Florida Sea Grant



2018 Aylesworth Scholarship application

Applications for this award period must be received by 4 p.m. January 11th, 2018. Awards will be made at the beginning of the spring 2017 semester. Applicants must submit their materials directly to Florida Sea Grant and have letters of recommendation and transcripts sent directly from their source (letter writers and university registrar, respectively). Send application materials to:

Melissa Macarages, mmacarages@ufl.edu

Florida Sea Grant College Program

University of Florida

PO Box 110400

Gainesville, FL 32611-0400

352-294-0754 -- Fax: 352-392-5113

|student Information |

|Last Name | |First | |M.I. | |

|Mailing Address | |Apartment/Unit # | |

|City | |State | |ZIP |

|Phone | |E-mail Address | |

|Date of Birth | |Social Security No. | |Expected Graduation Date |

|Degree program enrolled in as of Jan. 2016 |GPA in Current Program: Undergraduate Masters Ph.D. |

|University Major Academic Department |

|Are you a citizen of the United States? YES NO If no, please provide your immigration status. |

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|Education |

|College | | |

|From | |To | |Did you graduate? |YES |NO |Degree | GPA |

|College |

|From | |To | |Did you graduate? |YES |NO |Degree | GPA |

|Other | |Address | |

|From | |To | |Did you graduate? |YES |NO |Degree | GPA |

| |

|Family information |

|Father’s name | |Occupation | |

|Address | |

|Mother’s name | |Occupation | |

|Address, if not the same | |

|Number of children in | |Ages of | |

|family | |children | |

|Number of children in college next year, including yourself |

|Hometown newspaper | |

|Career goals AND FINANCIAL NEED STATEMENT |

|In one page or less indicate why you are interested in pursuing your marine or coastal-related academic program. Use the last paragraph to explain |

|your financial need as shown in the financial information sheet. Include any information you would like the screening committee to know that is |

|creating financial hardship beyond your actual financial sheet. We also need a narrative that explains the financial information in sufficient detail|

|that the review panel can understand how the numbers were determined. The justification should track directly with each item listed on your financial|

|information. |

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|Financial information |

|Please provide the following financial information. Financial need is a requirement for this scholarship. You may be asked to verify this information|

|with supporting documents. |

|NOTES: |

|Total income and expenses for 2017 must be equal. Estimated total income and total expenses for 2018 must be equal. |

|This is a student scholarship and no indirect costs are allowed. |

|No match is required. |

| | | | | | | |

|  |Calendar Year 2017 |Calendar Year 2018 | | | |

|Your Income From: |  |  | | | |

|Parents | $ | $ | | | |

|Scholarships |  |  | | | |

|Fellowships or Assistantships |  |  | | | |

|Part-time Work |  |  | | | |

|If Married, Spouse's Income |  |  | | | |

|G.I. Bill |  |  | | | |

|Loans |  |  | | | |

|Other | | | | | |

|TOTAL | $ | $ | | | |

|Your Living Expenses For: |  |  | | | |

|Rent |  |  | | | |

|Food |  |  | | | |

|Utilities |  |  | | | |

|Clothing |  |  | | | |

|Personal Expenses |  |  | | | |

|Insurance or Medical |  |  | | | |

|Tuition |  |  | | | |

|Books |  |  | | | |

|Other |  |  | | | |

|Loan Payments |  |  | | | |

|Entertainment |  |  | | | |

|Car or Transportation |  |  | | | |

|(List items not covered) |  |  | | | |

|  |  |  | | | |

|  |  |  | | | |

|  |  |  | | | |

|TOTAL | $ | $ | | | |

|LEtters of recommendation |

|Provide two letters of recommendation, which must be sent directly by the letter writers (they can sign, scan and email). Suggested persons whom you |

|might want to ask include university major professor or counselor, university club advisors, a former employer, etc. |

|A signed letter from the student’s faculty advisor on university letterhead that says ‘[student name] is applying for the 2018 Aylesworth |

|Scholarship. I hereby affirm that this student is enrolled full-time and is in good standing, and that I am [her/his] faculty advisor during the |

|scholarship period. If the scholarship is awarded, I will affirm on a yearly basis that the student continues to be enrolled full-time and has |

|maintained good status.’ |

| |

|personal vitae |

|Include a two-page or less personal vitae. You must include colleges and/or universities attended, degrees completed and grade point averages. You |

|may include such items as research experience, volunteer experience, work experience, honors and skills |

| |

|Transcripts |

|Provide official undergraduate and graduate transcripts from the university or college registrar. |

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|Disclaimer and Signature |

|I certify that all information given on this application is true, correct and complete to the best of my knowledge. |

|Signature | |Date | |

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