2021 TPGA Scholarship Application

2021 Scholarship Application

Due by no later than June 1, 2021.
This scholarship application is to be considered for a scholarship for the 2021-2022 school year in which the student will be enrolled full-time.

To be eligible, your parent, legal guardian, or grandparent must be currently employed by a current Texas Propane Gas Association member company in Texas.
Personal Information

Applicant Information
Student First Name *
Last Name *
Middle Initial
Permanent Address (must be in Texas) *

Street Address

Street Address Line 2

City State

Zip Code Country
Home Phone *

Area Code Phone Number
Gender *

Male Female
Applicant's Cell Phone *

Area Code Phone Number
Applicant's Email *
example@example.com
Birth Date *

Month Day Year
Is your mailing address different from the one above? *

Yes No
Mailing address if different from permanent address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Which qualifying family is employed by TPGA member company? *

Parent or Legal Guardian Grandparent
How many years have they been employed in the propane industry? *
First name of grandparent who is employed in the propane industry. *
Last name of grandparent who is employed in the propane industry. *
Relationship of grandparent to the Applicant *

Grandparent (Not Legal Guardian) Grandparent & Legal guardian
Name of the TPGA member company of the grandparent in the propane industry *
Address of the workplace/propane retail location of grandparent in the propane industry *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Job title of the grandparent in the propane industry *
Primary email address for the grandparent in the propane industry *
example@example.com
Cell phone of grandparent that works in the propane industry *

Area Code Phone Number
Parent(s) or Legal Guardian(s) Financial information

Please complete the information for your household income in which you are a dependent. If you are applying as a grandchild, DO NOT enter grandparent's financial information (unless they are you are your legal guardian), enter your parents' or legal guardian's financial information instead.
Parent or legal guardian information
Relationship of parent or legal guardian to the Applicant *

Father Mother Legal guardian
Parent # 1 or Legal Guardian First Name *
Parent or Legal Guardian Last Name *
Name of Employer of Parent # 1 or Legal Guardian. *
Job title Parent # 1or Legal Guardian *
Parent # 1 or Legal Guardian Primary Email *
example@example.com
Parent # 1 or Legal Guardian Annual Salary/Income *
in which you are a dependent
Parent # 2/Legal Guardian Information
If you are in a single parent household and your other parent is not contributing to child support or financial assistance, please write N/A in below-required fields.
Relationship of other parent # 2 or legal guardian to the Applicant

Father Mother Legal guardian
Parent # 2 or Legal Guardian Last Name *
Parent # 2 or Legal Guardian First Name *
Name of Employer of Parent # 2 or Legal Guardian. *
Job Title of Parent # 2 or Legal Guardian *
Parent # 2 or Legal Guardian Primary Email *
example@example.com
Parent # 2 or Legal Guardian Annual Salary/Income *
in which you are a dependent
Combined Annual Income From Both Parents/Legal Guardians *
TOTAL HOUSEHOLD INCOME
Not counting yourself, please enter the # of brothers and/or sisters who are dependents of your parents/guardians and who live the same home as you. *
Enter the ages of any brothers and/or sisters living in the same home as you. Exclude yourself. *
Example 5,12, 16 and 17
Of the dependent children listed in the previous response, how many of these (not counting yourself) will attend college during the 2021/22 academic year? *
Scholastic Information
What is current year of school? *

High School Senior Gap Year College Freshman College Sophomore College Junior
I graduated/will graduate from high school on *

Month Day Year
Date
Full name of the school you are currently attending or most recently attended *
Write out complete name no acronyms
School City *
School State *
List the years you attended/anticipate attending this school *
Example: 2017-2021
What college or trade program major do you plan to pursue for your degree? *
What college, university or trade school do you plan to attend in the fall of 2021? *
Do you intend to enroll in or you attending a vocational/trade school? *
Activities Information

