Information for the LSC-University Center Scholarships 2016 Application Packet

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Information for the LSC-University Center Scholarships 2016 Application Packet LSC-University Center at Montgomery has scholarships for students attending our partner universities. These scholarships have general requirements which the applicants must meet for consideration of the award. Students who attended Lone Star College, completed an associate s degree or core complete from the Lone Star College System and are now enrolling in bachelor s degree programs offered through LSC-University Center at Montgomery are encouraged to apply for these scholarships created for this unique community of scholars. Students working on their master s or doctorate degree are welcome to apply. Preference will be given to undergraduate students. General requirements: Candidates must fully complete this scholarship application form, provide two recommendations on the forms contained in this packet (at least one from a college or university faculty member), and include one copy of official transcript from the last school attended. All materials must be received by the deadline for consideration. The deadline for receipt of all application materials is Tuesday, February 23, 2016 at 5pm. Recipients must be enrolled in at least six semester credit hours for the Spring 2016 semester and Fall 2016 semester and have a GPA of 2.5. Recipients must complete the minimum number of required semester credit hours (6) and remain in good academic standing. Recipients must attend the Presidential Scholars Reception and ceremony at LSC-Montgomery on Tuesday, April 26, 2016. If you are selected, details will be given at a later date. Recipients of these scholarships must reapply for future consideration. Scholarships are not automatically renewed. The key criteria in awarding these scholarships are academic performance, school and community service, and financial need. For any questions, call the Student Services Office at 936.273.7515. Scholarship application materials and all other correspondence should be turned in at the Student Services Information Desk: LSC-University Center at Montgomery Or Mail the documents to: Dr. D. Britton, Scholarship Chair 3232 College Park Drive LSC-University Center at Montgomery The Woodlands, Texas 77384 3232 College Park Drive Attn: Dr. D. Britton, Scholarship Chair The Woodlands, Texas 77384

LSC-University Center at Montgomery Scholarship 2016 Application Packet Please type or print in blue or black ink the following information. Completion of this application is for scholarship consideration only. It is not in any way connected to any process for admission to an institution. Please return this application (with other required documents) to: Dr. D. Britton, Scholarship Chair LSC-University Center at Montgomery 3232 College Park Drive The Woodlands, Texas 77384 1. Name: Mr. Miss Ms. Mrs. (circle one) Last name First name Other name 2. Mailing Address: If you live in The Woodlands, which Village do you reside? Number Street Apt. # (if applicable) City State Zip code 3. Phone Numbers: Home: ( ) Alternate: ( ) 4. E-mail Address: Social Security # 5. Are you a United States Citizen? Yes No Permanent resident? Yes No 6. College classification: Sophomore Junior Other 7. Education: (begin with most recent college/university attended) Name City, State Dates Attended Graduated? (ex.-8/1998-5/2000) (ex.-no or Yes, in 5/2000) Most Recent First (ex.-sonic University) (ex.-any town, Texas) College/University College/University Expected credit hours enrolled for Summer 2016: Fall 2016. Grade Point Average and Credit Hours Earned: Calculate cumulative grade point average for all colleges/universities (A=4.0, B=3.0...) Total number of semester credit hours earned:

8. Work/Activities/Other Scholarships and Awards: (please do NOT attach additional information) Are you currently working? Yes No # of hours per week Will you be working during the period of this award? Yes No # of hours per week Briefly list most important activities and involvement in organizations (include offices and length of involvement where applicable): Briefly list all scholarships received, past or present (include name, awarding organization, dates): Briefly list special honors or awards received (include name, awarding organization, and year): 9. Goals and Objectives: (please do NOT attach additional information) Your Major: Brief statement of short term career goals: Brief statement of long term career goals: Brief statement of why you chose to pursue your current degree:

10. Brief statement of financial need: (please do NOT attach additional information) 11. Is there anything else you would like the Scholarship Committee to know about you? (Please do NOT attach additional information) I certify that the above information is true and correct. I agree to the release of any information concerning my records to any agency necessary for the administration of the scholarship program. I authorize the scholarship committee to access my academic records for the purpose of obtaining transcript/enrollment information and evaluating my qualifications for a scholarship. I also authorize the scholarship committee to verify any and all information contained in this application. Signature: Date: CHECKLIST of completed items for scholarship consideration - all items must be received no later than Tuesday, February 23, 2016 Completed scholarship application typed or printed in blue or black ink Application must be signed and dated by student One copy each of official transcript from LSC-Montgomery Two recommendations on the forms contained in this packet (at least one by a college/university faculty member) Recommendations (2) must be signed and dated Legibly printed or typed social security number for verification of LSCS transcript information and graduation from LSCS (awards will not be dispersed without verification of enrollment) Keep a copy of all documents submitted

Scholarship Recommendation Form 2016 Name of Applicant: The above-named person is applying for a scholarship offered through LSC-University Center at Montgomery and requesting your assessment. Your specific comments on the applicant's abilities and achievements will be considered by the scholarship committee. Thank you for your cooperation. Name of Recommender: Position: Organization: Address (with city, state, zip): Phone Number(s): ***************************************************************************************************************************************************************************** (Please do not attach additional pages) How long and in what capacity have you known the applicant? What do you consider the applicant's most outstanding characteristics? Why should the applicant receive this scholarship? Other information you would like to share with the scholarship committee? Signature of Recommender: Date:

Scholarship Recommendation Form 2016 Name of Applicant: The above-named person is applying for a scholarship offered through LSC-University Center at Montgomery and requesting your assessment. Your specific comments on the applicant's abilities and achievements will be considered by the scholarship committee. Thank you Name of Recommender: Position: Organization: Address (with city, state, zip): Phone Number(s): ***************************************************************************************************************************************************************************** (Please do not attach additional pages) How long and in what capacity have you known the applicant? What do you consider the applicant's most outstanding characteristics? Why should the applicant receive this scholarship? Other information you would like to share with the scholarship committee? Signature of Recommender: Date: