EmailMe Form - Texas NAHRO Scholarship Application

Section I

Personal:

Name

First Last

Date of Birth

MM / DD / YYYY

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone

### - ### - ####

Email

Photo (senior picture)

Section II

Texas NAHRO Member Agency:

Agency Name *

Agency Contact Name *

Contact Phone Number *

### - ### - ####

Housing Agency Certification signed by the Executive Director *

Section III

Academic:

Name of school currently attending

Anticipated graduation date

MM / DD / YYYY

Transcript or certified copy of grades with grade point average. *

Transcript or certified copy of grades with grade point average and scale used - whether 4 pt. scale, 5 pt. scale, etc., class rank/size, proficiency test scores (TAKS, etc., whatever standardized testing system is used and ACT and/or SAT scores, if taken). It is very important to include all the above information so that all scholarship applicants can be evaluated on the same criteria.

Section IV

Post Secondary School/College Information:

College/ University/ Vocational or post Secondary School you plan to attend

Anticipated College major or vocational goal

Length of program

Section V

Other Information:

TWO letters of recommendation; one from a community leader and one from a high school instructor.

Honors Received (Academic, sports, community service, etc.)

Extracurricular activities you have participated in during high school (i.e. band, clubs, drill team, athletics, thespians, etc.)

Community activities in which you have participated (i.e. church groups, community service organizations)

Employment (Full, part-time or summer jobs held during high school – give job title, length of employment, responsibilities & Name and phone number of employer)

List Hobbies or Special Interests

Section VI

*NEW* Please submit a 3 minute or less video of yourself describing your short and long-term goals in life, why you are pursuing your particular college degree or vocational training program and an achievement or an event in your life that has been especially significant.

Upload Video

If you are not able to upload your video file here please submit the form with out it and email it to txnahro@brazosnet.com. We will be sure your video gets submitted to the right application.