**APPLICATION FOR FBA COLLEGE SCHOLARSHIP**

**FOR FALL 2006**

Name:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_Social
Security No.\_\_\_\_\_\_\_\_\_\_\_\_

Home
address:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Home phone (include area code):
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Your federal connection (circle one):

a.  I am a Federal employee/retiree (FBA 2006 membership
    number\_\_\_\_\_\_)

b.  I am the dependent of a federal employee/retiree

(please include telephone number of FBA member/fed
contact\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_)

As of today, are you (circle one):

a.  Married

b.  Unmarried (single, divorced, widowed)

c.  Separated from spouse

Date you received or will receive your high school diploma, either by

a.  graduating high school
    (month/yr/location)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\
    \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

b.  earning a GED (month/yr)
    \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Indicate highest level of education already obtained:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Complete name, address and phone number of the financial aid office of
the college or university where you plan to use the scholarship:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Intended course of study:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

List of other sources of financial aid obtained:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

List other sources of financial aid applied for:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Your expected enrollment status for the 2005-2006 school year:

  ------------- --------- --------- --------- ---------------- ------------
  School term   Full time 3/4 time  1/2 time  less than 1/2    not enrolled
                                              time             

  Fall 2006                                                    

  Spring 2007                                                  

  Summer 2007                                                  

  Fall 2007                                                    

                                                               
  ------------- --------- --------- --------- ---------------- ------------

Your education level during the 2006-2007 school year (check only one):

1st yr/never attended college 5th yr/other undergraduate

1st yr/attended college before 1st yr graduate/professional

2nd yr/sophomore 2nd yr graduate/professional

3rd yr/junior 3rd yr graduate/professional

4th yr/senior Beyond 3rd yr graduate/profess.

**Along with the application, please provide the following:**

1.  **On separate paper, describe in 500 words or less why the FBA
    should award you this scholarship (please type). Consideration
    criteria include need, commitment to education, potential for
    success and ability to represent the FBA favorably. Please indicate
    your GS level, the GS level of your parents, guardian or sponsor,
    and whether you live with your parents/guardian or on your own.**

2.  **Three letters of reference.**

3.  Copy of high school and (if applicable) college transcripts.

(Original transcripts are NOT required.)

**Applicants who fail to send the above will not be considered.**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

Signature of Applicant Date

Return the completed application and attachments no later than May 5,
2006 to:

Federal Business Association

P.O. Box 17483

Fort Worth, TX 76102

ATTN: FBA Scholarship Committee