Ginsburg MBASport Scholarship Application
1. Read application carefully before completing.
2. Provide all requested information.
3. Date and sign the application.
4. Return completed application to:
James J. Riordan, MBASport Director
Florida Atlantic University
College of Business
111 East Las Olas Boulevard
Fort Lauderdale, Florida 33301
Phone: (954) 762-5235; Fax (954) 762-5245
5. All information provided will be held in the strictest of confidence.
PLEASE PRINT OR TYPE:
Personal Data:
Name (Last Name, First Name M.I.): ________________________________________________________________________
Address: _________________________________________________
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E-Mail Address: ___________________________________________________________
Home phone: (_____)_________________ Daytime phone:(____)____________________
Academic Data:
Grade Point Average: Overall GPA: ________ Last 60 credit hours GPA: _________
During the fall semester, I will be attending classes (check one)
full-time: (9 credit hours or more) _____ or part-time: _____
Financial Data:
Are you employed? Yes _____ No _____ If so, do you work full-time _____ part-time _____
Total # of work hours per week: _____ Annual income: $_____________
Are you receiving support from any other source (parents, sponsors, etc.)? Yes _____ No _____
Have you applied for any other scholarships during the past year? Yes _____ No _____ If so, please indicate name of scholarship(s).
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Are you presently receiving financial aid? Yes _____ No _____
Type: Scholarship _____ Pell Grant ____ SEOG Grant _____ Loan _____ Amount: $_________
Total annual income from above sources: $_____________________
Personal Statement:
A personal statement MUST BE ATTACHED to this application for consideration by the committee. Assess your need for financial assistance, your academic qualifications for scholarship support, and your objectives.
I hereby certify that the information contained in this application is complete and accurate and I understand that making false or fraudulent statements may result in the withdrawal of any funds awarded and may result in further disciplinary action, including possible dismissal from Florida Atlantic University. By signing this application, I give the scholarship committee authorization to access my transcripts.
Signature______________________________________________________________________
Date:_________________________________________________________________________