Scholarship Application VIRGINIA BEACH BRANCH SCHOLARSHIP APPLICATION Deadline April 15, 2025 Review the Scholarship Criteria before submitting an application. Please complete the following application form or print a copy of our application. Contact InformationFull Name:* Date of Birth:*Address:*City/State/Zip:*Phone Number - Day:Phone Number - Cell:Phone Number - Evening:Email Address:* Educational InformationCollege/University you currently/expect to attend:*Major:*Credit Hours Completed:*GPA:*Are you a full- or part-time student?:* Full-Time Student Part-Time Student How do you plan to use AAUW funds if awarded (e.g., tuition, books, fees, etc.)?:*Your student ID number (required for financial aid office recipient identification):*Financial StatusAre you curently working?:* No Yes If yes, number of hours/week:Name and telephone number of your place of employment and supervisor:Household income per year:*List other sources with the amounts you will use to finance your educational expenses:Federal Government Student Aid (Pell Grants, etc.):Scholarships:Work-Study:Gifts/Family Support (Parent, Spouse, etc.):Expenses Per Semester:Tuition:*Books/Supplies:*Fees:*Personal InformationDo you have dependent children living with you?:* No Yes If yes, the number and ages of the children:Are you the only adult living in your home who is responsible for the care and well being of these dependent children?: Yes No Other dependents for whom you are legally responsible (indicate relationship to you):Personal EvaluationProvide in one page or less, information concerning career goals and any special circumstances or information that the scholarship committee should take into account. Include any extra-curricular activities (i.e., student government, awards, publications, clubs, associations, or community service).*Max. file size: 3 MB.Character ReferencesPlease provide four references. Remember the requirements are two letters of recommendation: one from a teacher and one from one of the following: counselor, employer, or clergy.Reference 1 Name* First Last Reference 1 Phone*Reference 1 Email* Reference 2 Name* First Last Reference 2 Phone*Reference 2 Email* Reference Name 3* First Last Reference 3 Phone*Reference 3 Email* Reference 4 Name* First Last Reference 4 Phone*Reference 4 Email* Letter(s) of Recommendation* Drop files here or Select files Accepted file types: pdf, docx, doc, Max. file size: 3 MB, Max. files: 3. Applicant’s SignatureBy checking the following box, you provide your digital signature and certify the above information is true and accurate.* I hereby provide my digital signature. 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