Katy A&M Club 2021 Scholarship Application KATY A&M CLUB 2021 SCHOLARSHIP APPLICATION PLEASE use electronic form from katyamc.aggienetwork.com to complete online then print MAIL APPLICATION TO: Scholarship Committee Katy A&M Club P.O Box 6112 Katy, TX 77491-6112 DEADLINE: Application must be received by March 25, 2021 ELIGIBILITY: Applicants must live in and receive education within the Katy ISD boundaries, and be a senior who has applied for admission to Texas A&M University for the Fall 2021 semester This includes home schools and Private Schools within the boundaries of the Katy ISD Please attach the following: 1) one letter of recommendation, 2) a copy of your high school transcript through fall semester Senior year, and 3) your SAT and/or ACT score report NOTE: Please use the “Tab” key on your keyboard to navigate from one field to the next Name: Last First M.I Address: Soc Sec #: - – City: Zip: e-mail address: Telephone: ( ) - Age: Date of Birth: Mo Day Yr High school you currently attend: When did you apply for admission to TAMU? Mo What is the status of your application? Yr APPLICANT'S AGREEMENT AND CERTIFICATION If I am selected, The Katy A&M Club may publicly disclose and publicize the non-financial information in this application (e.g., grades, class standing, extracurricular activities, etc.) I understand that the Club's goal is to assist as many students as possible with available funds Therefore, I agree that the Club may withdraw my scholarship, in whole or in part, if I receive significant financial assistance from other sources Page of Katy A&M Club 2021 Scholarship Application Upon request, I will provide updated family financial information and complete information about other financial aid I will provide the Club an electronic color photograph of myself within five days of being notified I certify that the information in this application is true, correct, and complete to the best of my knowledge Applicant's Signature Date: Parent's or Guardian's Signature Date: A HIGH SCHOOL CURRICULUM AND PERFORMANCE When will you graduate? Estimated rank in class: out of Mo Yr Estimated grade average this semester: Last semester average: Grading Scale: A = points Score: SAT Score: What college major(s) and/or minor(s) you plan to study? Page of ACT Katy A&M Club 2021 Scholarship Application REMEMBER: Attach a letter of recommendation, a copy of your high school transcript, and your SAT and/or ACT score report Page of Katy A&M Club 2021 Scholarship Application B FAMILY INCOME Father/Stepfather/Guardian's Name: His Employer: Years with this employer: Position/job title: Mother/Stepmother/Guardian's Name: Her Employer: Years with this employer: Position/job title: Adjusted Gross Income (AGI) as reported to the Internal Revenue Service EST 2021 Father / Guardian Mother / Guardian Total or Return 2020 2019 Stepfather / $ $ $ Stepmother / $ $ $ Joint $ $ $ Parents’ Are you willing to provide documentation of the above amounts if requested? Yes No Please list any other financial support (e.g., child support, trust fund, social security, etc.) that will be available to you Source Annual Amount $ $ $ $ Other financial information you wish to be considered: Family Information Is either natural parent deceased? Yes No Are parents separated or divorced? Yes No If so, is parent living with you remarried? Yes No Page of Katy A&M Club 2021 Scholarship Application Siblings supported by your family: Name Class/Grade Age Total amount of financial aid that siblings receive from outside sources: $ Other dependents in your family: Name Amount of Support Given Relationship $ $ $ Other family information or special needs you would like considered: Other Scholarships Have you applied Yes No for other scholarships Scholarship or Sponsoring Organization Status or Result or financial Amount Applied For $ $ $ $ $ $ Page of assistance? Katy A&M Club 2021 Scholarship Application C WORK EXPERIENCE, EXTRACURRICULAR ACTIVITIES, COMMUNITY INVOLVEMENT, AND LEADERSHIP Are you employed? Yes No If so, how many hours per week you work? Please describe the kind of work have you done Do you have unusual home care responsibilities? describe Yes No If yes, please List your most significant extracurricular activities and leadership positions (athletics, clubs, organizations, church, civic, etc.) and the length of time involved in these activities and/or in a leadership position List any awards, honors, or officer positions held in your activities (both scholastic and extracurricular) and the length of time in a leadership position Page of Katy A&M Club 2021 Scholarship Application D ESSAYS AND LETTER OF RECOMMENDATION Attach one letter of recommendation from your principal, a teacher, or a community leader Describe your career goals and vocational objectives Describe a significant experience or situation in your life that you feel has shaped your outlook, abilities, or academic credentials Explain why you want to continue your education at Texas A&M University REMEMBER: Attach a letter of recommendation, a copy of your high school transcript, and your SAT and/or ACT score report Page of