Please complete this application and mail it to:
The Medalist Club
Post Graduate Scholarship Chairperson
P.O. Box 71996
Tuscaloosa, AL 35407

Name:  __________________________________________________________________
Maiden Name: __________________________________________________________
Current Address: _______________________________________________(street)
__________________________________(city, state, zip code)
Year of Graduation from The University of Alabama: _____________________
Degree Earned from The University of Alabama: __________________________
Undergraduate Grade Point Average: _____________________________________
Honors and Awards earned at The University of Alabama: _________________
_________________________________________________________________________
_________________________________________________________________________
Extracurricular involvement at The University of Alabama: ______________
_________________________________________________________________________
_________________________________________________________________________
Current Employer: ______________________________________________________
Current Occupation: ____________________________________________________
Current Annual Income: _________________________________________________
Will you continue to work while enrolled in graduate school: Yes / No
Expected annual income while pursuing graduate degree: _________________
Potential financial support from other sources (i.e. parents, inheritance, interest income)
Source Dollar Amount
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Degree program currently enrolled in or accepted to:
School/University: __________________________________________________
Degree Seeking: _____________________________________________________
Will you be a full time or part time student: _______________________
Annual Tuition of Program: __________________________________________

Please submit your responses to the following questions on separate sheets of paper, typed and double-spaced. Please use no more than one page per question unless otherwise noted.

  1. Describe your contribution to The University of Alabama gymnastics team during your undergraduate years.
  2. What is your motivation for seeking a graduate degree? Why have you chosen the school listed above?
  3. What are your career and personal goals after completing the graduate degree listed above?
  4. Describe a situation (other than involvement with gymnastics) where you worked as part of a team and how your service to The University of Alabama gymnastics team helped you. Was the team a success? Were the goals of the team accomplished? Why or why not? What would you do differently if you had it to do all over again? (Two pages maximum)
  5. What has been the most challenging situation you have faced and overcome?
  6. Beyond your current core area of responsibility (i.e. career, school, motherhood), what activities are you involved in? Why have you chosen these activities?