Karen Taylor Webster And Alpha Chi Omega Houston Alumnae Charities Scholarship (Page 2 of 5) in pdf

Karen Taylor Webster And Alpha Chi Omega Houston Alumnae Charities Scholarship Page 2

Karen Taylor Webster and Alpha Chi Omega Houston Alumnae

Charities Scholarship Application

Personal Information

Name:

PeopleSoft ID:

Birth date:

Permanent Address:

City/State:

Zip:

Daytime phone:

E-mail:

Academic Information

(fill in applicable fields)

High school and city graduated from: _______________________________________________

Graduation date: _______________________________________________________________

First Semester at UH (Month/Year):

College credit hours completed:

Cumulative grade point average:

Grade point average in major:

Intended major:

Est date of graduation: ______________

SAT total: _________________________________ ACT total: _________________________

Please attach a copy of your transcript.

Parent or guardian name(s), employer and occupation. Please be specific.

______________________________________________________________________________

Are you currently receiving scholarship funding or federal aid?

Yes ( )

No ( )

If yes, please list the sources and dollar amount:

Number of siblings and ages:

______________________________________________________________________________

Number of siblings in college, including self:

______________________________________________________________________________

Karen Taylor Webster And Alpha Chi Omega Houston Alumnae Charities Scholarship Page 2