NOSAFinancialSupportAwardScholarship
NOSA will award (1)$1000scholarshipawardto a 2017-2018NOSAmemberthatdemonstratesfinancialneed(NationalNOSAexecutivemembers are noteligible).
Criteria:
1.Is amemberofthe NationalOptometricAssociationStudentAssociation in the Unites States and Puerto Rico.
2.Is currentlya second(classof2016) orthirdyearstudent (class of2017)in goodacademicstandingathis/herrespectiveoptometricprogram(GPA2.50 or higher).
3.Demonstratesfinancialneed.
APPLICATION
Date
LastNameFirstNameMiddleInitial
CurrentAddress City, State, Zip PermanentAddress City, State, Zip TelephoneNumber Email DateofBirth
OptometricInstitutionGraduationClass NOSAAdvisor TelephoneNumber Applicant’sSignature Date
PartII
FINANCIALRESOURCES
Areyoufinanciallyindependent?(circleone)YesNo
Numberof dependents Relationship toapplicant Ifmarried,is spouse a student?_ _Fullor parttime? Spouse’soccupation
Spouse’sAnnualIncome (s) How do youfinanceyoureducational and personal expenses?
(Useseparatesheetifneeded)
Pleaselistthenames anddollaramountsoffinancialaidreceived. (Pleaseattach acopyof yourfinancialprofile,whichcan beobtainedfromyourfinancialaidofficer).
Loans:
Grants:
Scholarships:
FinancialAssistance(spouse,family):
Other (SocialSecurity,Veteransbenefits, childsupport):
Whatdo youanticipateyourannual expensesto bethisupcomingyear?Tuition$_
Housing $ Meals$ Equipment$ Books$Personal $
Medical $ Other (explain) $(Useseparatesheet ifneeded)
PARTIII
APPLICANT’SSTATEMENT:
Pleasesubmita onetotwopagetyped,double-spacedessayhighlighting
1)Yourreason(s) forapplyingfor thisaward
2)Yourcareergoals
3)Communityor collegeinvolvement
4)A statementasto theimpactyouhavehad inaffectingpositivechangethathasenhancedourminoritycommunities.(Pleasebe specific)
LETTERS OFRECOMMENDATION:
Pleasesubmittwo(2)letters ofrecommendationfroman educatorand/oradministrator.
OFFICIAL TRANSCRIPT
Pleasesubmitan official copyof yourtranscriptfromyour college ofoptometrytothe addressindicatedbelow.Pleasenoteifapplyingformultiple NOSAscholarships, onlyONEtranscriptisneededoverall.
FINANCIALPROFILE:
Pleasesubmita profilestatement,whichcan beobtainedfromthe financialaidofficeratyourinstitution.
ApplicationandTranscriptInstructions
1.Completeapplication,personalstatement,acquiredrecommendations,andfinancialprofile.
A.Scan electronic copyandemailto:
2.MailofficialTranscriptsOnlyto:
Valenta Carter,OD
NOAStudent Director
3501 Custer Pkwy Ste 105
Richardson, TX 75080
(NOTE:Applicationsandtranscriptsaremailedtoseparateaddresses)
1.TranscriptsandApplicationsmustbereceivedby:RECEIVED by May31, 2018