Florida State Society                                       Daughters of the American Revolution                                    Princess Hirrihigua Chapter, FSSDAR                                                                        Scholarship Application NAME OF STUDENT: _______________________________________________________________________ PERMANENT ADDRESS: ___________________________________________________________________ __________________________________________________________________________________________ TELEPHONE: (       ) _____________________________ E-MAIL ADDRESS: __________________________ COLLEGE/UNIVERSITY: [Refer to instructions below.] ADDRESS: _______________________________________________________________________________ __________________________________________________________________________________________ INSTRUCTIONS: The application package must be complete, arranged in the order described below, and received by the specified  deadline in a single package. Photographs will not be accepted and should NOT be included. This scholarship is judged and awarded  without regard to gender, race, color, religion, national origin or disability. 1. Proof of citizenship 2. Scholarship application form 3. Statement of objectives and plans 4. Original high school transcript 5. Letters of recommendation 6. List of extra-curricular activities 7. Application packages should be stapled or clipped in the top, left-hand corner. Number of pages in package must not exceed fifteen.  Four copies of the package should be submitted. 8. It is the responsibility of the applicant to correctly identify the complete address for the college/university department to receive and credit the scholarship funds awarded. 9. Mail application package to: Patricia M. Strait, Scholarship Committee Chairperson, 5623 80th Street N, #101, St Petersburg, FL 33709-5817. If you would like for us to acknowledge receipt of your application, you must include a self-addressed, stamped envelope.  We will notify ONLY WINNERS of judges' decisions following approval. At that time, an applicant notified of a pending  scholarship award will be required to submit his/her social security number. Scholarship must be used within one year of date of award or it is forfeited. Rev.2/2010