Tyler Junior College Scholarship AAUW advances equity for women and girls through advocacy, education, philanthropy, and research.PERSONAL INFORMATIONApplicant's Name* First Last Address*Address (continued)City*State*Zip Code*E-Mail* Telephone*Senior Colleges Applied (in order of preference)*Colleges Accepted*Major* PERSONAL INFORMATION cont'dFather's NameAddressAddress (continued)CityStateTelephoneZip CodeFather's EmployerAddressAddress (continued)CityStateZip CodeTelephoneMother's NameAddressAddress (continued)CityStateZip CodeTelephoneMother's EmployerAddressAddress (continued)CityStateZip CodeTelephoneDo you live with* Both Parents One Parent Other If other, please explain:Number of dependent children and/or elderly or adults with disabilities in family unitPlease include name, age, and indicate if the individual is at home, in college, or elsewhere. FAMILY INCOME RANGEEarnings of all adults and dependents living at home (include child support, alimony and any additional non-wage income)*Under $25,000$25,000 - $40,000$40,000 - $55,000$55,000 - $70,000$70,000 - $85,000$85,000 - $100,000Over $100,000What level of financial assistance do you anticipate receiving from any family member or other source, i.e. father, mother, grandparents, step-parents, friends, trust fund, etc.? (Please list in estimated dollar amounts.)*Have you completed a Free Application for Federal Student Aid (FAFSA) form?*YesNoHave you applied for or received any other grants or scholarships?*YesNoIf yes, please list name and amount: High school diploma received from:*Year of high school graduation*Colleges/Universities attended:*Please list school name, years, major or degree, and GPA.List the names of two (2) teachers and explain how they influenced your life.* PLEASE PAY PARTICULAR ATTENTION TO THE FOLLOWING PORTION OF THE APPLICATION AS IT IS MOST IMPORTANT IN THE EVALUATION PROCESS1. What organizations have you been active in at TJC? Please include the offices and the responsibilities you held in these organizations.*2. List community activities in which you have participated during the last two years.*3. What recognitions, awards, or certifications have you received while at TJC?*4. Work Experience: List all jobs held during your high school and college years. Are you currently employed? Where? How long? What are your duties and responsibilities? How many hours per week do you work? What have you learned from these work experiences?*5. Please write an essay of no more than 500 words about yourself, your educational goals and aspirations, and their relationship to your personal and career goals. Outline your plan of action to achieve these goals.*SUBMIT TWO (2) LETTERS OF RECOMMENDATION AND CURRENT TRANSCRIPTTo email these materials, please contact our Scholarship Chair, Kay Monigold.FileFileFileApplicant's Signature* I agree to abide by the administrative procedures of the AAUW Tyler Branch Scholarship Committee. I understand that any scholarship funds will be paid only upon receipt of proof of registration for each semester. I further understand that an incomplete application, a late postmarked application, or one submitted without a current transcript will not be considered.