Scholarship recipients will be chosen from applicants who will be graduating in June 2018 from Aldine ISD, Klein ISD or Spring ISD high schools.

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1 The Houston Northwest Chamber of Commerce Foundation is proud to offer graduating seniors the opportunity to apply for the Chamber Foundation Scholarship. Scholarship recipients will be chosen from applicants who will be graduating in June 2018 from Aldine ISD, Klein ISD or Spring ISD high schools. The Chamber Foundation will award up to two $1,500 scholarships. Scholarship recipients will be selected from information submitted by application. The primary consideration in the selection process will be to reward, honor and encourage students who are seeking to expand their educational horizons and have given back to the community through service. To apply, a student should submit a Houston Northwest Chamber of Commerce Foundation Scholarship application, completely filled out, and an official transcript to the Houston Northwest Chamber of Commerce Foundation at 3920 Cypress Creek Parkway, Suite 120 (FM 1960 W), Houston, TX All completed applications must be received by the Chamber Foundation on or before February 5, 2018 at 4:00 p.m. Late or incomplete applications will not be considered. Scholarship recipients will be notified in March and presented at the Chamber Education Luncheon on Thursday, April 12, The Houston Northwest Chamber of Commerce Foundation is a 501(c)3 nonprofit organization. 1

2 Date Rec d: Time Rec d: SCHOLARSHIP PROGRAM 2018 APPLICATION FORM *Late or incomplete applications will not be considered. (Deadline 4:00 p.m., Monday, February 5, 2018.) Eligibility Criteria to Apply: 1) Student must graduate from an Aldine ISD, Klein ISD or Spring ISD High School in June ) Provide an official transcript with your application. * 3) Completed applications must be received on or before 4 p.m. on February 5, 2018 at: Houston Northwest Chamber of Commerce 3920 Cypress Creek Parkway, Suite 120 (FM 1960 W) Houston, TX Applicant Information Aldine ISD Klein ISD Spring ISD Last First Middle Initial Circle Address City Zip Code Home Phone Cell Phone Date of Birth Address High School Parent Information (if applicant is a minor) Last First Middle Initial Home Address City Zip Code _ Home Phone Work or Cell Phone Address 2

3 Educational & Career Plans Which college or accredited technical school do you plan to attend? Projected Major Degree Sought Brief Statement of Career Plans/Life Goals What are your plans for funding your college education? (Be specific) Personal Statement by Applicant: Tell us about you! (Include any special circumstances. How would this scholarship benefit you? This statement is very important! You are not restricted to the space below.) Community Service Statement: How have your community service experiences made you think differently about others or yourself? (You are not restricted to the space below.) 3

4 Houston Northwest Chamber of Commerce Foundation Scholarship Applicant Last Name Applicant First Name High School Campus High School and Volunteer Activities (Grades 9-12 activities only) Organization Activity Hours Week/Month Extracurricular Activities Community Service /Outside of School Activities Honors, Awards, Offices Held (School & Community) Work Experience Years Applicant Signature Parent Signature (if applicant is a minor) Date 4

5 Houston Northwest Chamber of Commerce Foundation Scholarship Applicant Last Name Applicant First Name High School Campus Academic Information (This section to be completed by the student s school counselor) SAT Scores: Critical Reading + Math Total SAT Score: ACT Composite Score: GPA (0 scale) Ranks in a class of students Counselor Name: Address: Office Phone: I verify the accuracy of the information listed above. Counselor Signature Date 5