Zeta Psi Educational Foundation

Statement of Biography & Financial Need

Fall 2016 – Spring 2017


Thank you for your interest in the Zeta Psi Educational Foundation’s scholarship program. The information you provide will be used only to determine qualification for a scholarship and will not be shared with unrelated parties or sold for any reason.

When you have completed the application, or just want to save a portion you have filled in for completion later, be sure to save the doc and rename it in the following format:

FirstInitialLastname_Semester.doc (i.e. JSummers_F2016.doc or JSummers_S2017.doc)

Please submit the completed documents via the scholarship web form found at www.zetapsi.org/foundation/scholarships.

You will also be required to submit a current academic transcript. Please attach the transcript at the same time you send the completed application. Save the file using this format:

FirstInitialLastname_transcript.txt or or .pdf

(i.e. JSummers_transcript.txt or JSummers_transcript.pdf)

Only applications following the above format will be accepted for consideration for awards.

Due Dates for Submission:

Fall Evaluation- Monday, October 3rd, 2016 at 11:59PM EDT

Spring Evaluation – Monday, February 13th, 2017 at 11:59PM EST

If you have any questions regarding the Zeta Psi Educational Foundation or the application please address them to or visit www.zetapsi.org.

After reviewing your application, the scholarship committee may contact qualified candidates to request further information.

Again, thank you for your interest in the Zeta Psi Educational Foundation.

Sincerely,

Financial Aid Committee

Zeta Psi Educational Foundation


Zeta Psi Educational Foundation

Application for Scholarship

Name
Date of Birth
Citizenship
Current College or University
Prior University or College (if applicable)

Biographical Questions

Please briefly answer the below questions.

How have you improved an organization that you are a member of?

Why, in your opinion, should you be awarded a Zeta Psi Educational Foundation Scholarship?


Financial Need

List any scholarships/grants or other rewards for this school year:

Name: Yr(s) Granted Amount

$

$

$

Total amount of grants: $

List any student loans you have received for this school year:

Name: Yr(s) Granted Amount

$

$

$

Total amount of loans: $

Do you work during the school year? ( yes, no).

If so, where and for how many hours each week?

What is your supervisor’s name and phone number?

Annual Expenses and Income

Total Tuition & Fees: $

Room & Board: $

Anticipated Books & other Fees: $

Anticipated Personal Expenses: $

Total Expenses: $

Total scholarship/grant income: $

Total Loan income: $

Total Family Contribution: $

Total personal contribution (including savings, work during school): $

Total Income: $

Anticipated surplus/shortfall (subtract income from expenses): $

Please describe any special financial situations the committee should take into consideration.

Declaration

I hereby acknowledge that the information submitted herein is true, correct and complete. I also state that the proceeds of any scholarship received will be used for payment of fees or other expenses related to my education. In the event that I am awarded a scholarship, I authorize the Zeta Psi Educational Foundation to publicize my name and amount of award without limitation.

Printed name of Applicant: Date: