Kingwood/Humble Aggie Moms Scholarship Application

KINGWOOD/HUMBLE AGGIE MOMS SCHOLARSHIP APPLICATION

This scholarship is based on the merit of the application and all required documents. In addition, the applicant must reside in the designated zip codes. Scholarship applicants who do not submit ALL the required documents or meet the requirements will NOT be considered.

SCHOLARSHIP REQUIREMENTS: 1) The applicant must be a senior in high school and must RESIDE in the following zip codes: 77338, 77339, 77345, 77346, 77396, 77044, 77365, 77357, or 77372. 2) The applicant must have received an acceptance letter from Texas A&M (College Station/ Galveston).

REQUIRED DOCUMENTS: 1) The completed application. 2) The acceptance letter from Texas A&M (copy) 3) SAT or ACT printout of scores from the website (original) 4) Unofficial/Official High School Transcript (original) All applicants MUST submit the required documents postmarked by March 21, 2017 in order for your application to be reviewed for scholarship consideration. Mail all documents to: KH Aggie Moms, PO Box 5098, Kingwood, TX 77325

PLEASE PRINT OR TYPE ALL INFORMATION. ATTACH ADDITIONAL SHEETS IF MORE SPACE IS NEEDED.

NAME ______

E-MAIL ADDRESS ______

CELL PHONE# ______HOME PHONE # ______

ADDRESS ______

CITY ______STATE ______ZIP CODE______

( ) MALE ( ) FEMALE DATE OF BIRTH ______

SIBLINGS IN COLLEGE (IF ANY) ______

HIGH SCHOOL YOU ATTEND______

CURRENT GPA: ______(ON A ____PT SCALE)

CURRENT CLASS RANK: ______CLASS SIZE: ______

SAT SCORE (COMPOSITE SCORE FROM ONE TEST SITTING): ______

ACT SCORE (COMPOSITE SCORE FROM ONE TEST SITTING): ______HAVE YOU BEEN ACCEPTED TO TEXAS A&M UNIVERSITY? ( ) YES ( ) NO IF YES, WHICH CAMPUS? ( ) COLLEGE STATION ( ) GALVESTON

LIST ALL OF YOUR WORK EXPERIENCE, IF ANY, WITHIN THE LAST 4 YEARS.

WHAT EXTRA-CURRICULAR SCHOOL RELATED ACTIVITIES HAVE YOU BEEN INVOLVED IN DURING HIGH SCHOOL? (Do not list any sport teams)

WHAT EXTRA-CURRICULAR ACTIVITIES (OUTSIDE OF SCHOOL) HAVE YOU BEEN INVOLVED IN? (Do not list any sport teams)

WHAT LEADERSHIP POSITIONS HAVE YOU HELD IN YOUR SCHOOL OR COMMUNITY? (Can list captain/leadership position on a sports team) WHAT IS YOUR FAMILY’S ADJUSTED GROSS INCOME (AGI)? ( ) < $50,000 ( ) $50,000-75,000 ( ) $75,000- 100,000 ( ) $100,000- 200,000 ( ) $200,000+

HAVE YOU APPLIED FOR FINANCIAL AID BY COMPLETING THE FAFSA? ____YES _____ NO

HAVE YOU APPLIED FOR AND/OR RECEIVED ANY OTHER SCHOLARSHIPS? ____YES ____ NO

IF YES, PLEASE INDICATE NAME OF SCHOLARSHIP AND AMOUNT BELOW: Name of Scholarship or Amoun Received (Yes/No/Pending Decision) Aid t

PLEASE ANSWER QUESTION A and SELECT ONE QUESTION TO ANSWER IN SECTION B - ATTACH ANSWERS TO THE APPLICATION

QUESTION A WHY HAVE YOU CHOSEN TO ATTEND TEXAS A&M UNIVERSITY?

QUESTION B (CHOOSE ONE OF THE FOLLOWING TO ANSWER) 1. DESCRIBE ONE EVENT THAT HAPPENED TO YOU IN HIGH SCHOOL THAT MADE A DRAMATIC DIFFERENCE IN YOUR LIFE.

2. DESCRIBE ONE CHARACTERISTIC YOU HAVE THAT WILL MAKE YOU SUCCESSFUL IN COLLEGE AND EXPLAIN WHY.

3. DESCRIBE A PERSONAL CHALLENGE IN YOUR LIFE THAT YOU HAVE HAD TO OVERCOME.

Signature: ______Date: ______

Note: If awarded, scholarships must be claimed by no later than Jan. 31, 2018