The Virginia Parker Memorial Scholarship
Presented by the South Texas Country Elevator’s Association
South Texas Country Elevators Association Inc.
Scholarship Application
1. Applicant:
2. Home Address:
( Last, First, Middle)
( Soc. Sec. # )
( Street, box, or rural rt.)
3. Home phone number:
-
( Age )
(City & zip code )
-
4. High School:
Address :
5. Parents' or guardians' names:
Parents' or guardians' address:
6. Father's or guardian's occupation:
7. Mother's or guardian's occupation:
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Number of brothers:
Ages:
Number of Sisters:
Ages:
9. Number of brothers or sisters now enrolled in college
10 Have you already been accepted for admission to a college or University ?
If Yes ,Where ?
11. If not already accepted for admission, have you submitted an application ?
IF yes , Where ?
12. Field in which you plan to study in college :
13. What career do you plan to pursue after College ?
14. A brief statement by a teacher or administrator regarding applicant:
(Signature of teacher)
15. Graduation Date:
(Month, Day, & Year)
Note : High School Transcript must be Included With Application
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