TBLF Scholarship

The Texas Black Legacy Foundation

2024 Student-Athlete Scholarship Application
Applicant Data

Application Postmark Deadline - February 16, 2024
Name*

First NameMiddle NameLast Name
Permanent Home Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
County*
Number of years you have lived in Texas*
Home Number*
Please enter a valid phone number.
Email Address*
example@example.com
Date of Birth*

MonthDayYear
Date
Are you a U.S. Citizen?*

YesNo
Are you registered to vote?*

YesNo
Please indicate your status (For statistical purposed only)*

MaleFemale
Are you the first member of your family to attend college?*

YesNo
Have you received a TBLF scholarship prior to this year?*

YesNo
Year Received
Amount Received
Have you completed the 2023-24 Free Application for Federal Student Aid (FAFSA)*

YesNo
Date of Submitted*

MonthDayYear
Date
Are you married?*

YesNo
Are you an independent student (i.e. self supporting)?*

YesNo
If yes, how many dependents
Parental Data
Do you live with both parents?*

YesNo
Number in household (including applicant/parents/siblings/children)*
Parent/Guardian Name

First NameLast Name
Mailing Address (if different from yours)

Street Address

Street Address Line 2

CityState

Zip Code
County
Work/Cell Phone Number
Please enter a valid phone number.
Income
Select the range of your combined family income from all sources (wages, assistance, and benefits) for 2023 (if you are an independent students, please use your own income.)*
School Data
High School Name*
Please enter your District and High School name if not found above.
Ex. Houston ISD - Memorial HS
Graduation Year*
GED*

YesNo
Date GED received

MonthDayYear
Date
Select college you plan to attend for the 2023-2024 academic year. *
If school is not listed above, type the name of the college you plan to attend for the 2023-2024 academic year. Use official school name, not an abbreviation.
City, State*
Select type*
Student will be enrolled:*

Full-TimePart-Time
Current cumulative GPA*
Anticipated college graduation year*
Intended major*
Classification for 2023-2024*
Area(s) of interest (select all that apply)*

Sports LawSports Management/AdministrationSports Media/JournalismSports MedicineSports TherapyAthletic TrainingSports AnalyticsPhysical EducationCompetitive AthleteOther
Plans after college graduation*
Please copy and past a 300-word essay on how you aspire to make an impact in the sports field and communities in need. Please include: What sports you will play in college and/or sports-related major you will study in college, Why you think you should receive a TBLF scholarship, where you have provided community service, and how you plan to continue doing so?*

0/300
CERTIFICATION
I acknowledge decisions of TBLF are final. I certify that I meet the basic eligibility requirements of the program and the information provided is complete and accurate to the best of my knowledge. Falsification of information may result in the termination of any scholarship I am granted. I permit TBLF to release my contact information to various organizations and companies for future internship and employment opportunities.
Student Signature*
Typing your name here(above) indicates you agree to and will comply with the specifications outlined in the “CERTIFICATION” section above.
Date*

MonthDayYear
Date
Parent Signature (if applicant is under 18)
Typing your name here(above) indicates you agree to and will comply with the specifications outlined in the “CERTIFICATION” section above.
Date

MonthDayYear
Date
Should be Empty:

The Texas Black Legacy Foundation

Applicant Data

Parental Data

Income

School Data