BALDWIN WOMAN’S CLUB

SCHOLARSHIP APPLICATION

APPLICATION DEADLINE: March 15

Full Name: ____________

Last First Middle/Maiden

Social Security Number: Phone Number: _______________________

Home Address: ____________________________________________________________________

Street City County State Zip Code

College or current address (If different from home):

_________________________________________________________________________________

Date of First Term at ABAC __________________ Expected Graduation Date ____________

Hours completed at ABAC _________________ Current GPA at ABAC _______________

Name of high school and year of graduation: _______________

Are you currently taking classes at ABAC? ____________________________________________

Will you enroll as a full-time student next year? Yes No

Toward what college degree will you be working? Major field:

COLLEGES ATTENDED DATES

___________________________________________________________________________________________

___________________________________________________________________________________________

Honors and awards received (college)

___________________________________________________________________________________________

Student activities - (college) Academic and social (include offices held):

___________________________________________________________________________________________

Community activities:

_____________

___________________________________________________________________________________________

Are you a dependent of an ABAC faculty or staff? Yes ____ No ____If so, complete the below information.

Faculty/Staff Name: ____ ____Position ________________________________

Describe in detail any sources(s) of support or help by financial aid, scholarship, loan, or employer tuition reimbursement:

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Three (3) letters of recommendation are to be enclosed with this application as follows:

1. An ABAC instructor.

2. Any source other than immediate family.

3. An employer (If you have not been an employee, obtain an additional letter from a different person in A or B above.)

Attach an autobiography of no more than three (3) pages. Explain why you chose to enroll at ABAC and why you are applying for this scholarship.

I hereby grant permission to Baldwin Woman's Club to review my academic record at Abraham Baldwin Agricultural College both initially and during the effective period of the scholarship.

Date Signature ________________________________________________________

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The following information is requested for use in release of an announcement should you be awarded a scholarship. Please fill in the applicable portions below.

Mother's Name: __________________________________________________________________________

Home Address of Mother: ___________________________________________________________________

Father's Name: ____________________________________________________________________________

Home Address of Father: ____________________________________________________________________

Full Name of Husband or Wife: ______________________________________________________________

Number of Children: Names and Ages: ________________________________________________

Name and Address of Guardian (If Applicable): _________________________________________________

If awarded a scholarship, in what newspaper would you want the announcement to appear?

____________________

Submit All Information to

Office of Academic Affairs

ABAC 9 – 2802 Moore Highway

Tifton, GA 31793-2601

(or in Person at Tift Hall, Room 26)