Tennessee Federation of Republican Women
Beyond the Vote
Women's Scholarship Application

Date:  __________________________

Name:  ______________________________________________________________________

Address:  ____________________________________________________________________

City:   ______________________________________State______ Zip Code: ______________

Date of Birth: __________________________ Social Security Number:___________________

College:___________________________________City_____________________State_______

Required Major  -  Political Science

Freshman GPA____________ Sophomore GPA _______________ Junior GPA ___________
(Please attach a copy of your up-to-date college transcript and two letters of recommendation)

Are you a member of the College Republicans?   Yes______  No______

Voter Registration Date: _____________________   Tennessee Resident Since ___________

Voting Location: _______________________________________________________________

State House District #:  _________________   State Senate District #:  __________________

Community/Political service and honors during the past five years:

        Organization               Location                   Telephone Number             Contact Person

1.    _________________________________________________________________________

2.    _________________________________________________________________________

3.    _________________________________________________________________________

4.    _________________________________________________________________________
                           (Use separate sheet for additional activities)

Attach a copy of your original essay of 500 words or less on the subject:  "How Has the Nineteenth 
Amendment Has Enhanced Women's Opportunities for Leadership and How this has Impacted 
Me Personally."

Submit application to: Susanne Cobb, 169 East Ridge Road, Spring City, TN 37381.
       

Copyright 2002-2008
Paid for by Tennessee Federation of Republican Women