2018 Application Form - Thelma Maresh Scholarship
Daughters of the Republic of Texas – San Jacinto Chapter
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This form can be photocopied. All sections MUST be completed in order for your application to be considered. This form by itself is not a complete application package. Follow application procedures in scholarshipannouncement. All applications must be received in hard copy no later than March 21, 2018. Late or incomplete applications will not be considered.Scholarship committee MUST BE ABLE TO READ YOUR WRITING.
Biographical Information (please type or print)
1.______
Last NameFirst NameMiddle NamePreferred Name
2.______
Home PhoneCell Phone (if available)E-mail# of children & ages in family
3.______
Street Address
______
CityCountyStateZIP
4.______Yes___No____
Date of BirthPlace of Birth (City, State, Country)U. S. Citizen?
5.______Yes__No______
Father’s Name Living?Daytime Phone Number
6.______Yes__No______
Mother’s Name Living?Daytime Phone Number
7.______
Guardian’s Name (if applicable)Daytime Phone Number
High School Information
1.______
CurrentHigh SchoolSchool DistrictDates Enrolled
2.______
High School Address
3.______
Name of School CounselorTelephone Number
4.______
Name of School RegistrarTelephone Number
5.______
Number in your graduating classYour Class RankDate of Ranking
6.______
Cumulative GPA (on a 4.0 basis)SATScoreACT ScoreDate of Exam(s)
College or University Information
Applications will not be accepted from students who have not applied to a university even if the school has an open admissions policy. Only students attending a Texas college or university will be considered.
- List colleges you have applied to for admission.
College or University NameAccepted (Yes or No)
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- 2018 Application Form - Thelma Maresh Scholarship
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Employment, Internships
Hrs From: To:
Your Specific Role/Job TitleEmployer Per Wk (mm/yyyy) (mm/yyyy)
Example: LifeguardYWCA 10 Jun/2011 Aug/2011
Example: Sales PersonVideo store 20 Jun/2011 Aug/2011
______
______
______
______
______
High School Honors, Awards, Activities
A. High School Honor or Award Received, Office Held
List any offices held or awards received in high school and year(s) achieved.(1-4)
Example 1: National Honor Society – 3,4Example 2: Spanish I Award - 3
______
______
______
______
______
______
______
B.Extracurricular Activities
List other school clubs/activities in which you have participated, indicating any other awards, recognition or offices held.
Example 1: Key Club Service Organization – 3,4Example 2: Exhibit, National History Day - 3
______
______
______
______
______
______
______
C.Community and Volunteer Activities
List any other activities in which you participate, indicating any special recognition you may have received. For example, community service projects, religious activities, etc. You may attach an additional sheet, if necessary.
OrganizationCommunity ServiceDatesDuration
Example: Race for theOrganized a group of 15 to walkSept-Oct. 20061 month
Cure-Breast Cancer Research& raise funds; raised $600
______
______
2018 Application Form - Thelma Maresh Scholarship
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Texas/National Historical Affiliation
Do you or any members of your family have an affiliation with any Texasand/or National Historical Association(s)? Do you have a relative in San Jacinto Chapter/DRT? ___ yes ___no
Yes No(Check One)Who is that relative? ______
If Yes, describe below.
______
Letters of Recommendation (2)
Two letters of recommendation must be included with your application. Letters of recommendation from family members will not be accepted. Letter writers must write a letter of recommendation supporting academic achievements, leadership skills, and college potential of the applicant. No unsigned letters will be accepted.
In the space below, please include the contact information of the individuals who are writing letters in support of your application.
Academic Teacher
______
NameTitle
______
SchoolDaytime Phone Number
Other Adult (over 21, not a relative)
______
NameTitle
______
RelationshipDaytime Phone Number
Narrative
You must include a typed narrativeof no more than one (1), 8-1/2” x 11” sheet, double-spaced in Times NewRoman 11. Use your own voice and writing style. In this narrative, you should supply any information which you feel is pertinent. There is no specific topic or theme; however, the narrative should clearly indicate both the importance of a college education and your career goals. In addition, please explain how you feel your life experience can help prepare you to reach your future goals. *Include your complete name in the upper right hand corner of page.
Application Checklist
______Application form
______Photograph
______Official transcript mailed from school registrar
______SAT and/or ACT Official Test Results
______2 Letters of Recommendation
______Narrative
Signature of Applicant
______Date:______