Helene Tzitsikas Scholarship Fund

Application Form Helene Tzitsikas Scholarship Fund St. Demetrios Greek Orthodox Church, Ft. Lauderdale, Florida 815 NE 15th Avenue, Ft. Lauderdale, FL 33304

This scholarship has been established to honor the memory of Dr. Helene Tzitsikas and her wish to endow a scholarship fund to support higher education among the members of the Church Eligibility Requirements for Scholarship

The individual applying for scholarship support must:

 Be an applicant who is currently a steward and/or whose parent(s)/guardian(s) are current stewards of St. Demetrios.

 Be a high school student in the last year, a community college student, a college or university student or graduate student.

 Be accepted for admission to an accredited institution of higher education or continuing a course of study at an accredited institution of higher education.

 Declare intention to complete an annual report describing how the scholarship contributed toward the applicant’s educational progress.

This application must be submitted to the Church Office as one typed document and one electronic copy by May 1, 2016.

BIOGRAPHICAL AND GENERAL INFORMATION

Full Name Address City State Zip Date of Birth Phone email Name of Father Name of Mother Name of Legal Guardian Is your parent or legal guardian a steward of St. Demetrios (yes or no) Are you a steward of St. Demetrios? (yes or no) What higher educational institution will you attend? Have you been accepted? (yes or no) When will you enroll? Or, if already enrolled, when did you enroll and when will you graduate?

What field of study will you pursue?

FINANCIAL NEED Are you employed? If yes, how many hours per week? Are other persons dependent on you for financial support? (yes or no) According to the FAFSA, what is your EFC (Estimated Family Contribution)? What school are you planning to attend? How much is yearly tuition? If you will live on campus, how much is Room & Board ? Explain why this scholarship will help you meet your educational goals.

EDUCATION High School:

Name Graduation Date Grade Point Average Language studied and number of years completed SAT (score) ACT (Score) Community College:

Name: Major: Grade Point Average Language studied and number of years completed Associate’s Degree: (yes or no) Date Graduated: College or University Name: Major: Grade Point Average: Language studied and number of years completed Degree Awarded: Date Graduated:

Have you studied a language other than English anywhere else? Where? When? What language?

ACTIVITIES AND AWARDS

In what school activities have you participated? Include any awards or honors received in high school or other educational institution

In what community activities have you participated? List neighborhood, civic, local charities, and any recognition received.

In what church related activities have you participated? (Include any awards and recognition received).

TRANSCRIPT To your hard copy, attach one sealed, official copy of your most recent transcript

OPTIONAL You may attach one (1) letter of recommendation from one (1) of the following:

1. Teacher or other school official knowledgeable about your academic work.

2. Church or community individual knowledgeable about your civic engagement.

3. Church or school individual who serves in a leadership capacity knowledgeable about your character.