To correct form display in Firefox and Chrome click here

PHI ALPHA THETA

UNDERGRADUATE SCHOLARSHIP APPLICATION
Entries must be received by March 1, 2016
(For exceptional student members entering the Fall Semester of their Senior Year and majoring
in Modern European History 1815 to Present)

Name: Date:

College/University:

Email:

Permanent Address:

City: State: Zip:

PHI ALPHA THETA

Initiation date: College/University:

Phi Alpha Theta activities:

COLLEGES/UNIVERSITIES ATTENDED

Name of School Location Dates Attended Degrees Received

From To Name Date

UNDERGRADUATE

Major: Cumulative GPA:

# of semester hrs in History: Cumulative GPA in History:

# of semester hrs in European History:

Foreign language(s) in which you have…

…fluent reading knowledge:

…fair reading knowledge:

Area and time period of European History you emphasize:

Name of college/university where award will be used:

Other honor societies to which you belong:

Names and institutional affiliations of three (3) individuals submitting letters of

recommendation:

1.

2.

3.

Entries must be received by March 1, 2016 . Applicants must submit the following as a
complete package to be considered for competition:

• Application (three copies)

• Official transcripts (one official copy of each from each undergraduate institution where
work was credited toward a degree)
• Curriculum Vitae or resume (three copies)
• Letter of recommendation from each of the three individuals listed above (original only)
• Letter from the Department Chair confirming the student is not enrolled in an online
program

Send to:
Undergraduate Scholarship Committee
Phi Alpha Theta History Honor Society
University Of South Florida Print Form
4202 E. Fowler Ave, SOC107
Tampa, FL 33620-8100
It is the responsibility of the applicant to ensure that all required documentation is received by
the competition deadline. Incomplete applications or those submitted after the deadline or by
individuals whose membership in Phi Alpha Theta cannot be verified will not be considered for
the competition.