TEXAS COASTAL CATTLEWOMEN

Last Name

First

MI

Date

Home Phone

Personal Email Address

example@example.com

Cell Phone

School Email Address or Other

example@example.com

Residing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

County

Permanent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

County

Does this address belong to a parent or guardian?

YesNo

If YES what is their name

Scholarship Applied For:

TCCW ScholarshipTCCW Memorial/Honor Scholarship

Are you a citizen of the United States?

YesNo

Local Newspaper

Are you a TCCW Member?

YesNo

Who Referred You?

Have you applied for a TCCW scholarship prior?

YesNo

Have you received for a TCCW scholarship prior?

YesNo

Are you a dependent on your parents' taxes?

YesNo

If YES Provide approximate parents COMBINED Annual Income BEFORE taxes

If YES Provide TOTAL Number of Dependents claimed on parents taxes ie Number of children

If YES Provide number of children claimed on parents taxes that are enrolled a college or technical school

Are you employed or will you be during school?

YesNo

TCCW Scholarship Application Form April 2023

If YES, How many Hours WEEKLY

If YES Approximate Monthly Income BEFORE Taxes

Do you have additional factors for the Scholarship Committee to consider

High School Home School

CitySt

From

Date

To

Date

Are you a senior?

YesNo

Year Graduated

GPA 40 Scale

Jr College

CitySt

From

To

GPA

Hours Completed

0-29 HRS30-59 HRS60-89 HRS

Anticipated Year of Graduation

Current Classification

College Name of Fall Acceptance

MinorMajor

University College

CitySt

From

To

GPA

Hours Completed

0-29 HRS30-59 HRS60-89 HRSOver 90 HRS

Anticipated Year of Graduation

Current Classification

College Name of Fall Acceptance

Major

Other

CitySt

From

To

Did you complete?

YesNo

Ranking GPA

Program Description Details

Name

Years Involved

Description

Your Role

Name

Years Involved

Description

Your Role

Name

Years Involved

Description

Your Role

Name

Years Involved

Description

Your Role

Name

Years Involved

Description

Your Role

Name

Years Involved

Description

Your Role

Name

Years Involved

Description

Your Role

Name

Years Involved

Description

Your Role

Name

Years Involved

Description

Your Role

Name

Years Involved

Description

Your Role

Name

Years Involved

Description

Your Role

Name

Years Involved

Description

Your Role

Name

Years Involved

Description

Your Role

Name

Years Involved

Description

Your Role

Name

Years Involved

Description

Your Role

Name

Years Involved

Description

Your Role

Name

Amount

Name

Amount

Name

Amount

Name

Amount

Name

Amount

Name

Amount

Please check to make sure you have included the following where applicable with this completed application:

Essay

YesNo

Most recent college transcript reflecting hours, including GPA

YesNo

Two (2) Letters of Recommendations

YesNo

Essay

YesNo

Transcript

YesNo

Two (2) Letters of Recommendation

YesNo

This application can be typed or printed then scanned and sent in .PDF or .JPEG format with all other information requested to TCCWscholarship@gmail.com or uploaded to the File Upload below. This application and all the required supporting documents must be received completed no later than the required due date for consideration. TCCW General Scholarship - June 1st. TCCW Memorial/Honor Scholarship - June 1st. Incomplete and late applications will not be accepted.

Scholarship Applicants related to a member or members of the Texas Coastal CattleWomen Scholarship Committee are not eligible to apply for Texas Coastal CattleWomen Scholarships.

Texas Coastal CattleWomen does not and shall not discriminate on the basis of any applicable protected classification including, but not limited to, race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations.

I certify that I have read, understand and agreed to requirements of the scholarship(s) I am applying for. Further I certify my answers are true and complete to the best of my knowledge.

File Upload*

UPLOAD THE FOLLOWING: - Personal essay (500 words or less) - Official high school transcript - Two (2) letters of recommendation - Proof of enrollment - Official transcript (showing GPA of 2.5) - Photo in .JPEG or .TIFF format

Signature*

Date*

Date

TEXAS COASTAL CATTLEWOMEN

APPLICANT INFORMATION

INCOME

YES

YES

EDUCATION

APPLICATION/CONTRIBUTION - COMMUNITY SERVICE

APPLICATION/CONTRIBUTION - HONORS AND AWARDS

APPLICATION/CONTRIBUTION - LEADERSHIP

APPLICATION/CONTRIBUTION - EXTRACURRICULAR ACTIVITIES

FINANCIAL AID AND SCHOLARSHIP RECEIVED

APPLICATION CHECKLIST

TCCW General Scholarship

TCCW Memorial/Honor Scholarship

DISCLAIMER AND SIGNATURE