TBMSF - Collegiate Renewal

GEORGE STEINBRENNER MEMORIAL MARITIME SCHOLARSHIP (COLLEGIATE RENEWAL)

SEE www.TBMSF.org/DATES for all deadlines
Will you be a full time student?

Yes No
Read and Understand the instructions. *

Yes, I have
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 *

Prefix First Name Middle Name Last Name Suffix
Home Address : *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Mobile/Daytime No. : *

Area Code Phone 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 of 2020:
Address of college:
Phone number of college

Area Code Phone Number
What year will you enter school?

Freshman Sophomore Junior Senior
Will you be a commuting student?

Yes No
Will you live on campus? (if applicable)

Yes No
If you are not living on campus, where will you be living?
Grade Point Average (GPA): (On a 4.0 scale)
Have you completed a FAFSA (Free Application for Federal Student Aid)?

Yes No
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 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
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
WORK & SCHOOL EXTRA-CURRICULAR ACTIVITIES: Please list school extra-curricular activities including your the work 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
Checklist
The following items must be attached to this application in order to qualify to be reviewed by the scholarship committee. Your application will be returned to you if these items are not attached (NO EXCEPTIONS).

To ensure you have all items requested, please check “YES” or “NO”.
Reference letters. These may be submitted online below.

Yes No
Reference letter - 1
Reference letter - 2
Reference letter - 3
Most recent official college transcript. This must be received by 19 June 2020.

Yes No
Offical college transcript
Answers to questions 1-16

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
The deadline for this application to be received by Tampa Bay Maritime Scholarship Foundation, Inc. is Friday, 17 April 2020, 5:00 PM.
Should be Empty:

GEORGE STEINBRENNER MEMORIAL MARITIME SCHOLARSHIP (COLLEGIATE RENEWAL)

Personal Data:

Checklist

STATEMENT OF ACCURACY