SCHOLARSHIP APPLICATION

GENERAL INFORMATION: South Texas Unit

(Unit Name Required)

Name: _____________________________________ Home Phone: _

Home Address: ____________________________________________________________________________________

(Street) (City) (State/Zip)

Shop Address: ____________________________________________________________________________________
(Street) (City) (State/Zip)

Shop Name: ____________________________ Shop Phone: _

Teleflora Shop Code: _________________________________________ Shop Fax: _______________________
(REQUIRED)

Number of hours per week in current position: _____________________ Full Time: ______ Part Time: ______

How did you hear about the Scholarship program? Event _____ Dove message _____ Other (explain below)

______________________________________________________

ACADEMIC RECORD:

High Schools and Colleges attended and graduation dates:

_________________________________________________________________________________________________

Are you currently attending college? _____ If yes, where? ________________________ Major: ______________

Have you ever attended a Trade School and, if so, where and for how long?

_________________________________________________________________________________________________

Are you interested in attending classes at the Teleflora Education Center in Oklahoma City, or at another school?

_________________________________________________________________________________________________

This scholarship is not only a reward, but also financial aid. Please explain financial needs:

_________________________________________________________________________________________________

_________________________________________________________________________________________________

Please Name florists that you have worked for, if any, how long, and in what capacity:

FLORIST & Teleflora ID CITY AND STATE DATES OF EMPLOYMENT POSITION

1.)

2.)

3.)

4.)

5.)

WHY I SEEK THIS SCHOLARSHIP

PERSONAL STATEMENT:

Please provide a personal statement (not over 300 words) commenting on your educational and
professional experience and plans for your future in the floral industry. Please share your plans on
pursuing your career as a florist. Explain how this scholarship will aid in the pursuit of your goals.

_________________________________________________________________________________________________

I declare that I have read all the statements on this application and to the best of my knowledge and
belief, they are correct.

_______________________________________ _________________________________

Signature of Applicant ** Date of Application (Required)

Please return to:

Debbie Gordy AAF TMFA

Teleflora Regional Unit Director

Compton's Florist
1031 S. Broadway
La Porte, TX 77571
(281) 471-2124

*** APPLICATION DEADLINE – FEBRUARY 28, 2009 ***

In order to maintain eligibility, a new scholarship application must be completed annually.

SCHOLARSHIP APPLICATION

Name: _________________________________________________________ Home Phone: _____________________

Shop Name: ________________________________________________ Shop Phone: _____________________

FLORIST & Teleflora ID CITY AND STATE DATES OF EMPLOYMENT POSITION

Name: _____________________________________ Home Phone: _

Shop Name: ____________________________ Shop Phone: _