Bonehill Foundation / University of Texas Systems Scholarship
Application
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Father's Name
*
First Name
Last Name
Father's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Father's Employer
*
Mother's Name
*
First Name
Last Name
Mother's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mother's Employer
*
Total number of family members living at home
*
Total number of family members that will be in college in the fall
*
The University of Texas system school you plan to attend in the fall
*
UT Tyler
UT Arlington
UT San Antonio
UT Dallas
UT Nacogdoches
Other
I have been accepted to the school selected above
*
Yes
No, but my application submission is complete
No, but I plan to apply
Other
College Major or area of interest
*
College ID#
*
Expected date of college graduation
*
-
Month
-
Day
Year
Date
Financial need requirements (Enter an approximate dollar amount of assistance you will require per semester with a short explanation - for example $100 tuition, $50 books, etc..)
I receive free or reduced lunch as a part of the national school lunch program
*
Yes
No
I receive financial assistance from another source
*
Yes (please explain in "other " field below)
No
Other
High School class rank
*
College GPA
*
How many semesters of college have you completed? (include the current semester)
Attach transcript/grade report from last semester
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Student/Applicant's Current Employer
*
Applicants that are not high school seniors but are new scholarship applicants must attach documentation here confirming graduation from a Shelby County high school
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Briefly discuss the reason the committee should select you as a recipient. Attach a separate file here.
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