Student Application Scholarship Application 2022-2023 Your Information High School Full Name Address City Zip Code Telephone Number Email Address Date of Birth Personal and Family Information Father's Information Father's Name & Address Father's Occupation Estimated Annual Income Less than 40k40k-60k60k-80k80k-100k100k-120kGreater than 120K Mother's Information Mother's Name & Address Mother's Occupation Estimated Annual Income Less than 40K40k-60k60k-80k80k-100k100k-120kGreather than 120K Additional Information Additional Income Source of Additional Income How many children are currently living at home? Ethnicity Parent(s) on active duty or veteran of Armed Forces? YesNo College/School you plan to attend on first choice? College Major GPA Rank SAT V SAT M SAT W ACT (composite) School and Community Activities Honors and Awards List all academic, UIL and athletic honors/awards received during high school. For Example: Academic Award-9,10,11 -or- All District Baseball-11 -or- Regional Band-12 Honor/Award Year Honor/Award Year Honor/Award Year Honor/Award Year Honor/Award Year Honor/Award Year Additional Honors and Awards Additional Honors/Awards Organizations List all high school organizations including honorary and elected past and present. For example: NHS-12 -or- Football-11,12-Captain-12 -or- Class Secretary-10 -or- Science Club-11,12-treasurer-12 Organization Year Organization Year Organization Year Organization Year Organization Year Organization Year Additional Organizations Additional Organizations Community Service Projects List all Community Service Projects. Indicate service performed and length of time. Activity Service Performed # of hours, days, months etc. Activity Service Performed # of hours, days, months etc. Activity Service Performed # of hours, days, months etc. Activity Service Performed # of hours, days, months etc. Activity Service Performed # of hours, days, months etc. Activity Service Performed # of hours, days, months etc. Additional Activities Additional Activities List any activities outside of school. (Church, scouting, camp award, etc.) Additional Activities Outside of School List all work experience during high school. Employer Type of Work # of hours, days, months etc. Employer Type of Work # of hours, days, months etc. Employer Type of Work # of hours, days, months etc. Employer Type of Work # of hours, days, months etc. Employer Type of Work # of hours, days, months etc. Essay Please write a short essay stating why you feel you should be considered for a scholarship. Describe any unusual circumstances or conditions which indicate financial need. Write Essay
