Mail to: UVI Scholarship Committee. #2 John Brewers Bay. Box 299. St. Thomas, VI 00802 
Applications will be accepted from February 1, 2006 through May 31, 2006. Awards are for the 2006-2007 academic year. 
 
 
 
Eligibility Criteria 
• 
Be a full-time Matriculated UVI student in good standing (GPA ≥2.5) 
• 
Demonstrate financial need 
• 
Provide official UVI transcript 
 
 
Social Security Number or College Identification Number: ____________________ 
Legal Name  
Last: 
 
First: 
 
Middle: 
 
Date of Birth  
Month: 
 
Day: 
 
Year:19 
 
E-mail Address: 
  
Telephone: Area Code: 
Phone: 
 
Permanent Residence 
Mailing Address: 
City: 
State:
ZIP Code: 
 
NOTE: This information is only requested for the purpose of awarding specific scholarship funds. 
All information is confidential and will be treated accordingly. 
 
Check one:   _______  US Citizen/Permanent Resident  _______ F1 Student
Gender
 Male 
Female 
Check box if you are a single parent. Ages of dependent children ________________ 
Intended Undergraduate Academic Major: 
 
Current Student Classification at UVI: ________________ (FR, SO, JR, SR) 
Will you be enrolled full time for the 2006-2007 academic year at UVI? ___________(yes/no) 
Your signature below attests to the validity of all information provided and grants your permission 
for UVI and the Tom Joyner Foundation to review your grades and to use the Content of your 
application in any and all advertisements of the Foundation. 
________________________________ 
 
 
_________________________ 
Signature 
 
 
 
 
 
Date