SHSU Terry Foundation Freshman Scholarship Application
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1 Terry Foundation Guidelines This application MUST be saved with Adobe Reader X or above. Do NOT use a web browser, or alternative PDF program. Nomination and Award Process Sam Houston State University will nominate 30 students and 10 alternates for the Terry Foundation Freshman Scholarship. From this pool of nominees, the Terry Foundation will choose to make approximately 14 scholarship awards for use during the academic year. Please note that Sam Houston State University serves as a nominating body only; all final decisions regarding scholarship awards are made by the Terry Foundation. Eligibility Requirements To be considered for a SHSU Terry Foundation Freshman Scholarship, students must: Demonstrate a record of leadership and service; Demonstrate strong academic abilities, as evidenced by grades and standardized test scores; Demonstrate financial need; Be a citizen or permanent resident of the U.S.; Be attending a Texas high school or be a home-schooled Texas resident during the academic year; Apply for admission to SHSU by January 1, 2018; Apply for financial aid, using the FAFSA, by March 1, 2018 First-year Terry Scholars are required to live on campus. On campus housing applications and deposits are required upon award of scholarship. Application Submission Requirements For an application to be considered complete, Terry Freshman Scholarship applicants must submit: Complete Application with essays, typed, digitally signed, and electronically submitted to terryscholar@shsu.edu Two (2) Letters of Recommendation, on official stationary, addressing your academic and leadership abilities and not written by a family member regardless of professional status. At least one of the letters must be written by a core subject teacher (English, math, history, science, language). Mailed letters must be signed by the writer. You may use the address listed below for the letters. A signature is preferred but not required on scanned, ed letters sent from the high school or business address to terryscholar@shsu.edu. Official Transcript of all high school work with the relevant high school seal/stamp and enclosed in a sealed envelope and mailed to: Terry Foundation Freshman Scholarship Financial Aid and Scholarships Sam Houston State University SHSU-FAO Box 2328 Huntsville, Texas Deadline: 11:59 pm January 15, 2018
2 Full Name: SHSU ID (number): Permanent Address: City: State: Zip: County: Personal Cell Phone: Home/Alternate Phone: DOB: Place of Birth: U.S. Citizen: Yes No Gender: Male Female Permanent Resident (valid 1-551): Yes No Texas Resident: Yes No Ethnic Background Hispanic/Latino: Yes No Racial Category: Do you have a sibling who is a current/past Terry Scholar or is applying for a Terry Scholarship? Yes No If yes, please provide their name. Did your parents attend college? Yes No Major at SHSU: Name, City, and State of High School: Name of Counselor: Counselor Address: Expected Graduation Date: Class Rank and Size: / Percentile: Counselor Phone Number: Test Scores SAT: ACT: National Merit National Achievement National Hispanic (Financial information may be subject to verification from tax returns or other sources) Will you apply for need based financial aid through SHSU using the Free Application for Federal Student Aid (FAFSA)? Yes No Your marital status: Reading: Math: Writing: Composite: With whom do you currently live? English: Math: Science: Marital status of the person(s) with whom you live: SHSU Terry Foundation Reading: Composite: 1. PERSONAL DATA 2. HIGH SCHOOL INFORMATION 3. FINANCIAL INFORMATION Are you claimed as a dependent by a parent or legal guardian? Yes No If you have a Texas Tomorrow Fund or 529 college savings plan, please enter its value: Indicate the level of recognition you have achieved in any of the following:
3 Answer all that apply: Self Father Mother Step-Parent Guardian Occupation Estimated Gross Income: 3. FINANCIAL INFORMATION CONTINUED Employer Total Annual Income Increase/ Decrease of Income From 2016 to 2017 Total Increase/Decrease of Income from last year: Funds saved for college for you Please provide information for all children under 25 year of age in your family (other than yourself): Year in Name Age School/College/Occupation College Self-Supporting? (Y/N) List other scholarships or grants you will receive: Scholarship or Grant Name Duration Amount per year List other scholarships for which you have applied: Special circumstances that affect your family's ability to fund your college expenses:
4 Community or Volunteer Service: List your six most important community and/or volunteer service activities, beginning with the most recent. List total hours per organization. Organization SHSU Terry Foundation 4. ACTIVITIES, AWARDS, AND EMPLOYMENT Description of Service Total Hours From To Extracurricular Activities and Leadership Positions: In order of importance, list your top six extracurricular activities (include bands, clubs, affiliations, etc.) and positions held. Organization/Activity Year Position(s) Held FR SO JR SR Level Description of Activity Hrs. per Wk./ Wks. per Yr. Employment/Internships/Summer Activities List your current and previous jobs or internships, beginning with the most recent. Hours per Position/Job Title Employer Week From To Awards, Special Honors, and Distinctions In order of importance to you, list up to six awards, honors or distinctions that you received in and out of school during grades Award/Honors/Distinction Description or Basis for Acknowledgement/Sponsor Level of Completion Years Received FR SO JR SR
5 5. COLLEGE PLANS COLLEGE PLANS: Why have you chosen to apply to Sam Houston State University? In order of preference, list the top six (6) colleges or universities you are considering attending. Be sure to rank SHSU among your choices. Why have you chosen your academic major and what are your educational plans beyond the Bachelor's degree? What are your professional and life goals and objectives? 6. REQUIRED ESSAYS Essay 1: Essay 2: What was the environment in which you were raised? Describe your family, home, neighborhood, or community, and explain how it has shaped you as a person. Describe an example of your leadership in approximately 500 words. Be sure to describe your actions and the actions of those around you and to explain what you accomplished. 7. SIGNATURE AND CERTIFICATION With the electronic signature below, I certify that the information I have provided is complete and correct to the best of my knowledge. If my application is accepted, I agree to abide by the policies, rules, and regulations of the Terry Foundation. I authorize Sam Houston State University and the Terry Foundation to verify the information I have provided. I further understand that this information will be relied upon by the Terry Foundation in determining my financial eligibility and that the submission of false information is grounds for rejection of my application and/or withdrawal of an offer of scholarship. Applicant Electronic Signature: (Type Full Name) Date:
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