Fort Worth/Tarrant County A&M Mothers' Club Note: A high school or A&M college student or their parents/guardians must reside in Tarrant County or a surrounding County not currently represented by an A&M Mother’s Club or have graduated from a Tarrant County high school.
CHECK-OFF LIST
Incomplete packets cannot be considered.
If you want confirmation of receipt of your application, please include a self-addressed stamped envelope.
All questions shall be in writing (email preferred). Emails should contain FWTC Scholarship in the subject line.

PERSONAL INFORMATION
Name |
|||
Address City/State/Zip Code |
|||
Phone |
|
||
Parents Name and Address
|
Siblings/Ages |
||
U.S. Citizen NO _______________ |
If not: OBTAINING CITIZENSHIP? _________________ |
||
Present High School: |
Graduation Date: |
||||
SAT Score |
ACT Score |
High School GPA |
Class Rank |
Class Size |
Tentative College Major |
A&M Cumulative GPA: |
Class of: |
Date Entered A&M |
Expected Graduation Date: |
Major: |
Expected Degree: |
||
A&M Address: Street / P.O. Box ___________________________________________________ City / State / Zip Code ___________________________________________________ Phone Number ___________________________________________________ |
|||
Activities and Organizations |
|
Please list 3 school and/or community extra-curricular activities. Entering freshmen include from grades 9–12. Current A&M students include college activities only. |
||
Grade |
Activity or Organization |
Office and/or duties |
1. |
|
|
2. |
|
|
3. |
|
|
List Honors and/or Awards
|
Work Experience- Please include summer and part-time employment you have had during high school or college: |
||||
Position |
Employer |
Dates Employed |
Hrs/Week |
Total Earnings |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Please use one extra sheet of paper if necessary for the following 3 questions.(Please write name at top of page) |
|
In what high school organization were you most active and what was your role within the organization? |
What are your goals for the next 4 years, both academic and extra-curricular? |
What do you plan to contribute to A&M (service, leadership, and spirit)? |
Name |
Social Security Number |
THIS INFORMATION IS STRICTLY CONFIDENTIAL. The committee reviewing these applications will not know the identity of the applicant. Names, addresses, phone numbers, etc. will be blacked out before the applications are given to the committee members.
Because this scholarship is partially based upon financial need, the following information will help the scholarship committee assess your financial situation.
List any scholarships, grants that have already been awarded to you for the 2008-2009 academic year. Current A&M students, list all scholarships, loans and grants presently held. |
|
Name |
Amount |
|
|
|
|
|
|
Returning students: Have you ever received a Fort Worth/Tarrant County Aggie Mom scholarship? Y / N
Father/Guardian |
Mother/Guardian |
|
Name:
|
Name: |
|
Address:
|
Address: |
|
Occupation/Employer:
|
Occupation/Employer: |
|
Family Income Range: ____ Under $19,999 _____ $20,000 – $39,999 _____ $40,000 – $59,999 |
||
Total Family Size: |
Number of family members in college next year with enrollment of 12 or more hours (including yourself) |
|
Are there any persons, other than your parents and yourself, who receive financial support from your family?
|
||
On an additional piece of paper, please list any other information that would be helpful in assessing your need for this scholarship. |
||