2023 HIGH SCHOOL SR. SCHOLARSHIP APPLICATION

General Information
In order to be eligible, the applicant must be a Montgomery County resident, be a graduating high school senior, and be enrolled as a full-time student (taking 12 or more hours per semester) in a Texas public community college or university. Assistance League of Montgomery County will not divulge any information provided on this form to any other person or entity without the applicant's specific written consent. Note: When completing this application, use the Tab key or the mouse to fill in the information. Pressing the Enter key will cause errors.
Current Date(Required)
MM slash DD slash YYYY
I am planning to attend a:(Required)
- Four-year Texas public college/university
- Two-year Texas public college/university
Full Name(Required)
First Middle Last
Birth Date(Required)
MM slash DD slash YYYY
I am a U.S. citizen.(Required)
- Yes
- No
Home Phone
Cell Phone(Required)
Address(Required)
Street Address Address Line 2 City State ZIP Code
Email(Required)
Father's/Guardian's Name
Father's/Guardian's Occupation
Mother's/Guardian's Name
Mother's/Guardian's Occupation
Parent's/Guardian's Address(Required)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Parent's/Guardian's Phone(Required)
Parent's/Guardian's Email(Required)
How many people/family members live in your home?(Required)
Enter the number of individuals in your immediate family who will be in college next year, including yourself.(Required)
Student Information
Name of High School(Required)
Name of School District(Required)
What is your GPA on a 4.0 weighted scale?(Required)
What is your class rank? (Please enter it as in this example: 15 of 356 Students.)(Required)
How many advanced credits (both Advanced Placement and/or Dual Credit) will you have when you graduate?(Required)
List your ACT and/or SAT scores below. (If no score, type "None".)(Required)
ACT Score SAT Score
College or University you plan to attend(Required)
Have you been accepted?(Required)
- Yes
- No
What is your major?(Required)
What is your minor? If no minor, type "None".(Required)
What is your career goal?(Required)
Where will you be living during college?(Required)
- On Campus
- Off Campus
- At home
Have you applied for other scholarships?(Required)
- Yes
- No
Have you been offered other scholarships?(Required)
- Yes
- No
If Yes, did you accept?
- Yes
- No
If you were offered other scholarships and didn't accept them, please explain why below.
List below the amount of each scholarship you have accepted, along with the organization from which you received the scholarship. If none, enter "0" in Amount column and "None" in Organization column.(Required)
Amount Organization
List below the amount(s) of financial aid you have been promised, along with the source of the financial aid. If none, enter "0" in Amount column and "None" in Source of Financial Aid column. An example of financial aid is a Pell Grant.(Required)
Amount Source of Financial Aid
Extracurricular Activities - High School
Pleast list any organizations and clubs in which you are a member. Show years of participation and any offices held. If none, type "None".(Required)
Name Years of Participation Office Held, If Any
Honors/Awards
Please list any honors/awards you have received. If none, enter "None."(Required)
Are you a member of the National Honor Society?(Required)
- Yes
- No
If Yes, how many years?
Community Service/Other Activities - Outside of School
Please list community organizations/activities (other than school activities) in which you are involved. If none, enter "None."(Required)
Please list the number of unpaid volunteer hours you work for these community organizations each month. If none, enter "0."(Required)
Employment History
Are you presently employed?(Required)
- Yes
- No
If Yes, please complete the information below:
Name of Present Employer/Company Full-time or Part-time and Hours Per Week Position Employment Dates Type of Work
Previous Employment
Name of Previous Employer/Company Full-time or Part-time and Hours Per Week Position Employment Dates Type of Work
Will you have to provide part of the financing for your education?(Required)
- Yes
- No
If Yes, how do you plan to do this?
Initiative
List below two examples of times when you exhibited "initiative"--when you decided on your own that something needed to be done, you identified a solution, and you implemented the solution. Explain the situation and the outcome.
Example No. 1:(Required)
Example No. 2:(Required)
Essays
Please complete the three essays in the space below:
Essay No. 1: Write an essay not to exceed 500 words about yourself that accurately portrays who you are. Include your background, your personal traits, your goals, and your most meaningful achievements and how they relate to your field of study.(Required)
Essay No. 2: Write a second essay not to exceed 500 words in which you address from a financial standpoint what impact this scholarship would have on your education, and state any special personal or family circumstances affecting your need for financial assistance.(Required)
Essay No. 3: Write a third essay not to exceed 250 words in which you describe how you will apply your education to give back to the community.(Required)
E-SIGNATURE AND CERTIFICATION(Required)
- By submitting this application and checking the certification box, I certify that the information included in this application is true and correct to the best of my knowledge. I authorize release of information to confirm and/or verify the contents for scholarship purposes only. In addition, I give Assistance League of Montgomery County permission to publish in print, electronic, or visual format the likeness or image of me. I waive any rights of compensation or copyright ownership thereto.
Questions
Should you have any questions, please send an email to the Scholarship Committee Chairman at almc.scholarship@gmail.com.
Submission Deadline
This application MUST BE SUBMITTED no later than SUNDAY, MARCH 12. If any information is incomplete or the application is submitted after March 12, it will not be eligible for consideration.
Note
When you click "Submit," it may take a few minutes to upload. Be patient!
Captcha

ACT Score	SAT Score

Amount	Organization

Amount	Source of Financial Aid

Name	Years of Participation	Office Held, If Any

2023 HIGH SCHOOL SR. SCHOLARSHIP APPLICATION

2023 High School Sr. Scholarship Application

General Information

Student Information

Extracurricular Activities - High School

Honors/Awards

Community Service/Other Activities - Outside of School

Employment History

Initiative

Essays

Questions

Submission Deadline

Note