Request for Disbursement of the Miss Texas Competition Scholarship Award(s)

Request for Disbursement of the Miss Texas Competition Scholarship Award(s)
This form is to be used to request the use of your scholarship for funds for the state scholarships listed below.

Thank you for your participation in the Miss Texas Competition. We hope you found the week to be exciting and enjoyed it as much as we enjoyed having you as our guest.

You have earned an educational scholarship that can be used to further your education. Below is the procedure to follow in order to request your scholarship. Once you have received your local scholarship you may apply for the state scholarship(s) that you earned.

Scholarships cannot be disbursed to colleges or universities outside of the United States unless they are certified by the US Department of Education, are considered an affiliate of a US college, or hold a US Tax ID number.

Both the Miss and Teen Scholarship Rules & Regulations are printed on the Miss Texas website Scholarship Page. Please become familiar with these rules before you move forward with application.
Name

First Name Last Name
Phone Number
Please enter a valid phone number.
Local Title you represented when you earned this scholarship at the state competition.
Miss or Teen

Miss candidate Teen candidate
Receiving all scholarships promised to you is our top priority. What is the total amount due from your local competition?
Have you received this in full?
Note: Your local scholarship must be paid in full before requesting your state scholarship. If you have not requested your local scholarship please request it now. If you have requested it and have not received it, please check "no" and we will reach out to your local.
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email
example@example.com
Social Security #
Award Received
Total Award Amount
Birth Date

Month Day Year
Date
Part or all of your scholarship may be applied towards tuition/room and board.
List the name and amount of each award (1st ru - $10,000, Overall Talent - $1000, etc.)
Total Amount Requested
Name of College/University
My School ID #
Mailing Address of College/University

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Current detailed tuition statement from university (no later than 30 days) w/school ID# and remittance address

Cancel of
Transcript

Cancel of
Room and board requests require a tuition statement reflecting full-time status of 12 credit hours

Cancel of
Should be Empty: