ࡱ> OQN rbjbj 4Fikikr e$FDFFFFFFO #`FF[.DD`m0q0e#:e#e#dFFe# : USF College of Behavioral & Community Sciences Department of Child and Family Studies 2026 Clinical Rehabilitation and Mental Health Counseling Scholarship Application Please check the scholarships for which you are applying. You may apply for just one or both (although please note that each scholarship application requires its own unique essay).  FORMCHECKBOX  Lynn Bartolotta Scholarship (double click on the box to check)  FORMCHECKBOX  Dae Sheridan Scholarship (double click on the box to check) Please submit the following information and include all of the items in Sections II - V below. 1. STUDENT INFORMATION First Name: Last Name: Student ID (U#): Email address: Local Mailing Address: City, State, Zip: How many credit hours have you successfully completed thus far in the CRMHC Masters program (do not include the classes in which you are currently enrolled)? Current GPA in the CRMHC Masters program: Have you ever been on academic probation in the CRMHC Masters program? (double click on the box to check)  FORMCHECKBOX  No  FORMCHECKBOX  Yes, On what date did you return to good standing? ___________________________ II. ESSAYS (Each scholarship requires its own essay. Please label appropriately) A. Lynn Bartolotta Scholarship. This award will support a student who is experiencing significant financial need and who intends to serve people who are typically considered underserved. Please write a 500 word essay describing your financial situation, career goals, and the specific ways in which in which you commit to using the scholarship to serve people who are typically considered underserved. (Note: these essays will be read by the CRMHC Scholarship Committee. They may also be shared with the other CRMHC core faculty members, but no one else will see what you have written.) B. Dae Sheridan Endowed Scholarship. This scholarship provides $1000 for two-four students each year. Preference is given to first-generation CRMHC students who have demonstrated an intent to improve the fields of mental health counseling and human sexuality education. Please write a 500 word essay documenting whether you are a first-generation college student, and describing how you plan to both improve the field of mental health counseling and further human sexuality education. (Note: these essays will be read by the CRMHC Scholarship Committee. They may also be shared with the other CRMHC core faculty members, but no one else will see what you have written.) III. School Activities, Community Involvement, Leadership Please provide a list of any academic honors, extracurricular activities, leadership activities, community service, research activities, etc. IV. Please include your CURRICULUM VITA or RSUM with your application. V. STUDENT CERTIFICATION Please note that scholarship awards may impact the amount and level of funding you receive from other sources of financial aid administered by the University. All application materials must be submitted by 11:59 pm on _4/3/2026 . By signing this application, you give permission to the CRMHC faculty and staff involved in the scholarship award process to view your student records in order to verify your application. I certify that the statements contained in this application are true and complete. I understand that fraudulent information will result in disqualification and other academic penalties. I hereby allow my educational information (including GPA and number of hours) to be confirmed in OASIS/Banner. ________________________________________ ________________ Signature Date Completed Application Packet should be submitted by email to Dr. Rick Weinberg at  HYPERLINK "mailto:weinberg@usf.edu" weinberg@usf.edu on or before 11:59 pm on 4/3/2026. Please put CRMHC Scholarship Application in the email Subject line. Once checked for completeness, the application packet will be forwarded to other members of the CRMHC Scholarship Committee for review and may be shared with the CRMHC core faculty. ./=VYZcdƴ~iWE0)hW8h1B*CJOJQJ^JaJph#h)B*CJOJQJ^JaJph#h070B*CJ OJQJ^JaJ ph)hW8h1B*CJ OJQJ^JaJ ph#h|B*CJ OJQJ^JaJ ph#h.iB*CJ OJQJ^JaJ ph#hFB*CJ OJQJ^JaJ ph#h:B*CJ OJQJ^JaJ ph#h1B*CJ OJQJ^JaJ ph#h)B*CJ OJQJ^JaJ ph)hW8h)B*CJ OJQJ^JaJ ph/Vb c d  j k hd7$8$H$^hgd070hd7$8$H$^hgdLd7$8$H$gd1d7$8$H$gd)$d7$8$H$a$gd) ^ a b c d e s t u ƴآ{dR8d2jhB*CJOJQJU^JaJph#hB*CJOJQJ^JaJph,jhB*CJOJQJU^JaJph)h"hB*CJOJQJ^JaJph#h1B*CJOJQJ^JaJph#h)B*CJOJQJ^JaJph#h#{B*CJOJQJ^JaJph#hB*CJOJQJ^JaJph#h1B*CJOJQJ^JaJph)hW8h)B*CJOJQJ^JaJphu    Ư|xi]iixH6#hQ$B*CJOJQJ^JaJph)h"h|B*CJOJQJ^JaJphh/CJOJQJaJh/h|CJOJQJaJh| hoh|2jhh|B*CJOJQJU^JaJph#h|B*CJOJQJ^JaJph,jh|B*CJOJQJU^JaJph#h|B*CJOJQJ^JaJph#hB*CJOJQJ^JaJph)h"h B*CJOJQJ^JaJph i j k n o w ƴƴƢ{g{U{gƢ{g#hfB*CJOJQJ^JaJph&h>*B*CJOJQJ^JaJph#hB*CJOJQJ^JaJph)hW8h1B*CJOJQJ^JaJph#h)B*CJOJQJ^JaJph#h070B*CJOJQJ^JaJph)hW8h)B*CJOJQJ^JaJph#h1B*CJOJQJ^JaJph#hB*CJOJQJ^JaJph  ' ( e f | } 5 6 d7$8$H$gdBod7$8$H$gd070d7$8$H$gd)d7$8$H$gd1     & ' ( °saO:O)hW8h)B*CJOJQJ^JaJph#hB*CJOJQJ^JaJph#h4B*CJOJQJ^JaJph#hfB*CJOJQJ^JaJph,hh070>*B*CJOJQJ^JaJph&h>*B*CJOJQJ^JaJph#h070B*CJOJQJ^JaJph)hW8h070B*CJOJQJ^JaJph#h)B*CJOJQJ^JaJph,hh)>*B*CJOJQJ^JaJph( = G T n p * + @ A B d شؠwؠweS>)h"hB*CJOJQJ^JaJph#hB*CJOJQJ^JaJph#hBoB*CJOJQJ^JaJph#h|B*CJOJQJ^JaJph,hh1>*B*CJOJQJ^JaJph&h>*B*CJOJQJ^JaJph#h/B*CJOJQJ^JaJph#h B*CJOJQJ^JaJph#h1B*CJOJQJ^JaJph)h1h1B*CJOJQJ^JaJphd e f g u v w x y { | } ~ ucQ:(#h#_mB*CJOJQJ^JaJph,jh#_mB*CJOJQJU^JaJph#h B*CJOJQJ^JaJph#hBoB*CJOJQJ^JaJph)hBohBoB*CJOJQJ^JaJphh#_m hoh#_m2jhQ$B*CJOJQJU^JaJph#hQ$B*CJOJQJ^JaJph,jhQ$B*CJOJQJU^JaJph)h1h070B*CJOJQJ^JaJph#h1B*CJOJQJ^JaJph įyygUyC1y#h)B*CJOJQJ^JaJph#h4B*CJOJQJ^JaJph#h`tB*CJOJQJ^JaJph#h B*CJOJQJ^JaJph#hBoB*CJOJQJ^JaJph#h070B*CJOJQJ^JaJph#hQ$B*CJOJQJ^JaJph)hBohBoB*CJOJQJ^JaJphh#_m hoh#_m,jh#_mB*CJOJQJU^JaJph2jDhpB*CJOJQJU^JaJph 4 5 6 7 8 : V սmXC%X:h"h"B*CJOJQJ^JaJfHphq )h"h"B*CJOJQJ^JaJph)h"h B*CJOJQJ^JaJph,h"h >*B*CJOJQJ^JaJph#h`tB*CJOJQJ^JaJph)h"h B*CJOJQJ^JaJph#hBoB*CJOJQJ^JaJph/h|h)5B*CJOJQJ\^JaJph/h|h|5B*CJOJQJ\^JaJph#h|B*CJOJQJ^JaJph 6 7 ./ijFGHbcLM  67d7$8$H$gd];Dd7$8$H$gd)d7$8$H$gd d7$8$H$gd  7I{:;ŵŒŒłr_J8J_"hH+>*B*CJOJQJaJph(hH+h|>*B*CJOJQJaJph%hH+h|B*CJOJQJaJphh`tB*CJOJQJaJphh B*CJOJQJaJphh|B*CJOJQJaJph%h-h-B*CJOJQJaJphh>HB*CJOJQJaJph%h"h B*CJOJQJaJph)h"h B*CJOJQJ^JaJph#h>HB*CJOJQJ^JaJph  HLnq+,켧n[[[[%h"hH+B*CJOJQJaJph#huTB*CJOJQJ^JaJph)hH+hH+B*CJOJQJ^JaJph#hH+B*CJOJQJ^JaJph)h"hH+B*CJOJQJ^JaJphhH+B*CJOJQJaJphh`tB*CJOJQJaJphhuTB*CJOJQJaJph%hH+hH+B*CJOJQJaJph,-./4Ihij|ųt]KK99K#h%B*CJOJQJ^JaJph#hNB*CJOJQJ^JaJph,h7h#_m;B*CJOJQJ^JaJph&h);B*CJOJQJ^JaJph&h#_m;B*CJOJQJ^JaJph,h7h);B*CJOJQJ^JaJph#h)B*CJOJQJ^JaJph#h B*CJOJQJ^JaJph)hH+h B*CJOJQJ^JaJph%hH+h|B*CJOJQJaJph%(.EFGHJKLbcu27>@۴{ۍfT@&h!X>*B*CJOJQJ^JaJph#h|B*CJOJQJ^JaJph)hW8hNB*CJOJQJ^JaJph#h#_mB*CJOJQJ^JaJph)hW8h)B*CJOJQJ^JaJph#h B*CJOJQJ^JaJph#h)B*CJOJQJ^JaJph)hhB*CJOJQJ^JaJph#hNB*CJOJQJ^JaJph#h#~B*CJOJQJ^JaJph@ACDIJKLM Կr]H6HH#h|B*CJOJQJ^JaJph)hW8h)B*CJOJQJ^JaJph)hW8hNB*CJOJQJ^JaJph#h)B*CJOJQJ^JaJph#hNB*CJOJQJ^JaJph&h!X>*B*CJOJQJ^JaJph)h`t5>*B*CJOJQJ^JaJph)h#{5>*B*CJOJQJ^JaJph)h5>*B*CJOJQJ^JaJph,hQ$hN5B*CJOJQJ^JaJph  NO\^_|5678PƴƴƟ؍x؍xx؍fS%hh!XB*CJOJQJaJph#h)B*CJOJQJ^JaJph)hNhNB*CJOJQJ^JaJph#h#~B*CJOJQJ^JaJph)hNh4B*CJOJQJ^JaJph#h!XB*CJOJQJ^JaJph#h4B*CJOJQJ^JaJph)hNh)B*CJOJQJ^JaJph#h];DB*CJOJQJ^JaJph78r d7$8$H$gdYgd7$8$H$gd)PW}zeSeA/"hPF5B*CJOJQJ^Jphf"h#~5B*CJOJQJ^Jphf"h#~5B*CJOJQJ^Jph(hnah)5B*CJOJQJ^Jph"h];D5B*CJOJQJ^Jph%hW8h)B*CJOJQJaJph)h4h)B*CJOJQJ^JaJph#h4B*CJOJQJ^JaJph)hNh)B*CJOJQJ^JaJph#h!XB*CJOJQJ^JaJph#hB*CJOJQJ^JaJph>?