PHHP Scholarship Application PHHP Scholarship Application Please note that though applicants will be considered for all available college scholarships, we recognize that some scholarships may fit an individual better than others. If you feel you would be a particularly strong candidate for a specific scholarship, please review the criteria and address it in your application.Personal InformationName* First Last UF ID*Enter your UF ID. Email*Please provide the best email for us to contact you. Phone (cell or home)*Please provide the best phone number for us to reach you.Do you have or have ever had a conduct or honor code violation?* Yes No Description of Honor Code ViolationPlease explain the circumstances surrounding the conduct or honor code violation, including the date of the violation. Have you ever lived, worked or volunteered in Duval County?* Yes No Are you active military or an eligible veteran?*Eligible veteran is defined as someone having served on active duty and received honorable discharge. Yes No Academic InformationPlease list the term and year you entered PHHP.* What is your projected graduation date?*Please list the term and year you expect to graduate. What is your current degree program?*UndergraduateMastersDoctoralPlease indicate your current program. Communication Sciences and Disorders (BHS) Health Science (BHS) Public Health (BPH) Please indicate your current program. Biostatistics (MS) Communication Sciences and Disorders (MA) Epidemiology (MS) Health Administration (MHA) Public Health (MPH) Public Health (MPH)-Biostatistics Public Health (MPH)-Environmental Health Public Health (MPH)-Epidemiology Public Health (MPH)-Population Health Management Public Health (MPH)-Public Health Practice Public Health (MPH)-Social and Behavioral Sciences Please indicate your current program Audiology (AuD) Biostatistics (PhD) Epidemiology (PhD) Health Research Sevices (PhD) Occupational Therapy (OTD) Physical Therapy DPT) Psychology (PhD) Public Health (PhD) Rehabilitation Science (RSD) Speech-Language Pathology (PhD) What is your current GPA?* Florida Opportunity Scholars*If you are a new or continuing graduate or professional student, please indicate whether you are or were an undergraduate Florida Opportunity Scholar. Yes No Leadership/Volunteer Experience Please tell us about your leadership/volunteer work you've while at UF. Note: All leadership/volunteer experience, including the name of the organization and the length of service, should be listed on your CV or resume.Have you volunteered at UF or with an outside organization during your time at UF?* Yes No Please tell us your total volunteer hours for the past academic year. Have you served in leadership position during your time at UF?* Yes No Applicant Statement*Please provide specific examples of how, through your leadership or volunteer work, you have been able to make a difference or of how your leadership and volunteer experiences have impacted you . Have you or are you currently conducting research as part of your program?* Yes No What is your research subject matter?* Please provide a brief description of your research.*If you are applying for the Deutsch Endowement in Life Care Planning Scholarship, please provide a brief description of the study, an explanation of how your research supports an area of catastrophic disability or the process of life care planning and a one- to three-line statement on your career plans related to working with individuals with disabilities.Financial Information Please note that all questions in this section are required.Financial Aid*Have you filed a FAFSA for this academic year? Yes No You must have a current FAFSA on file in order to be eligible to apply. For information about FAFSA or about other financial aid options, please contact Kateria Wynn at kwynn11@ufl.edu.Have you been awarded financial aid this academic year?* Yes No Private Aid*Have you received any private aid this year? (Private aid is any funding received outside of UF or the Department of Education, such as third party scholarships or loans from a private institution.) Yes No Please tell us the total amount of private aid received.LoansDo you have outstanding loans? Yes No Outstanding Loan AmountWhat is the total amount of these loans? Please explain why you are applying for financial aid.*Briefly state any other extenuating circumstances which can be considered in your application. Supporting Materials Submission Check List*Applications MUST include both a CV and a letter of support. Submissions missing one or the other will not be considered. Please confirm your are submitting BOTH a CV and letter of support by checking the boxes below. CV or resume (Please be sure to include all service and leadership experience, as well as any awards/recognitions you have recieved.) Letter of support addressing the student's contributions (service, leadership roles, research activities). This letter should be from a mentor, faculty member, lab/research supervisor or volunteer director. Upload your files*Please submit the required supporting documents. Applications with missing documents will not be considered. Drop files here or Select files Max. file size: 125 MB, Max. files: 8. Application Verification* I certify that the information given on this application is correct to the best of my knowledge. I give permission for my scholarship application material to be released to and/or reviewed by appropriate donor representatives and the University of Florida Foundation, at the discretion of the College of Public Health and Health Professions. SignatureDate MM slash DD slash YYYY CommentsThis field is for validation purposes and should be left unchanged.
