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Financial Aid Florida Polytechnic University

4700 Research Way Lakeland, FL 33805

Office Phone: 863-583-9050 Option 2

Duke Energy Foundation Scholarship

Scholarship Description The Duke Energy Foundation Scholarship will award students from Duke Energy Service areas with the highest merit and greatest financial need. Recipients for this award must be enrolled full-time at the University as a degree-seeking undergraduate student and comply with the guidelines established by the Office of Financial Aid. The University scholarship committee will select recipients based on financial need, academic merit, and a required essay that outlines leadership experience, educational success, and career goals. The scholarships awarded, to the extent funds are available, may be used to pay for recipient’s tuition, textbooks, University meal plans, housing and any fees charged to the recipient by the University as part of the necessary expenses for enrollment, including the Out-of-State Fee. The award amount is a minimum of $500 and may be made per semester or per year with a maximum award of $1,000 for the full year. Students who are selected to receive this scholarship will be required to write a letter of thanks to the donor, complete a get-to-know-you questionnaire, and authorize the release of their directory information to the donor before funds can be disbursed. Students may also be asked to meet the donor if the donor makes the request.

Applicant Information

Full Name:

Date: Last First M.I. Address: Street City State ZIp

Student ID: GPA: Program of Study:

Phone: Email:

Are you a resident of Florida? YES

NO

Will you be living in on campus housing? YES

NO

Have you completed the FAFSA? YES

NO

If yes, EFC (Expected Family Contribution)

From a Duke Service Area? YES

NO

Duke Service County

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

Should I be nominated to receive aid based on the information I provide, I understand that false or misleading information in my application may result in the revocation of said aid.

Signature: Date:

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Additional Information Incomplete applications will not be reviewed. Please include the first 2 pages of this scholarship application with your submission and an essay outlining leadership experience, educational success, and career goals. Applicants are encouraged but not required to provide additional information including letters, transcripts, or personal references with their application. All completed scholarship applications submitted will be reviewed by the scholarship selection committee for eligibility. Students who have been selected for this award will be emailed notification to their Florida Polytechnic student email. The scholarship amount, disbursement dates, and any additional criteria will be provided to the student at that time. Scholarship applications may be scanned and emailed to the office of financial aid at financialaid@floridapoly.edu or mailed to

Attn: Financial Aid Florida Polytechnic University 4700 Research Way Lakeland, FL 33805 Office Phone: 863-583-9050 Option 2

Scholarship Committee Use Only

Approved: YES

NO

Amount Awarded: $ Date Awarded: Signature:

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Duke Energy Foundation Counties

Florida Alachua Bay Brevard Citrus Columbia Dixie Flagler Franklin Gadsden Gilchrist Gulf Hamilton Hardee Hernando Highlands Jefferson Lafayette Lake Leon Levy Liberty Madison Marion Orange

Osceola Pasco Pinellas Polk Seminole Sumter Suwannee Taylor Volusia Wakulla

South Carolina Abbeville Anderson Cherokee Chester Chesterfield Clarendon Darlington Dillon Fairfield Florence Georgetown Greenville Greenwood Horry Kershaw Lancaster Laurens Lee

Marion Marlboro Newberry Oconee Pickens Richland Spartanburg Sumter Union Williamsburg York

North Carolina Alamance Alexander Anson Avery Beaufort Bladen Brunswick Buncombe Burke Cabarrus Caldwell Carteret

Caswell Catawba Chatham Cherokee Clay Cleveland Columbus Craven Cumberland Davidson Davie Duplin Durham Edgecombe Forsyth Franklin Gaston Graham Granville Greene Guilford Halifax Harnett Haywood

Henderson Hoke Iredell Jackson Johnston Jones Lee Lenoir Lincoln Macon Madison McDowell

Mecklenburg Mitchell Montgomery Moore Nash New Hanover Onslow Orange Pamlico Pender Person Pitt

Polk Randolph Richmond Robeson Rockingham Rowan Rutherford Sampson Scotland Stanly Stokes Surry

Swain Transylvania Union Vance Wake Warren Wayne Wilkes Wilson Yadkin Yancey

Kentucky Boone Bracken Campbell Gallatin Grant Kenton

Pendleton

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Ohio Adams Brown Butler Clermont Clinton Hamilton

Highlands Montgomery Preble Warren

Indiana Bartholomew Boone Brown Carroll Cass Clark

Clay Clinton Crawford Daviess Dearborn Decatur Dubois Fayette Floyd Fountain Franklin Fulton Gibson Greene Hamilton Hancock Harrison Hendricks Henry Howard Huntington Jackson Jefferson Jennings

Johnson Knox Lawrence Martin Miami Monroe Montgomery Morgan Ohio Orange Owen Parke

Pike Putnam Ripley Rush Scott Shelby Sullivan Switzerland Tippecanoe Tipton Union Vermillion

Vigo Wabash Warren Washington Wayne