2013 SE4A Scholarship Application Form & Criteria

Once again, the Southeastern Association of Area Agencies on Aging has established a
Scholarship to be awarded to a student interested in pursuing a career in Gerontology or
Geriatrics. Three $1,000 scholarships will be awarded in the fall of 2013.
To apply for the Scholarship, a student must be a junior, senior or graduate student presently
enrolled in an accredited university within the eight southeastern states of Alabama, Georgia,
Florida, Kentucky, Mississippi, North Carolina, South Carolina or Tennessee.
Enclosed please find a copy of the application for the SE4A Scholarship and a list of the criteria.
If you know of a student who would qualify and would like to apply for the Scholarship, please
have him/her complete the application.
An application package must be completed including an essay of no more than two pages in
length. The essay should include both personal and professional experience and answer the
following questions:
 What led you to pursue an education in the field of Gerontology or Geriatrics?
 What are your plans in the field of Gerontology or Geriatrics?
An original current transcript or a copy of an original current transcript must be included.
Nominations must be postmarked by May 8, 2013 and mailed to:
Debbie Studdard, AAA Director
Northwest Georgia Regional Commission
P.O. Box 1798
Rome, GA 30162
(706) 295-6485

If you have any questions, please do not hesitate to contact me.

APPLICATION FOR SE4A SCHOLARSHIP
NAME:

__________________________________________________________________

ADDRESS:

__________________________________________________________________

PHONE NUMBER:

__________________________________________________________________

SCHOOL NAME:

__________________________________________________________________

SCHOOL ADDRESS:

__________________________________________________________________
__________________________________________________________________

CURRENT GPA*:

__________________________________________________________________

CURRENT FINANCIAL AID—LOANS, SCHOLARSHIPS, ETC: __________________________________
__________________________________________________________________

EMPLOYERS (Last 5 Years) (Attach Additional Sheets if Needed)
Position:

__________________________________________________________________

Employer:

__________________________________________________________________

Address:

__________________________________________________________________

Phone Number:

__________________________________________________________________

Dates of Employment:

__________________________________________________________________

Position:

__________________________________________________________________

Employer:

__________________________________________________________________

Address:

__________________________________________________________________

Phone Number:

__________________________________________________________________

Dates of Employment:

__________________________________________________________________

Attachments:
_______
_______
_______
_______

Three Letters of Recommendation (One Letter Must be from Your Local AAA)
Essay
Any Additional Pertinent Information
*Transcript or Proof of GPA

CRITERIA FOR SELECTION OF
SE4A SCHOLARSHIP RECIPIENT

Criteria

Points

1. Financial Need

25 Points

2. Connection to SE AAA Network

25 Points

3. Writing Skills

10 Points

4. Maintain 3.0 GPA

15 Points

5. Commitment to do Volunteer Work with Elderly

10 Points