VOLUSIA COUNTY GATOR CLUB
                                             2012 SCHOLARSHIP APPLICATION
                                                                For Entering University of Florida Students

PLEASE PRINT OR TYPE

Student’s Full Name: ____________________________________________________________

Student’s Full Address: ___________________________________________________________

Phone #: ___________________ cell phone # ___________________ email__________________   

Father's name: __________________ Occupation:_____________________ phone#___________________

Mother's name: _________________ Occupation: _____________________ phone# ___________________

How long have you lived in Volusia County? ____ High school attended ________________________________

List family members who have attended UF and/or are members of the Volusia County Gator Club:

Academic Grade Point Average _________ Class Rank ___________ SAT/ACT Score____________________

Number of absences this year: 5 or less ____ 6-10 _____ 11 or more (if so why?__________________________

College major/ career choice: ________________________________________________________________

Have you applied for Federal Student Aid?  ______ Will you qualify for Bright Futures? ___________________

Have you received other scholarships? Which? ___________________________________________________

LEADERSHIP POSITIONS:

List elected or appointed leadership positions.  Name only high school positions in which you personally were
responsible for motivating and directing others.

SCHOOL ORGANIZATION AND ATHLETIC ACTIVITIES

List below high school activities in which you have participated.  Include any club or team to which you have belonged
(feel free to include an attachment if more room is needed)

RECOGNITION AND AWARDS

List below special awards, prizes and/or scholarships.  These should include personal attention given to you as a result of
performance in scholastic, extracurricular, and community activities. (Example: Honor societies, service awards, honor
roll, state or national awards).

 WORK EXPERIENCE AND COMMUNITY ACTIVITIES

List below community and work activities in which you have participated.  Note any positions of leadership that you
have held.  Examples of community activities: Church or club projects, sponsored by groups other than your school. 
Examples of work experience: after school and/or summer jobs, internships.

 PROVIDE TWO (2) CHARACTER REFERENCE LETTERS (not family- one school and one community)

 ____________________________________________________________________________________________
Name                                                      Address                                                                                 Position

____________________________________________________________________________________________
Name                                                      Address                                                                                 Position 

PERSONAL ESSAY    (500 words or less)

 State briefly your ideals, educational plans and ultimate goals.  Let us know how you feel the University of Florida will help you
achieve them.  Describe your personal interests, any leadership experiences, quality contributions to school (i.e. athletics,
music, drama, student government), and your community service activities.  Include any outstanding recognition or awards
of achievement that you may have received.  State briefly what this scholarship would mean to you. This essay will be
evaluated on content, organization of thought, grammar and neatness.

STUDENT STATEMENT (this scholarship application is not valid without both signatures)

I certify that to the best of my knowledge, the information on this application is correct.

_________________________________________                     ________________________________________
Student’s signature                                                                                 Parent/Guardian signature

NOTE:  YOU MUST BE ACCEPTED BY UF TO QUALIFY FOR THIS SCHOLARSHIP

Mail this application, essay, letters and a copy of your transcript to Marci Skates, 424 Bouchelle Dr. #301, New Smyrna Beach, FL 32169. 
Complete packets, including application, essay and transcript, must be received by April 10, 2012. If you have any questions, please
contact Marci Skates, lmsk8s@cfl.rr.com , 386-689-0238, or during the month of March, Gayle Todor:  gatorgayle@att.net  Winners will be
announced at your school awards ceremony and presented at Gator Day.