ٵǥ԰8n8ԕ">**䴳ϴ"󸿳ٖ>**䴳ϴ";;>**䴳ϴ(Qs>**䴳ϴ"ҡ>**䴳ϴs*䴳ϴ#*䴳ϴ#@05Cϴ"5B*䴳ϴ+5B*䴳ϴ&5Cϴ89<^_hpqr켼̬̼̬̌hzBh\B*CJOJQJ^Jphh B*CJOJQJ^Jphh|B*CJOJQJ^Jphh)B*CJOJQJ^Jphh#~B*CJOJQJ^JphhmoB*CJOJQJ^Jph%hnah)B*CJOJQJ^Jph21h:p#~/ =!"#$% hDetDeCheck1hDehDex666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666PJ_HmH nH sH tH R`R )Normal d CJOJQJ_HaJmH sH tH DA D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List H H CL No SpacingCJ_HaJmH sH tH 6U`6 )0 Hyperlink >*B*phB' B Q$0Comment ReferenceCJaJ<"< Q$0 Comment TextCJaJB/1B Q$0Comment Text CharOJQJ@j!"@ Q$0Comment Subject5\N/QN Q$0Comment Subject Char5OJQJ\RbR Q$0 Balloon Text dCJOJQJ^JaJN/qN Q$0Balloon Text CharCJOJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vzt7.??Źڨd/L+[梃 _¯UjyA_/֖j-A %4\/%ި+K|h(Kmgk):b| H$Y 9DZ.6)A2&`RV!*_[`dI+^DL-)>qfoΟ~_'ҨrQrW_ƿw!pƦ7/_zqԵbp@m ?ItDl,(CjLQc׎O9!N@Iw{Xe3b|`:2˭A9Tn$ءy@Q&Q3,;sg8v%= CN4I ~> zHzw0u $J}*;(wL|$C޳q-!1,hEX>ZN yݾKt l&;HPm%6sq !&}] ~@Lw?%q d98@7C̜mia_Y㩓b8F vB{cNQqsu;6~@VƾzXU+f:OllD,E|=mVePاcGxe_+gj=HSԳ;{yи½|mHmA`0D_cU\+w/ 9MOJK:WnǯIUsffn`<"K*2:&w4]3۸cB/br;}̸uF̘G}ҙ3>-=k&ڂE%睸 |Te6pp1GZ&L~AdNPjĢP gFFz٫[ euRTVxC'c*ibQTz:"dC%1!4ZŲR?rՔ)Zf\5GμMO20V4'|:xt&Ԯiv +nD?TWq]_7.u)S 4?⦾@3;S,8;^K=7>̌cC ^$77&%Bn"cy@I K?L'CWc%WSc#^w}ܓ߭ei)$ Z`%v]:Blqwae&De*2JǐYG4OPQRlnຠtSi832IQ QrZ.afٽ\HYʚU6iaT&ly*o]M̹Qh2/woQoPSJŪ[lDY&`Riڊ0z۶ܫ/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!wG theme/theme/theme1.xmlPK-! ѐ'Q theme/theme/_rels/themeManager.xml.relsPK]L rPFu ( d ,@ Pr  !" 6 7rdtfv}>OrG G$G G$X8@0(  B S  ?  PQ]t?Elv   Vcv ~ I S t333333333333333duf}7XstYZ^ccdufw6678q - - C I P^flmqrqt(2}SN\)#~F!("!y#Q$%H+3/070;;zB];DPF>HnKCL2MejN-QnTuT!X~XJbYg^h.i#_mBomo z4l|krs"`tkLvY5l&?"DN sQ#{pL-f H 5D1:DD nm/c+6rt@r@Unknown G.[x Times New Roman5Symbol3& .[x ArialA. Gill Sans MT=GillSansMTK.  ArialNarrowArial7&.{$ Calibri9& . Segoe UIC. Aptos Display3. AptosA$BCambria Math"1 h8'8' )l )l!20IIKQ@P  $P)"! xxCסX Weinberg, Rick Adrian Brooks Oh+'0x  ( 4 @ LX`hpWeinberg, RickNormalAdrian Brooks2Microsoft Office Word@@l@8 m@8 m  ՜.+,D՜.+,D hp  ɫɫоl)I  Title(\d _PID_HLINKSGrammarlyDocumentIdAh5mailto:weinberg@usf.edu(63bf0c8d-bd33-431b-9fa0-47d096bddeb8  !"#%&'()*+-./0123456789:;<=?@ABCDEGHIJKLMPRoot Entry Fp6mRData $1Table,e#WordDocument4FSummaryInformation(>DocumentSummaryInformation8FCompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q