

University of Tulsa
Scholarship Application
Eligibility requirements:
Please click on this pdf to download and see the application, requirements and submission instructions.
Name: ____________________________________ Date of Birth: ___________
Home Address:____________________________ City:____________ Zip:_________
Home Phone:______________________________ Email:__________________________
University/College:_________________________ School phone:__________________
School Address:___________________________ City:______________ Zip:_________
Christmas Break Dates:____________________ Spring Break Dates:____________
Field of Study:____________________________ Overall GPA:_______
Women’s
Fraternity/Sorority:______________________________________________
Women’s Fraternity/Sorority Offices held and responsibilities of each (Please indicate the year(s) of your participation, e.g. 2011-2012 and denote Executive Board Positions by “*”):
__________________________________________________________________________
__________________________________________________________________________
Membership and Offices held in other organizations including honorary societies (Please indicate the year(s) of your participation, e.g. 2011-2012):
________________________________________________________________________
__________________________________________________________________________
Extracurricular Activities including jobs and volunteer work (Please indicate the year(s) of your participation, e.g. 2011-2012):
__________________________________________________________________________
__________________________________________________________________________
One Applicant from Each Sorority: Each women’s fraternity/sorority may submit one applicant to be considered for the scholarship award. In the event of multiple submissions from members of the same fraternity/sorority, those applications will be forwarded to the applicants’ local Alumnae Chapter for selection.
Applicant’s Statement of Accuracy: I certify that the information provided in this scholarship application is complete and accurate to the best of my knowledge. (Any falsified information will immediately disqualify an applicant.)
_______________________________________ _____________________
Signature of Applicant Date
Along with this completed form, please attach:
Other factors, to be considered for this scholarship are leadership ability, character, integrity, campus activities and contributions to the Greek system. A Tulsa Area Alumnae Panhellenic selection committee will interview finalists.
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Submit original signed application and all attachments to the following: (Please, no email submissions without approval)
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By Mail (postmarked by March 16, 2012): Courtney Cantrell 1 Circle S Dr. Mounds, OK 74047 918-344-3915(cell) 918-995-2598(work)
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