-e f\A D Florida Stde Society Daughten of the American Revolution

Z t/J"}ft-� DonnaG' crdlen' state Regent

Janet Zengel Messer, State Chainnan1 35 Bayberry Circle #1601, St. Augr.r.stine,FL 32086'7 5O9

Phone: (904) 217-3829 Cell: (352) 665-0693' Email: jzn@atlantic'net

Flortda State Socicty DAR Scholarthip Appltcation Checklistand

Re-Awards Appltcation Check List

Applicants must be citizens of the United States ard Florida residents, All pertinent pap€rs must be included with thecompleted application. Do not staple! Use this checklist to ensure that you have ircIuded all necesssry pap€rs, signatures,and copies.

APPTICATION CITECtr( LIST

Include four (4) cooieg (one original and 3 photocopies) ofeach ofthe following:

l. AErplicatig.n and,Financial Need Form. All dollar ($) questions must be answered. Fona must be signd by pareNdsor guardian, phx an offrcer or scholarship chaiflnan of the sponsoring DAR chapter. (f necessary, the StateScholarship Chairman can assist ia finding a local chapter.)

2, Lqttpr from aoplicant to the Scholarship Commitlee setting forth tb€ applicant's career objectives.

Q.Io mcre than two (,2) pages.)4 . Two (2) letters of recommerdatisfi one may come from a teacher, miniSer, or errployer. Now fron a relative .

Letters should be no more than one (l) page each.

Please also include gggj!)ggpy of the following:5. Applicant's birth certificate or naturalization papers.

6. Official .

Additional requirements:e Gradusts shrdents must send proofofacceptance into graduate school.o Strdentsmustadvisethis $tabChairmanof changesinstatus(e.g., school,name oraddress).

DEADLIITTE: Should be delivered or mailed io the Chapter Regent or Chapter $cholarship by no later tha4ltav l[!Q!].This witl ensure there is enough time for tbem to urite a cover letter of endorsement and mail the entire packet to the $tateScholarship Committee, @. Winncrs wiU be notified by Julv l"'.

RE-AW.ARnS APPLICATION CFDCK LIST

To be considered for a Florida State Scblarship Re-Award, studeirts must hsve a GPA of 3.6 or higher.

The following should be mailed to fte State Scholarship Chaimrsn:1 . A letter from the shrdent requesting a R+Award and the name of the DAR ctupter.2. One (l) letter of recommendation from a teacher, cowrselor, or employer.3. One (1 ) oopy of aa official qchool tanscript of current grades.4. Anuodate of activities and achievements.5. Current mailing ad&ess. phone number email address. an4 social s€crlritv ffinlbef.6. The maili$s address for the univ€rsity or colleee.

DEADLINE: Murt be portnarked by no leter than ilggL-2gUl. Winners will be notified by Jul]' ld.

Chapter Officer's Signature :

sIP 2011.2012 | 87

Ier;rct T,engel Mess€tr, State Chairman135 Bayberry Circle #1501, St. Augustine,FLS20W-7509

Phone: (m{)n73829 Cell: (352)665-M93' Email: jxn@atlantic.net

Florida Stde Society DAR Scbolarship Applicalionand

Financial Need Form

Applicant's Name

Addrese

City zw4

Social Security # Phone Email

L Person Responsible for Applicant's Support

Signature

2. Faflrer's Occupation An$ual Income $

3. Mother's Oocupation Annual Income $

4. Applicant's Oocupation Annual Income $

5. Spouse's Occupation Annual lncome $

6. Total Family Income $

7. Applicant's Annual Conribution toward Education $,

L Number and Ages of Children in Family

9. Number of Children in College Other Than Applicant

10. Name and Address of College

11. Planned Course of Studv

12. Estimated College Costs: Tuition $

Transportation $

Graduation Year

Room and Bomd $

Books & Supplies TOTAL $

13. Sponsoring DAR Chapter

Chapter Ofilcer's Signature: Date:

srP 20r 1-2012 I 88

, r' "lrT1.,?ff,:1yfif i,*#xmr' L 32086.7 s,JsPhone: (W4>217-3829 Cell: (352)665-0693 ' Email: jzn@atlantic.net

Florido State DAR Scholarrhip Application and f,'Inancial Need X'omfor

Floridn DAR Member Continuing Education or Child/Grandchild of tr'lorida DAR Member

Applicant's Name

Address

Crty/Stste ZiP+4

Social Seclrity # Phone Email

1. DARNational# FloridaDAR Chapter

2. DARMother/Grardrnother DARNational#

3. Person(s)

Signatre

Responsible for Applicont's Stryport

4, Father's Occupation Annual lncome $

J. Mother's Occupation Annual Income $.

6. Applicant's Occupation Annual lncome $

7. Spouse's Occupation Annual Income $

8. Totai Family Income $

9. Applicant's Annual Contribution toward Education $

10. Number and Ages of Children in Fannily

I l. Number of Children in College Other Than Applicant-

12. Name ard Address of College

13. PlamsdCourse of Shxlv

14. Estimated College Costs; Tuition $

Transportation $_______Books & $upplies $

Graduation Year

Room andBoard $

TCITAL $

15. Sponsoring DAR Chapt€r

Chapter Officer's Signahre : Date:

sIP 201r,20r2189