Scholarship Application 2017

 
 

Mid-Cities (TX) Chapter of The Links, Incorporated Scholarship Application

Scholarship Application 2017

$1,500: African-American Female Senior

 Please be sure to complete the form AND submit all the required documents on/before April 15, 2017.
 
 








Mother

Name

Home Phone

Address

Occupation

Business Phone/Ext.

Father

Name

Home Phone

Address

Occupation

Business Phone/Ext.

Guardian

Name

Home Phone

Address

Occupation

Business Phone/Ext.

Describe any existing conditions that are causing unusual financial expenditures for any dependents listed above. Ex: illness, dental work, support of family by only one parent, etc.

Please check approximate annual gross income in the home before deductions.


CONFIDENTIAL


Salary of FatherSalary of Mother
             
             
             
             
             
             

Education:

Please list in order of preference:

1.    2.   3. 
1.    2.   3. 

Student's Employment Record:

Business

Type of Work

Approx. # Hours per Wk

Dates Worked

Please list all requested information including the # of years involved. Please be specific.

Scholastic Awards

Number of Years

Athletic Awards

Other Extra-Curricular Activities, Awards or Honors

Hobbies, Talents, or Interests not listed above:

TYPE OF TEST (i.e. SAT or ACT)

TESTING DATE

FOR SAT READING, INPUT SCORES

FOR SAT MATH, INPUT SCORES

FOR SAT ESSAY, INPUT SCORES

FOR ACT READING, INPUT SCORES

FOR ACT MATH, INPUT SCORES

FOR ACT SCIENCE, INPUT SCORES

IF YOU WROTE THE ACT OPTIONAL ESSAY, INPUT SCORES


Please respond to all of the topics listed below. This is your chance to present your best self to the Scholarship Committee.

  • Describe any jobs you have had during your sophomore, junior or senior years:

 

  • Explain any special circumstances that affect your family's ability to help finance your college education:

 

  • In your own words, discuss your decision to attend college, your career goals related to STEM and why you feel deserving of this scholarship. (limit this to 500 words)


Upload TEACHER/COUNSELOR/ADMINISTRATOR reference letter here (required):

Upload COMMUNITY SERVICE reference letter here:

Upload EMPLOYER reference letter here:

Upload Official High School Transcript here:

Upload Photo here (Max Upload Size of 50Mb):


 

I certify that all information on this application is correct.




Student's Name



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