TBMSF - Collegiate Renewal

GEORGE STEINBRENNER MEMORIAL MARITIME SCHOLARSHIP (COLLEGIATE RENEWAL)

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 question does not apply to you in the application, please put N/A in the space. If you have any questions about the application, please contact the Administrator at: admin@tbmsf.org
Today's date:

MonthDayYear
Date
Will you be a full time student?

YesNo
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.
Personal Data:
Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile/Daytime No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be send to
Current College
Number of years attended college
I will be attending the following college in the Fall:
Address of college:
Phone number of college

Area CodePhone Number
Which class year are you applying for?

FreshmanSophomoreJuniorSenior
What year will you enter school?

FreshmanSophomoreJuniorSenior
Will you be a full-time student?

YesNo
When Do You Anticipate Graduating?
Month/Year
Will you be a commuting student?

YesNo
Will you live on campus? (if applicable)

YesNo
If you are not living on campus, where will you be living?
Grade Point Average (GPA) last semester.
We will need total year scholastic grades when available.
Have you completed a FAFSA (Free Application for Federal Student Aid)?

YesNo
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 NameLast Name
Address - Parent 1

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number - Parent 1

Area CodePhone Number
Name - Parent 2

First NameLast Name
Address - Parent 2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number - Parent 2

Area CodePhone Number
Major Area of Study
List expenses you expect to incur per semester or quarter: (Approximate figures acceptable)

Make additional comments if needed.
A. Tuition: Amount
B. Books: Amount
C. Room & Board: Amount
D. Other expenses: Amount
(e.g., Sea Year, or Summer Cruise)
Additional information (if necessary):
List other financial assistance you will receive per semester or quarter:
A: Personal contribution: Amount
B. Other Scholarship(s) and Grants: Amount
C. Student Loan(s): Amount
Will your course of study result in a USCG Unlimited Tonnage Merchant Marine Officer’s license?

YesNo
Will you receive a commission in the Naval Reserve on graduation?

YesNo
Do you expect to do a Training Cruise this scholastic year?

YesNo
If yes, what are the dates of your Training Cruise?
INTERNSHIPS & SCHOOL EXTRA-CURRICULAR ACTITIVIES: Please list internships and school extra-curricular activities including sports and clubs in which you have participated.

0/1000
ORGANIZATIONS: Please list any school or community organizations such as service, volunteer and religious organizations in which you now participate.

0/1000
RECOGNITIONS: Please list important awards and recognitions received during this last year of school.

0/1000
ESSAY: Please write a short summary of your both good and challenging experiences of this last school year. Also, with a year or more of maritime school accomplished, has this changed your plans for what you want to do upon graduation and where you want to be 10 years after graduation?

Browse Files
Upload your essary Cancelof
Upload your latest scholastic grades. We will need at least your last full year grades for review. However, while awaiting final transcripts, please send in the previous semester.

Browse Files

Cancelof
Checklist
The following items must be attached to this application in order to e reviewed by the scholarship committee.

To ensure you have all items requested, please check “YES” or “NO”.
Reference letters. For original applications, three reference letters are required. For renewal applications, reference letters are not required unless the student or the TBMSF Selection Committee believe necessary. Reference Letters to be sent direct by the writer to: TBMSF c/o Selection Committee, PO Box 173702, Tampa, Fl 33672 Or email to: admin@tbmsf.org

YesNo
Most recent official college transcript. The complete year transcript must be received as soon as possible.

YesNo
Offical college transcript
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

MonthDayYear
Should be Empty:

GEORGE STEINBRENNER MEMORIAL MARITIME SCHOLARSHIP (COLLEGIATE RENEWAL)

Personal Data:

Checklist

STATEMENT OF ACCURACY