(Scholarship Form.)    Application #: (              )         

                             Scholarship Application

                             University Interscholastic League

                              Texas Tech University

Recipient intentions must be to become a freshman, full-time, undergraduate Texas Tech University student during the 2006 academic year.  Minimum 12 hours to qualify as full-time, undergraduate status; no exception to this rule will be made. 

Complete application due to Texas Tech, address below, on or before 5 p.m., the last Friday in May.

Biographical Information:

Name:                                                                          SS#:                                                                           

Home Phone #:                                                             Permanent Address:                                                     

HS Phone/Email:                                                           HS Address:                                                                

Gender:                                                                        Email:                                                                       

Ethnic Background:        Black       Caucasian       Hispanic       Native American                 Identify Other    ______    

Test Scores:

SAT Scores (attach copy of scores)    Total:                              Math:               English:             

ACT Scores (attach copy of scores)    Total:                              Math:                English:       ___         

                Science:                         Reading:          

Educational History: (use back if necessary, list all high schools attended)

High School(s)  Date(s)             Class Rank       Graduation Date           GPA (4.0 scale)

Attach copy of most recent academic transcript.

Extra Curricular Activity(ies) (use back if necessary to list activities 9^th – 12^th)

Organization                 Leadership Position(s)  Year(s) active               # hours each week

Required Support Documents:Applicant must submit a copy of academic transcript, SAT and/or ACT test scores, two letters of academic recommendation, one letter of personal recommendation, a one-page resume and a double-spaced, typed essay (600 word/2 page maximum) describing why they should receive a scholarship.  Please provide information in your essay that will aid the Scholarship Committee in making a favorable decision concerning your application (e.g. financial need, educational goals, and career plans, etc.).  Return scholarship application and supporting materials to:

Lynn Elms, Director General UIL – Region 1

Box 45035, TTU -- Administrative Support Center

Lubbock TX  79409-5035

Fax:  806-742-1660

Date:                                          Applicant’s Signature:                                      

Scholarship application form may be duplicated.

www.texastech.edu/uil