Texas Executive Women Jackie Greer Mentoring Scholarship
Scholarship Application Instruction Sheet
Texas Executive Women provides scholarships to young women who have participated in its mentoring programs on
the high school or middle school level. This mentoring scholarship program is designated the Texas Executive
Women Jackie Greer Mentoring Scholarship.
Scholarships will be awarded to graduating seniors planning to enroll in a community college, college or university, or
a vocational or career education school acceptable to the TEW Mentoring Scholarship Committee. All scholarships
must be claimed and funded no later than the end of the calendar year in which it is awarded.
Eligibility Requirements
Applicants for the Texas Executive Women Jackie Greer Mentoring Scholarship must meet the following criteria
established by Texas Executive Women:
1.
2.
3.
4.
5.
6.
Any applicant must have participated in a TEW sponsored middle school or high school mentoring program,
i.e., Ladies of Excellence (Aldine Ninth Grade School); Ladies of Distinction (Aldine Senior High School);
Career Women of the Future (Alief Hastings High School or Ball High School Galveston); or any other
approved TEW sponsored mentoring program and completed the required community service hours.
Applicant must plan to enroll in a community college, college or university, or a vocational or career education
school acceptable to the TEW Mentoring Scholarship Committee.
Applicant must be in "good standing" with their current school (not on academic or disciplinary probation).
Applicant must possess a "C" average or better to be eligible for the TEW Jackie Greer Mentoring Scholarship.
Applicant must submit her application to TEW on or before Thursday, April 17, 2014.
Applicant must submit a color or black and white graduation photograph or other headshot with the
application.
What are the components of a completed scholarship application?
A complete application
consists of:






The attached application form filled out completely with all questions answered.
A letter of recommendation from your high school principal, teacher, counselor or mentoring sponsor.
An official transcript from your high school.
Essay entitled: Why I am an Excellent Choice to receive the Texas Executive Women Jackie Greer
Mentoring Scholarship. Include how the TEW mentoring program has affected your life and/or your
goals. Two pages maximum.
A brief description of yourself and your family, your goals or anything else you want the Mentoring
Scholarship selection committee to know about you or your personal situation. One page maximum.
Your photograph (see #6 above).
Please note: Only complete applications postmarked on time will be considered by the TEW Scholarship Committee.
MAIL APPLICATION TO:
POSTMARKED NO LATER THAN April 17, 2014:
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Eartha Johnson
Texas Executive Women
LegalWATCH
9800 Northwest Freeway, Suite 600
Houston, Texas 77092
Phone: 713-864-9997
Fax: 713-864-9981
Email: jean@legalwatch.com
Texas Executive Women Jackie Greer Mentoring Scholarship
Scholarship Application
PLEASE TYPE OR PRINT:
Full Legal Name: __________________________________________ Social Security #:___________________
Name you go by in school:
Mailing Address:
Street
Phone : (
City
)
Work Phone : (
Date of Birth:
)
Parent/Guardian Work Phone:
Cell/Pager Phone: (
(
)
State
/
/
Zip
/
)
Parent/Guardian Home Phone: (
)
Email Address:
EXTRACURRICULAR ACTIVITIES:
High School Attended:
Graduation Date:
School Address:
Principal’s Name:
Phone: (
)
Fax: (
)
Counselor’s Name:
Phone: (
)
Fax: (
)
ACTIVITIES AT SCHOOL:
1. Clubs, athletics and other organizations in the order of importance to you (indicate any offices held):
2. Honors and awards (in order of importance to you):
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1
ACTIVITIES OUTSIDE OF SCHOOL:
1. Jobs you have held (indicate dates)
2. Other activities (community, church, etc.) In order of importance to you:
3: TEW Mentoring Program in which you participated (indicate program years):
4. College, University or Trade School you plan to attend:
5. Future Career Goal or Field:
PERSONAL/FAMILY:
Do you intend to apply for financial aid during the period this scholarship would cover? Yes:____ No:____
Information about your parents:
Your parents marital status:
Father’s occupation:
Mother’s occupation:
No. of Brothers & Sisters:
__________________________________________________________
__________________________________________________________
__________________________________________________________
_______________
RETURN THIS APPLICATION AND THE NECESSARY ATTACHMENTS TO THE SCHOLARSHIP
CHAIRMAN LISTED ON THE FRONT OF THIS APPLICATION ON OR BEFORE THE
Thursday, April 17, 2014 DEADLINE.
I hereby certify that the above information is true and accurate to the best of my knowledge. I understand that
false statements will jeopardize my eligibility for this scholarship.
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2
Signature of Applicant ______________________________________
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3
Date
Release
I give my permission to Texas Executive Women (TEW) to use my name and photograph for one or more of the
following: TEW web site; newsletter; Women on the Move7 Luncheon materials; or The Houston Chronicle.
Student Signature
Date
Typed or Printed Name of Student
Parent or Legal Guardian Signature
Typed or Printed Name of Parent or Legal Guardian
Street Address
City, State and Zip Code
Area Code and Telephone Number
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Apt. No.
NOTICE AND RELEASE
Texas Executive Women is aware of another source of scholarship funds for which you may be eligible. These funds
may be given by individuals or TEW members' companies or organizations. These sources of funds are completely
separate from Texas Executive Women (TEW), and different criteria than that of TEW may be used for awarding
scholarships. There is no guarantee that other funds besides those given by TEW or the Texas Executive Women
Scholarship Fund will be available.
If you would like for TEW to send your application for other scholarship consideration, it is necessary for you to give
us permission by signing and returning this form.
We must receive your signed permission form by Thursday, April 17, 2014.
I give my permission for my application for scholarship funds to be sent to other individuals or entities for
consideration of additional scholarship opportunities.
STUDENT SIGNATURE
Date
TYPED OR PRINTED NAME OF STUDENT
Street Address
City, State and Zip Code
Area Code and Telephone Number
Cell Phone Number
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5
Apt. No.