Scholarship Application

(Application in MS Word may be downloaded at www.WCAMC.com on the scholarships page)

Full name:

Home address:

City/State/Zip:

Phone:

Email:

Age: Birth Date:

High school:

Year of graduation:

Class rank: out of students

SAT score:

ACT score:

Father’s* name, occupation & company:

Mother’s* name, occupation & company:

* Or other legal guardian

Number of siblings: Number of siblings in college, not counting yourself:

Adjusted Gross Income (IRS Form 1040 Line 37) of parent(s)/guardian(s) from most recent two year’s income tax filings: Year: Total $ & Year: Total $

Are you willing to provide documentation of the above amounts if requested? (Yes/No)

Please list any other means that have been set aside for you to attend college (example: Texas Tomorrow Fund, savings account, child support, etc.): Total $

What percentage of help do you anticipate your family giving you for college? %

Have you been accepted into Texas A&M University: (Yes/No)

If yes, date of acceptance:

Must include a copy of your acceptance letter or proof of admission with this application.


How many college credit hours do you currently have?

What is your expected major?

Do you plan on joining the Corps of Cadets? (Yes/No)

List jobs you have held while in high school:

Employer / Type of work / # hours/week / Start/end date

What honors or awards have you received (school or non-school related):

List high school activities and your role in the organizations:

List activities and your role in organizations outside of school:

Why have you chosen your college major?

What are your professional goals?

Why do you want to attend Texas A&M University?

Please add any additional information you think would be helpful to the scholarship committee:

By signing this application you agree to the following:

·  All applications and attachments become property of the Williamson County A&M Foundation Inc.

·  The Williamson County A&M Foundation and/or Club may publicly disclose and publicize the non-financial information in this application (e.g.: name, grades, class standing, etc.).

·  I agree to provide a personal photo to be used for possible online promotion of scholarship winners, send attached photo to (do not attach photos to application).

·  I have read the Qualifications listed on the www.WCAMC.com website for the scholarship application.

·  I certify that information in this application is true, correct, and complete to the best of my knowledge.

·  I agree to provide copies of IRS Form W-2 statement(s) to verify income if requested (for privacy and security DO NOT attach copies of W-2’s to this application).

Applicants’ signature: Date:

Parents’ or Guardians’ signature: Date:

Mail completed application to: William Peckham, Scholarship Chairman

Williamson County A&M Foundation, Inc.

407 Round Rock Ave.

Round Rock, TX 78664

---- APPLICATIONS MUST BE RECEIVED BY APRIL 1ST ----
(if April 1st should fall on a Sunday, then application acceptance is extended to April 2nd)

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