High School Scholarship Application

Scholarships Information and Form

Scholarship Committee HAPL

800 Bering Dr., Ste. 120

Houston, Texas 77057

or Fax to (713) 622-3723

APPLICATIONS SHOULD BE RECEIVED IN THE HAPL OFFICE NO LATER THAN MARCH 15TH

First Name

Last Name

Phone Number

Name of HAPL Parent

Address Line 1

Address Line 2

City

State

Zip

School

Date of Graduation

List all accomplishments you have obtained during your high school education:

List all Honors, both individual and with organizations. Indicate year in which honor was earned. Attach list on additional page if needed:

List any other student activities, honors and achievements. (Class or club officer, student council, yearbook, clubs , honor societies, etc.) Attach list on additional page if necessary:

List community activities, organizations and clubs. (Church activities, charity, service organizations, scouting, job, etc.):

On a scale of 1 to 5 (5 being the highest), rate yourself as a potential college student

On a scale of 1 to 5, rate yourself as a student

List your GPA

What college are you planning to attend?

Include 2 letters of recommendation from your current or past teachers.

Attachment: Letter of Recommendation #1

Attachment: Letter of Recommendation #2

Attachment: Recent picture (if emailed please use JPEG format)

Attachment: Additional Info #2 if needed.

Type the code below