General First Name * Last Name * Chinese Name * Name of your parents and/or grandparents who qualifies you as ΒΌ Chinese descent. Provide Chinese names and relationship to applicant * Are you and/or your parents a current CPC Houston member (at least one year) * YesNo If yes, please provide name. Birthplace (Optional) Address * City * State * Zip Code * Cell Phone * Home Phone * Email Address * Have you submitted a FAFSA (Free Application for Federal Student Aid)? * YesNoWill Apply Are you a National Merit scholar? * YesNo Name of High School * Current Cumulative GPA * GPA Scale * Rank in Class * Number in Class * Attachment of Transcript (3 MB Max File Size) * Scores You are required to submit either your SAT or ACT scores. You do not need to submit both. Please attach a copy of your scores to this section (please have multiple attachment options). SAT Math Score * SAT English Score * ACT Composite Score * Proof of SAT (3 MB Max File Size) * Proof of ACT (3 MB Max File Size) * Resume Attachment option. You may attach your resume or copy/paste parts of your resume in the boxes below: Upload Resume (3 MB Max File Size) * List Academic Honors and Awards * List any other Academic Scholarships * List your extracurricular activities and personal initiatives. Please include a brief description of your involvement and positions of leadership in each activity * References Please list two references and include their title, email and phone information. Please ask references to email cpchoustonscholarships@gmail.com Reference #1 Name * Email * Phone * Reference #2 Name * Email * Phone * Essays Please submit one essay. This essay must be typewritten, double-spaced and may be between 300-500 words. Please address on of the following two essay questions. 1.) Yourself and Your Aspirations/Personal Statement, OR 2.) Essay on a specific project, program or something that you have done that has been impactful either in your life or others. Attach Essay (3 MB Max File Size) * Speciality Scholarship Awards Financial Aid Award Applicants: In addition to filling out the following application, Financial Aid Award applicants must submit a completed Confidential Parents' Financial Statement and the parents' most recent year's income tax return. To qualify for this award, applicant's family income must not exceed 300% of the current poverty guidelines as published by the Department of Health and Human Services (table below). PERSONS IN FAMILY/HOUSEHOLD POVERTY GUIDELINE For families/households with more than 8 persons, add $4,180 for each additional person. Household Size Maximum Family Income for Financial Aid Applicants (300% of Poverty Guideline) 1 $36,420 2 $49,380 3 $62,340 4 $75,300 5 $88,260 6 $101,220 7 $114,180 8 $127,140 Are you applying for the Financial Aid Reward? * YesNo If you selected yes, please continue to answer the following. Annual Family Income * Adjusted Family Gross Income * Family Size * How many children under 18 * Explain your financial needs * Please attach a completed copy of parents' most recent income tax returns. Parent #1 Tax Return (3 MB Max File Size) * Parent #2 Tax Return (3 MB Max File Size) * Education Award Applicants Applicant must plan on majoring in the College of Education or have aspirations of becoming a teacher. Are you applying for the Education Award? * YesNo If you have selected yes, please attach essay answering- why you are interested in teaching in primary or secondary education (3 MB Max File Size) * Check List An application (google) form with all blanks completed. All applicants will be considered for the academic awards. Applicants interested in the Education Award, and/or the Financial Awards, must check the appropriate boxes. A complete set of official transcripts from all high school attended, SAT and/or ACT scores. Rank information is required for the most recent transcript from high school. Photocopies of unofficial transcripts are acceptable. This information may be emailed to cpchoustonscholarships@gmail.com Two recommendation letters from a teacher or counselor, sent directly to the Chair of the CPC Scholarship Committee. These letters may be emailed to cpchoustonscholarships@gmail.com Financial Aid applicants Only: Submit a completed copy of parents' most recent year's income tax return ( a copy of the first page with adjusted gross income on it). To qualify for financial aid considerations, the applicant's family income must not exceed 300% of the current poverty guidelines as published by the Department of Health and Human Services (HHS). By writing my name in the box, I certify that the information contained in this application is true and accurate to the best of my knowledge. * Date * Capcha *
