HUSTON-TILLOTSON UNIVERSITY
SCHOLARSHIP APPLICATION
Incomplete applications WILL NOT be considered for awards. Please type or print clearly.
A
PPLICAN
T INFORMATION
L
ast Nam
e First Name: M.I. Date:
Street Address: Apartment/Unit #
C
ity: State
: ZIP:
P
hone:
HT E-m
ail: HT ID#: HT Cumulative GPA:
U
.S. citize
n:
Y
es
N
o
P
lace of
Birth:
E
thnicity/Ra
ce: Mbr United Methodist Church:
Y
es
N
o
M
br Unite
d Church of Christ:
Y
es
N
o
O
ther (Religious):
E
DUCATION
C
ompleted
FAFSA:
Y
es
N
o
D
ate FAFSA Completed:
Included HT Code 003577 on FAFSA:
Y
e
s
N
o
H
igh School a
ttended: City: State:
D
ates at
tended: Graduated:
Y
e
s
N
o
D
ate: H.S.
Cumulative GPA:
C
lassifica
tion:
F
reshman
S
ophomor
e
J
unior
S
enior
G
raduate
M
ajor: Ca
reer Field: Capstone project:
Y
es
N
o
E
xtra-Curr
icular/Community
Activities.
Do
not
leave
blank
List
three
ad
ditiona
l
external
self
help
scholarships
you
have
applied
for
include
name
and
date
applied. Required
Essay Topi
c: What do you think is the state of our civil discourse? What steps need to be taken to improve our civil discourse?
At least a 500 word essay on a separate page; Include
your na
me and H
T ID# i
n the top
C
ertific
ation
S
ignature
I
c
ertify
t
hat
m
y
a
nswers
a
re
t
rue
a
nd
c
omplete
t
o
t
he
b
est
o
f
m
y
k
nowledge
.
S
ignature:
Date:
FOR OFFI
CE USE ONLY
I
nitials
Date
Application
Received
A
pplication Award:
Name and Amount
FORM HT Scholarship Application 11-03-2019
If currently in high school select Freshman
2019 - 2020
2020 - 2021