WTSCSM Application - Abilene Christian University

WTSCSM Application

To be considered for this scholarship, the applicant must complete the admissions process at ACU and complete the Free Application for Federal Student Aid (FAFSA). The applicant must also submit copies of his or her high school transcript and SAT (ACT) scores to the following address

Dr. Jason Holland, WTSCSM, ACU Box 28012, Abilene, Texas 79699-8012

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a West Texas Scholar in Computer Science and Mathematics, any false statements, omissions, or other misrepresentations made by me on this application may result in the loss of my scholarship.

(* indicates a required field.)

* 1). First Name
2). Middle Name
* 3). Last Name
* 4). Address Line 1
5). Address Line 2
* 6). City
* 7). State
* 8). ZIP
* 9). Email Address
10). Alternate Email Address
* 11). Phone Number 1

*12). Place of Birth: City
13). Place of Birth: State
*14). Place of Birth: Country
*15). Country of Citizenship
*16). Undergraduate Major	mathematics computer science
*17). Which term will you begin your studies at ACU?
*18). High School GPA
19). SAT/ACT Composite
20). SAT/ACT Math subscore
21). Mathematics courses taken
22). Computer Science courses taken
23). Career goals in math and/or computer science
24). Summarize Special Skills or Qualifications
*25). Reference 1: Last Name
*26). Reference 1: First Name
*27). Reference 1: Address
*28). Reference 1: City
*29). Reference 1: State
*30). Reference 1: ZIP
*31). Reference 1: Telephone
32). Reference 1: Email
*33). Reference 1: Relationship to applicant	Teacher Employer Other
*34). Reference 2: Last Name
*35). Reference 2: First Name
*36). Reference 2: Address
*37). Reference 2: City
*38). Reference 2: State
*39). Reference 2: ZIP
*40). Reference 2: Telephone
41). Reference 2: Email
*42). Reference 2: Relationship to applicant	Teacher Employer Other

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