Applicant's Activities (Remember to number your activities in each section in priority order.)
Extracurricular Activities:include the organization and your role. If no extracurricular activities, type "None." *
For example: National Honor Society - 2018, 2019, President 2019
Athletic Activities: include only team or intramural participation rather than recreational activities and include any leadership positions you held. If no athletic activities, type "None." *
For example: Soccer team member 2016, 2017, 2018; goalie: 2019
Community Activities: please do not duplicate activities listed in previous categories and include the organization and your role in the activity, please be specific. If no community activities, type "None." *
For example: Helped build homes in Mexico for Habitat for Humanity, summer 2019
Employment: include the name of company and your role. If no employment type, "None." *
For example: Starbucks - part time barista 2017, 2018 & 2019
Provide a brief explanation if you answered "None" in any of the above activities
Essay Questions

Please answer these questions. A response of at least 5 words is necessary in order for your essay to save.
In 100 words or less, explain the reason for your future career choice. Include the career you are considering and how or why you made the decision. *
In 100 words or less, describe the benefits of using propane for you personally; also describe the benefits of using propane in society. * *
In 100 words or less, describe how a particular extracurricular activity or community service project has impacted your life. Choose only one; tell what the activity or project was; describe how it made a difference in your life. *
ACT or SAT Standardized Test Information
Did you take the ACT or SAT test? *

Yes No
Please provide brief answer as to why you did not take any standardized (ACT or SAT) test
I am submitting the following test scores.

ACT scores SAT scores
If you are a high school senior or gap year student AND you took a standardized test, TPGA requires you to submit either your ACT or SAT scores which must arrive or be uploaded by June 1, 2021. Scores may be uploaded below, emailed to tpgascholarship@txpropane.com or faxed to 1-512-834-0758.

TPGA does not need both sets of test scores, and it is up to the student to decide which test scores to submit.
- For the ACT test, TPGA is specifically looking for your ACT Composite Score.
- For the SAT test, TPGA requires your Critical Reading and your Math scores.
ACT Upload

Browse Files
If you choose, upload your ACT Score Report or a saved print screen from the ACT website to show your name, test date and ACT Composite Score. Cancel of
SAT # 1 Upload

Browse Files
If you choose, upload your SAT Score Report or a saved print screen from the SAT website which shows your name, test date and your SAT Critical Reading and Math scores. Cancel of
SAT # 2 Upload

Browse Files
If you choose, and need it, upload a second SAT Score Report or a saved print screen from the SAT web site which shows your name, test date and your SAT Critical Reading and Math scores. Cancel of
By signing my name, I agree to submit my scores by June 1, 2021.
First Name, Last Name, Date & Time
Transcripts

DO NOT WAIT ON SPRING SEMESTER GRADES. TRANSCRIPTS ARE DUE NO LATER THAN JUNE 1, 2021.
Transcripts can be 1) Uploaded by student directly to application below 2) Emailed to tpgascholarship@txpropane.com or 3) Faxed to 1-512-834-0758
Transcript

Browse Files
UPLOAD Cancel of
Additional transcript

Browse Files
UPLOAD Cancel of
Rules & Procedures

To Parents or Legal Guardian and Students: By typing your first and last name and the date You are both certifying that the information in all sections of this application are correct and agree to abide by the above rules.
First & Last Name of parent or legal guardian (Qualified Parent) *
Date Parent or Legal Guardian is signing the form *

Month Day Year
Date
Student: I affirm that all information enclosed is true & correct to the best of my knowledge. I understand that presenting false information is cause for disqualification. *
First Name, Last Name
The date the student is signing the form *

Month Day Year
Date
Please note below is the PREVIEW button. After you preview, you must also hit SUBMIT. If you did not receive an email confirmation, we did not receive your application.
Should be Empty:

2021 Scholarship Application

Personal Information

Parent(s) or Legal Guardian(s) Financial information

Scholastic Information

Activities Information

Essay Questions

ACT or SAT Standardized Test Information

Transcripts

Rules & Procedures