2016SCHOLARSHIP APPLICATION – REV 3

India Association of Greater Tulsa

IAGT is awarding up to two $1,000.00 non-renewable college scholarships to students attending four year college. To qualify for the scholarship, applicants must be of Indian origin and either be attending a 4 year undergraduate degree program at a university located in the State of Oklahoma, OR be a dependent of a current IAGT member residing in Tulsa. Scholarship applications are judged on merit and financial need. The financial information submission is optional. If you do not submit it, we will still review your application based on merits.

  • Type, Sign and date application
  • Have your evaluator fill out the Recommendation form and return it to the address below
  • If additional space is needed, attach another page
  • A copy of High School Transcript must accompany the application
  • A copy of ACT/SAT score must accompany the application
  • All Applications must be postmarked no later than June30th, 2016

Name US Citizen: Yes/No

Last First Middle

Home Address City

State Zip Phone Email

Date of Birth Birthplace

Parent’s Name

High School Address

City State Zip Phone

Name of Referee

Class Rank: out of Grade Point Avg.: out of Total

ACT Scores: English Math Reading Scien.Reasoning Composite

PSAT or SAT Scores: Verbal Math

Outside Activities: (Offices held in student organizations, church, civic groups, etc.)

List jobs you have held (part time or full time):

BusinessCityDatesPosition

College PreferenceHave you applied?Have you been accepted?

1. 1. 1.

2. 2. 2.

3. 3. 3.

Please answer the following questions on a separate page in a single essay.

  1. Why do you think that you are worthy of this scholarship?
  2. Why this scholarship would be of financial benefit to you?

PLEASE READ AND SIGN:

Any scholarship awarded by the IAGT is contingent upon the recipient’s being officially registered at an accredited university and enrolled and declared in a curriculum leading to at least bachelor’s degree. The scholarship is payable at the beginning of Fall semester. The applicant can be considered for another year of scholarship if he or she maintains at least 3.0 GPA in a previous year. All of the above information is required in order for you to be considered for this scholarship. Your signature authorizes release of the information and is required in order for you to be considered for this scholarship. Recipients will be notified by June 15.

Signature Date

Application, transcripts, and reference appraisal forms must be received by April 1st. Fax, email, or mail to:

India Association of Greater Tulsa

Attn: Scholarship Committee

P. O. Box 471802

Tulsa, OK 74147, Email:

SCHOLARSHIP APPLICATION

FINANCIAL INFORMATION FORM

Applicant Name: ______

Father’s Name: ______Mother’s Name: ______

Father’s Address: ______Mother’s Address: ______

______

Father’s Occupation: ______Mother’s Occupation: ______

Number of siblings living at home: ______Number of other dependents in the home: _____

FINANCIAL NEED:

Parents’ combined Adjusted Gross Income as shown on last year’s tax return: (check one)

*Please include the amount for both parents, if both parents will be contributing to your college expenses.

  • Below $25,000
  • $25,000-45,000
  • $45,000-65,000
  • $65,000- 85,000
  • $85,000-100,000
  • Over $100,000

Additional sources of income and approximate annual amount: (check all that apply)

Trust Fund ______

Non-Custodial Parent Support ______

Grandparent Support ______

Support from Other Relatives ______

Other ______

Please return to:

IndiaAssociation of Greater Tulsa

Attn: Scholarship Committee

P. O. Box 471802

Tulsa, OK 74147

Email:

SCHOLARSHIP APPLICATION

INDIA ASSOCIATION OF GREATER TULSA

Recommendation FORM

(This form is to be completed by the person who has a professional relationship with the applicant)

The following is my personal, confidential evaluation of Mr./Ms.

In regard to his/her aptitude, leadership qualities, responsibility, character, reliability, and ability to get along with other people.

My position: (Principal, Counselor, Adviser)

Period of Acquaintance with candidate

This information is required for the student to be considered for this scholarship.

Printed Name Signature

Address

TelephoneFaxDate

Please return to:

India Association of Greater Tulsa

Attn: Scholarship Committee

P. O. Box 471802

Tulsa, OK 74147

Email:

SCHOLARSHIP APPLICATION

INDIA ASSOCIATION OF GREATER TULSA

Personal Essay FORM

(Please limit response to 250 words double spaced)

Applicant Name: ______

Why do you think you should be the recipient of this scholarship? Explain both your personal credentials and the financial necessity in this essay.

Please return to:

India Association of Greater Tulsa

Attn: Scholarship Committee

P. O. Box 471802

Tulsa, OK 74147

Email: .