Florida State University

2018-2019

Toni Jo Mason Scholarship Fund*

IMPORTANT:  READ AND RETAIN A COPY FOR YOUR RECORDS

DEADLINE FOR APPLICATION MATERIALS TO BE RECEIVED BY THE UNIVERSITY:  August 1, 2018
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*This program is contingent upon annual funding by the 
 Toni Jo Mason Private Foundation 

The Toni Jo Mason Scholarship Fund, funded by the Toni Jo Mason Private Foundation, is a competitively awarded program which is available to first time entering undergraduate students with physical disabilities and financial need who are actively enrolled at Florida State University.  You must adhere to the following application guidelines in order to qualify for full consideration.

ALL APPLICANTS
In order to demonstrate financial need, all applicants must have completed a 2018-2019 Free Application for Federal Student Aid (FAFSA) or Renewal FAFSA form, and have it mailed to the appropriate address as indicated on the FAFSA form.  

INITIAL APPLICANTS MUST:
Provide a current transcript which documents a cumulative grade point average of at least 2.5 (on a 4.0 scale) on all credits.  High school students who are applying for the first year of college should submit a current high school transcript.

Students must have a physical disability registered with the Student Disability Resource Center (SDRC) at Florida State University. The disability must be in one or more of the following classifications:  hearing impairment, physical impairment; or visual impairment. Students may contact the SDRC office for clarification as to what is required.

Gain admission as a first-time-degree-seeking undergraduate student into Florida State University.

Have a demonstrated financial need (determined from FAFSA information).

FIRST TIME APPLICANTS MUST SUBMIT THE FOLLOWING:
-	A completed 2018-2019 Toni Jo Mason Scholarship Fund Application Form;
-	Documentation of an eligible physical disability (WE HAVE ON FILE WITH SDRC);
-	A narrative about your disability, its impact on your progress and success in High School

RENEWAL APPLICANTS MUST:
Continue to have financial need and adhere to minimum enrollment, progress, and grade point average  (2.5) requirements of the program, plus:
-	Submit a completed 2018-2019 Toni Jo Mason Scholarship Fund Application Form to the SDRC office;
-	Mail or complete on-line a 2018-2019 FAFSA form as indicated above.

APPLICATION PROCEDURES:
The application should be sent to the contact person listed at the end of this form.

Applications, disability documentation, personal statements, letters of recommendation, and a transcript must be received by the SDRC no later than August 1, 2018.

IF SELECTED, RECIPIENTS MUST:
Complete and return an acceptance form by the date specified on your notification letter.  Failure to return the acceptance form by the specified date will result in forfeiture of the award.

Complete a minimum of nine (9) credit hours each semester.

Adhere to the minimum 2.5 cumulative grade point average requirement of this program.

Apply for renewal consideration for each academic year in which you desire the award.  Toni Jo Mason Scholarship Fund recipients may qualify for the award for up to eight (8) semesters of undergraduate study.

AWARD PAYMENT
After verification of enrollment, the university will disburse the award on a prorated basis each academic term to eligible Toni Jo Mason Scholarship Fund recipients.  The dollar amount of the 2018-2019 awards is $2,500 per semester and contingent upon funding from the Toni Jo Mason Private Foundation.  

FOR ADDITIONAL INFORMATION, CONTACT:
Student Disability Resource Center
874 Traditions Way 
108 Student Services Building 
Tallahassee, FL 32306-4167 
850/644-9566 (VOICE) | 850/644-8504 (TDD)
sdrc@fsu.edu 

Florida State University 
Toni Jo Mason Scholarship Fund
 2018 – 2019 Application Form

This form and supporting application materials must be received by the Student Disability Resource Center (SDRC) at Florida State University no later than August 1, 2018.  Incomplete applications will not be considered. 

All applicants must also complete a 2018-2019 Free Application for Federal Student Aid (FAFSA) form or Renewal FAFSA form on-line or mail it to the address indicated on the FAFSA form  by April 15, 2018 in order to receive full consideration.  

PLEASE PRINT OR TYPE

	 Initial Application     			Renewal Application

NAME: 
	Last                                  	First 					Middle Initial

CURRENT ADDRESS:  
                                               Street Address

                                       	City                 			State 			Zip

	Telephone			CURRENT E-MAIL ADDRESS

CHECK ALL DISABLING CONDITION(S) THAT APPLY: 

Deaf/Hard of Hearing.  
Blind/Visual Disability.  
Physical Disabiltity

Description:________________________________________________________ 	

CURRENT CUMULATIVE GPA:	UNIVERSITY:

HAVE YOU BEEN ADMITTED TO THE UNIVERSITY? (check one)          Yes    	      No

2018 – 2019 ACADEMIC LEVEL (check one):

     	  Freshman 	Sophomore		Junior     		Senior

ANTICIPATED UNIVERSITY GRADUATION DATE:

CITIZENSHIP STATUS (check one):
I am a U.S. citizen.
I am a permanent resident alien.
I am a non-U.S. citizen or non-permanent resident alien and possess the following category of VISA (specify):

ETHNIC ORIGIN (check one*):
	Alaskan Native 	American Indian	Asian    
	Black (non-Hispanic)	Hispanic 	Pacific Islander
	White (non-Hispanic)

(*Failure to disclose your ethnic origin will not disqualify your application)

I AM A FIRST-TIME UNDERGRADUATE DEGREE-SEEKING STUDENT:
	______ YES     _______NO

I certify that I have read and understood the conditions for participation in this program.  The information I am supplying in this application is true, complete, and correct.  By signing the form, I also grant permission for information pertaining to my financial need, and all supporting application materials, to be released by the appropriate university to the Toni Jo Mason Private Foundation.  NOTICE:  If you purposely give false information, you may be subject to fine, or imprisonment, or both under 827.06, F.S.

Signature:			Date: 

SUBMIT APPLICATION MATERIALS TO THE FOLLOWING CONTACT PERSON.

Jennifer Mitchell, Assistant Director
Florida State University
Student Disability Resource Center
874 Traditions Way; 108 Student Services Bldg.
Tallahassee, Florida 32306-4167
Telephone:  850- 644-9566
Fax:  850-645-1852
E-mail:  jmitchell2@fsu.edu