American Association of University Women, Atlanta Branch

AAUW 2009 Scholarship Application

Note: Preference is given to women who are at least 30 years old, US citizens, legal residents of Georgia, juniors or seniors at an Atlanta area college/university in Fall 2009, and in good academic standing. The AAUW award is for supplemental expenses such as child care, transportation, or books. Awards cannot be used for tuition.

1.     Name________________________________________________________________

2.     Address _____________________________________________________________

street address                                                                  apt. number

_________________________________________________________________________________

                                    city, state                                                           zip code

3.     Telephone numbers (day)______________________ (evening)_________________

4.     E-mail address____________________________________

5.     Country of citizenship:_____________________________

6.     Educational information.

School you attend or plan to attend in Fall 2009______________________________

Academic status (Fall 2009) _____Junior _____Senior

Major______________________________________ Grade point average________

Do you anticipate having full tuition funds for Fall 2009? _____ Yes _____ No

Are you a ___full or ___ part-time student? Do you attend any of your classes online? ______ If yes, what percentage do you attend online?______________

How do you plan to use AAUW funds if awarded (e.g., books, child care, transportation)? _______________________________________________________

Your student ID number or Social Security number (required for financial aid officer for recipient identification) ______________________________________________

7. Personal information. Age___________ Marital status_______________________

Number and ages of dependent children living with you_______________________

____________________________________________________________________

Other dependents for whom you are legally responsible (indicate relationship

to you) ______________________________________________________________

AAUW Financial Aid Application

Page 2

8. Employment. Are you currently working? No____ Yes_____ If yes, number of

      hours/week_____________

Name and telephone number of your place of employment and supervisor: __________________________________________________________________

__________________________________________________________________

9. Please write a short explanation of your background, goals, and academic interests:

Return this completed application, your transcript, and one letter of reference (not from a family member) to be postmarked on or before April 15, 2009, to the AAUW Scholarship Committee, 3875 W. Nancy Creek Court, Atlanta, GA 30319. Any questions? Call 404-261-7646 (AAUW Bookroom) or 770-998-2444.