Sam and Connie Holloway Endowed Scholarship Application Sam and Connie Holloway Endowed Scholarship Application Please note, you must be enrolled in courses in the Fall semester to be considered for a scholarship. Applications must be submitted by August 3, 2025.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. Academic InformationPlease list the term and year you entered PHHP.* Have you completed at least 24 credit hours of coursework?* Yes No 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 Health Science (MHS), One Health 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?* 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 a student organization at UF?* Yes No Have you served in a leadership position associated with the College during your time at UF?*This must include either: (a) leadership within the college, such as on college affiliated organizations, boards, or college-sponsored activities, or (b) leadership that directly benefits the college, such as leadership in professional organizations 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 and helped you develop professionally. What is your next career step?* 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 If you have not completed a FAFSA for this academic year, you will need to download and complete the Determination of Need Form located on the main PHHP Scholarships page (https://phhp.ufl.edu/admissions/scholarships-and-funding/). Once you have completed the form, please attach it below.Max. file size: 125 MB.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 pdf CV and a pdf 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. pdf CV or resume (Please be sure to include all service and leadership experience, as well as any awards/recognitions you have recieved.) pdf 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 Accepted file types: pdf, 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 NameThis field is for validation purposes and should be left unchanged.
