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Florida A M University Foundation Scholarship Application Name of Scholarship Full Legal Name First Middle Last Social Security Number U.S. or ID Female Male Permanent Address Street FAMU Classification City County State Major Zip Code G.P. A. E-mail address High School Name Address Test Scores Date of Birth SAT1 E ACT Country of Citizenship Telephone No* Fax No* Cell No* Parents/Guardian/Spouse Please respond to the following on separate sheets of paper. Your responses should be typed and attached to this form* Submit a completed application two letters of recommendation and a photograph to 203 Lee Hall* 1. List your extracurricular community or other activities in order of importance to you indicating the time period during which you participated in the activity or position s held. 2. List any significant awards you have received either for academic or extracurricular achievements. 3. Write an essay on one of the following topics. Your essay must be typed and doubled spaced* a* If you were thirty years old and had the opportunity to initiate a new program in the area of your choice what would be the mission and whom would it benefit b. If you could spend the evening with someone you admire who would it be and what would you talk about 4. A. E-mail address High School Name Address Test Scores Date of Birth SAT1 E ACT Country of Citizenship Telephone No* Fax No* Cell No* Parents/Guardian/Spouse Please respond to the following on separate sheets of paper. Your responses should be typed and attached to this form* Submit a completed application two letters of recommendation and a photograph to 203 Lee Hall* 1. Your responses should be typed and attached to this form* Submit a completed application two letters of recommendation and a photograph to 203 Lee Hall* 1. List your extracurricular community or other activities in order of importance to you indicating the time period during which you participated in the activity or position s held. List your extracurricular community or other activities in order of importance to you indicating the time period during which you participated in the activity or position s held. 2. List any significant awards you have received either for academic or extracurricular achievements. 2. List any significant awards you have received either for academic or extracurricular achievements. 3. Write an essay on one of the following topics. Your essay must be typed and doubled spaced* a* If you were thirty years old and had the opportunity to initiate a new program in the area of your choice what would be the mission and whom would it benefit b. 3. Write an essay on one of the following topics. Your essay must be typed and doubled spaced* a* If you were thirty years old and had the opportunity to initiate a new program in the area of your choice what would be the mission and whom would it benefit b. If you could spend the evening with someone you admire who would it be and what would you talk about 4. A. E-mail address High School Name Address Test Scores Date of Birth SAT1 E ACT Country of Citizenship Telephone No* Fax No* Cell No* Parents/Guardian/Spouse Please respond to the following on separate sheets of paper. Your responses should be typed and attached to this form* Submit a completed application two letters of recommendation and a photograph to 203 Lee Hall* 1. List your extracurricular community or other activities in order of importance to you indicating the time period during which you participated in the activity or position s held.

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