Online Scholarship Page

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Texan Live Scholarship Application
Personal Information
Nameyour full name
Address
City
State
Zip
County
Home (xxx) xxx-xxxx
Cell (xxx) xxx-xxxx
Date of Birthyour full name
Citizen of The United States
Name of Legal Guardian and Their Relationship To Applicant:more details
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Work Experience:more details
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Are You Receiving a Scholarship
If Yes With Whom:
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II. Educational Information:
I Have Been Accepted To, And or I Will Be Enrolling at The Following Institution:more details
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Address:your full name
I Will Declare The Following Academic Major:your full name
Educational Goals:more details
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Career Goals:more details
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High School Informaton:
High School You Attend
High School Address:your full name
School's Phone Number:your full name
Size of Senior Class:your full name
Rank in Class:your full name
Special Honors:
If Other Please Describe:more details
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III. Leadership Activities:

Extra-Curricular Activities

(list participation in sports, band, organizations, etc. and number of years.)more details
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Scholastic Honors

Please list any National or State Scholastic Honors received (National Honor Society, Who’s Who, All American Academic Athlete, etc.)more details
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Student/Community Organizations:

more details
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Letters of Recomendation
Upload Letters of Recommendation
IV: Authorization Statement
I CERTIFY THAT ALL OF THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
Signature of Applicantyour full name
dateyour full name
Signature of Parent/Guardianyour full name
dateyour full name

I HEREBY GIVE CONSENT TO TEXAN LIVE SCHOLARSHIP FUND BOARD MEMBERS TO CONTACT AND VERIFY MY INFORMATION CONTAINED IN THIS APPLICATION AND ATTACHMENTS BY CONTACT WITH INDIVIDUAL, EDUCATIONAL INSTITUTION, OR OTHER ENTITY. I UNDERSTAND THAT INTENTIONALLY FALSE OR MISLEADING INFORMATION I HAVE SUBMITTED ON THIS APPLICATION WILL RESULT IN CANCELLATION OF AWARD AND /OR RETURN OF EXPENDED MONIES.  IF AWARDED SCHOLARSHIP I AGREE TO THE USE OF PHOTOS ON THE FOUNDATION'S WEBSITE OR EVENTS AND TO APPEAR AT SCHOLARSHIP EVENTS OR SPEAK IN THE UPCOMING YEAR 2017-2018.

Signature of Appliciantyour full name
dateyour full name
Signature of Parent / Guardianyour full name
dateyour full name

CHECKS WILL BE MADE TO RECIPIENTS SCHOOL ATTENDING. ****

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