2010 Scholarship Application

Name*
Date of Birth: month/ day/ year
PERMANENT ADDRESS : Street City State ZIP*
Telephone Number(s)*
Email addresse(s) *
Gender
Social Security No.
Current Status: *
Planned Major *
Post Graduate – Program length (one, two or three years)
Post Graduate Current Status
PREVIOUS EDUCATION*
In chronological order, please list the name and location of every high school, technical school, college or university that you have attended and the GPA for the time spent at each.
ACADEMIC ACTIVITIES AND HONORS RECEIVED (list may be attached)
COMMUNITY SERVICE AND OTHER ACTIVITIES
WORK EXPERIENCE
Indicate your employment record (include internships, summer and part-time jobs and military service) Employer Nature of Work Dates of Employment Hours per Week

FINANCIAL CONSIDERATIONS

Total school expenses per year
Scholarships and awards you have received
Parents’ annual income
Parents’ contribution to school expenses
Your contribution to school expenses
List any other unusual financial concerns

AVAILABLE SCHOLARSHIPS

There currently aren't any fields under this section

FAMILY INFORMATION

Name of father/guardian
Street address: City State ZIP
Occupation
Name of mother/guardian
Street address: City State ZIP
Occupation

COLLEGE/UNIVERSITY INFORMATION

Colleges, junior colleges or universities where you will be applying (or enrolling) in the fall *
What is your GPA in major? *
PLEASE MAIL A COPY OF THE MOST RECENT TRANSCRIPT. ADDRESS AT TOP OF PAGE. If awarded a scholarship, students are required to provide the AAF-Houston office their GPA average in their major each semester during the academic year in which the scholarship is awarded. Certain scholarship funds require maintenance of GPA through the school year.
Number of credits currently compiled*
What is your planned career choice?

OTHER INFORMATION

Did you mail in your offical transcript?*
Did you mail in a recommendation letter from a professor,teacher or employer?*
Please discuss any other information that will help the scholarship committee make informed decisions.
Interested in a summer internship?
If yes, please fill out the summer internship form on our website http://www.aaf-houston.org/en/cms/?167

ESSAY

Essay *
Please write a brief essay that describes your career goals, where you see yourself five years after graduation, and how this scholarship will help you achieve your goals."
I hereby affirm that the information provided on this form is accurate and complete to the best of my knowledge. *
Applicant’s Signature Date

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