TPBA Family Scholarship Application
Scholarships will be taken January – June. Scholarships will be awarded in August.
Criteria:
- US Citizen or Permanent Resident
- High School Diploma or Equivalent
- Full-time student at Sophomore level (or higher) at an accredited two or four year college; Part time will be considered on a case-by-case basis
- Minimum G.P.A. of 2.5
- Child or Dependent of TPBA member
TPBA Member Name______
First Name______
Middle Name______
Last Name______
Suffix (e.g. Jr., III) ______
Planned Major______
Current Mailing Address:
Street Address ______
City/State/Zip ______
Family Information:
Father’s Name ______
Street Address ______
City/State/Zip ______
Mother’s Name ______
Street Address ______
City/State/Zip ______
Step-Parent (if applicable) ______
Street Address ______
City/State/Zip ______
College or Universities Attending or Attended:
College or Universityname ______
City/State ______
Date Entered ______
Date Departed ______
Major ______
College or Universityname ______
City/State ______
Date Entered ______
Date Departed ______
Major ______
College or Universityname ______
City/State ______
Date Entered ______
Date Departed ______
Major ______
College or Universityname ______
City/State ______
Date Entered ______
Date Departed ______
Major ______
College or Universityname ______
City/State ______
Date Entered ______
Date Departed ______
Major ______
*If you would like to add another college or university, please attach on a separate sheet.
Awards, Special Honors, and Distinctions:
Award/Honor/Distinction ______
Year ______
Award/Honor/Distinction ______
Year ______
Award/Honor/Distinction ______
Year ______
Award/Honor/Distinction ______
Year ______
Employment, Internships, and summer activities:
Employer ______
Job Title ______
From (MM/YYYY) ______
To (MM/YYYY) ______
Employment, Internships, and summeractivities:
Employer ______
Job Title ______
From (MM/YYYY) ______
To (MM/YYYY) ______
Employment, Internships, and summeractivities:
Employer ______
Job Title ______
From (MM/YYYY) ______
To (MM/YYYY) ______
*If you would like to add another college or university, please attach on a separate sheet.
Extracurricular Activities:
Organization/Activity or Description of
Activity ______
Year(s) Involved ______
Leadership Positions Held______
Organization/Activity or Description of
Activity ______
Year(s) Involved ______
Leadership Positions Held______
Organization/Activity or Description of
Activity ______
Year(s) Involved ______
Leadership Positions Held______
*If you would like to add another college or university, please attach on a separate sheet.
Short Answer Questions:
- Why is a scholarship important to you? ______
______
______
______
- List any other scholarships you have received this academic year.______
______
______
______
- Why have you chosen your academic major(s)?
______
______
______
______
- What are some of your life goals and objectives?
______
______
______
______
- If any, indicate special circumstances that affect your family’s ability to fund your
College expenses. ______
______
______
______
- If there is any other information you would like to provide, please do so.
______
______
______
______
______
______