Karen Taylor Webster And Alpha Chi Omega Houston Alumnae Charities Scholarship Page 4

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In the space below, or on additional sheets if necessary, please explain how this scholarship will
help you achieve your educational and leadership goals.
I certify that the above information is correct and true. I authorize the University of Houston
Alumni Association to verify any information relevant to my admission to the University of
Houston or claims made herein. I furthermore agree to release any information concerning my
records at the University of Houston to any agency necessary for the administration of the
scholarships.
Signature:
Date:

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