will your course of study result in a USCG Unlimited Tonnage Merchant Marine Officer’s license?

Yes No
List income you expect to have:

(Approximate figures acceptable) Make additional comments if needed.
A: Personal contribution: Amount
B. Other Scholarship(s) and Grants: Amount
C. Student Loan(s): Amount
SCHOOL EXTRA-CURRICULAR ACTIVITIES: Please list school extra-curricular activities in which you have participated. Note leadership roles and dates.

0/1000
ORGANIZATIONS: Please list community organizations such as service, volunteer and religious organizations in which you are now active or have previously been active. Note leadership roles and dates.

0/1000
RECOGNITIONS: Please list important awards and recognitions received. Note organizations presenting honor and date.

0/1000
ESSAY: Please provide an essay which should include the following information:
- YOUR INTEREST : Please share what it is about the maritime industry that you find appealing, and what has drawn your interest to the maritime industry?
- AREA OF STUDY : What do you want to study and why?
- NEED: Please explain your need for the George Steinbrenner Memorial Maritime Scholarship.
- CAREER PLANS : What are your career plans and what would you like to be doing in 10 years?
Upload your essay
If possible, upload your latest scholastic grades. Scanning and emailing is permissible. We will need at least your last full year grades to review.

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Checklist
The following items must be attached to this application in order to qualify to be reviewed by the scholarship committee. Only exception is completion of school year for final grades. Otherwise send most recent transcript.

To ensure you have all items requested, please check “YES” or “NO”.
Proof of college acceptance or current student enrollment. A letter of college acceptance or program acceptance is required for receipt of Funds.

Yes No
Acceptance Letter
Reference letters. These may be submitted online below.

Yes No
Reference letter - 1
Reference letter - 2
Reference letter - 3
Have you uploaded your most recent official transcript? The complete year transcript must be received as soon as available.

Yes No
Short essay as outlined in item 18

Yes No
If mailing, send to:

George Steinbrenner Memorial Maritime Scholarship (Collegiate)

Attention Scholarship Committee

Tampa Bay Maritime Scholarship Foundation, Inc.

Post Office Box 173702

Tampa, FL 33672-3702
STATEMENT OF ACCURACY
I hereby affirm that all the above stated information provided by me to Tampa Bay Maritime Scholarship Foundation, Inc. is true, correct and without forgery.

I hereby understand that if chosen as a scholarship winner, according to Tampa Bay Maritime Scholarship Foundation, Inc. scholarship policy, I must provide evidence of enrollment/registration at the post-secondary institution of my choice before the scholarship funds can be issued.
E-Signature: *
Date

Month Day Year
Should be Empty:

GEORGE STEINBRENNER MEMORIAL MARITIME SCHOLARSHIP (COLLEGIATE)

I. Personal Data:

List progam expenses you expect to incur:

List income you expect to have:

Checklist

STATEMENT OF ACCURACY