The William A. Brookshire Foundation Scholarship Grant Application Form. Instruction Sheet Please Keep This Front Sheet for Future Reference 2016

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1 The William A. Brookshire Foundation Scholarship Grant Application Form Instruction Sheet Please Keep This Front Sheet for Future Reference To make application, Student must have a cumulative GPA of 2.8 or above. Student s parent, step-parent or grandparent must be a current employee and have three months cumulative employment at S & B Engineers and Constructors, Ltd., S & B Infrastructure, or Ford, Bacon and Davis, L.L.C. Step-children are also eligible to apply. Student must be currently enrolled or intending enrollment as a full-time student in an accredited college for both fall and spring semesters of the coming year. Scholarships are for one year. Student may pursue any field of study that leads to a four-year degree. 2. Read the application form carefully and try to respond fully to all sections. If filling out the application manually, please use blue or black ink do not use pencil. 3. Print and sign the application and deliver or mail the completed application (application, official transcript(s), any SAT/ACT scores, and any letters of recommendation) to the following address. Ford, Bacon and Davis, L.L.C. folks may send their applications thru the courier package that goes each night between the offices. W. A. Brookshire Foundation S & B ENGINEERS AND CONSTRUCTORS, LTD. P. O. Box Park Place Blvd. Houston, Texas Attn: Kay Musgrove (A1E, Scholarship) Academic histories or college entrance exam scores provided by school counselors or registrars should be mailed to the address above. Transcripts must be official copies issued by the academic institution. If the transcripts are not mailed separately, but are attached to the application, they must remain in the original, sealed envelope from the institution s registrar s office. Do not open the transcript(s) if you are attaching to the application. We will accept transcripts that are ed. Transcripts that are ed must be sent from the registrars office of the respective institution, be stamped with the school s seal, and ed to (Request as soon as possible in order to meet the deadline.) 5. Letters of recommendation are not mandatory this year but may be attached to the application or independently mailed to the address above. (Request as soon as possible in order to meet the deadline.) 6. DEADLINE: Applications must be completed and returned by Friday, February 19, 2016 along with transcripts, any ACT/SAT scores, and any letters of recommendation if applicable.

2 The William A. Brookshire Foundation Scholarship Grant Application Form Please provide the following information. Where additional space is necessary, add supplementary sheets. Please respond fully to all sections. 1. Applicant Information Last Name: First Name: Middle Initial: Permanent Mailing Date of Birth: Social Security No.: Veteran: Yes No 2. Parent, Step-parent or Grandparent Information (Applicant s parent, step-parent or grandparent who is a current employee of S & B Engineers and Constructors, Ltd., S & B Infrastructure, or Ford, Bacon and Davis, L.L.C.) Last Name: First Name: Middle Initial: Relationship to Applicant: Employee or PeopleSoft No: Hire Date with Company: Mailing Tel. No., (Home): Tel. No., (Work): Scholarship Grant Application Form 2016 Page 1

3 3. Education Information (i) High School Attended Name of School: School District: Date Graduated or Expected to Graduate: (ii) College/University Attended Other than Current University Name of School: Date Graduated or Expected to Graduate: (iii) Other Educational Institutions Attended, College Level or Higher Name of School: 4. Academic Record Date Graduated or Expected to Graduate: (i) High School Seniors Provide copies of official transcript at least through the fall semester of the senior year (and beyond if available). Provide copies of scores from either the SAT or ACT examinations. (Most high school transcripts have SAT/Act scores. Check with your high school and ask them to include those scores. If the high school doesn t have the test scores, then you will need to send those separately.) Scholarship Grant Application Form 2016 Page 2

4 (ii) College Freshmen Provide complete high school transcript. (If not already on file with the Foundation) Provide SAT or ACT results. (If not already on file with the Foundation) Provide official transcript of college semesters completed. (iii) Beyond First Year of College Provide only official transcripts of college record. Transcripts must reflect as least two semesters of grades. (All transcripts must be official copies. No Xerox copies. Transcripts must come from the Registrar s office of the respective institution and be stamped with the school s seal. Transcripts that are mailed must be in a sealed envelop and cannot be opened prior to submitting to the scholarship program. Transcripts that are sent by must come directly from the Registrar s office of the respective institution and be stamped with the school s seal.) 5. Intended or Current College Report the college/institution that applicant currently attends or expects to attend and date of graduation which this scholarship would apply. If not known at the time of application, please list a first and/or second choice. Once accepted to the college/institution of your choice, please notify Kay Musgrove at First Choice: Name of School: Has application been made? Yes No Has application been accepted? Yes No Currently Enrolled? Yes No If currently enrolled, date expected to graduate: Student will be living: On campus Off-campus in apartment With Parents Other (Note that scholarship awards will ultimately be granted contingent on evidence of acceptance and imminent enrollment. If currently not enrolled and after application has been submitted, please notify Kay Musgrove at of intended college once accepted and enrolled.) Scholarship Grant Application Form 2016 Page 3

5 Second Choice: Name of School: Has application been made? Yes No Has application been accepted? Yes No Currently Enrolled? Yes No If currently enrolled, date expected to graduate: Student will be living: On campus Off campus in apartment With Parents Other (Note that scholarship awards will ultimately be granted contingent on evidence of acceptance and imminent enrollment. If currently not enrolled and after application has been submitted, please notify Kay Musgrove at of intended college once accepted and enrolled.) 6. Awards and Honors list any pertinent information. Scholarship Grant Application Form 2016 Page 4

6 7. Organizations List school, religious, social, community, athletic, or other organizations in which Applicant participates (note leadership position, if applicable): 8. Work History Please give a brief description of the applicant s work history for the past year. Please include both paying and non-paying jobs, dates of employment, and the number of hours worked per week. Scholarship Grant Application Form 2016 Page 5

7 9. Letters of Recommendation - (Letters of recommendation are not mandatory but may be attached to the application or independently mailed to the address above.) If provided, one or both may be from teachers, coaches, counselors, or other officials of Applicant s schools (past or present). One letter may also be from a community leader or employer who knows the Applicant and offers supportive insight to his application. 10. Field of Study (this section must be completed.) Please list Applicant s preferred field or area of study and degree. 11. Circumstances of Financial Aid (this section must be completed.) (ii) Provide combined annual gross income of parents: Father s gross income Did Father graduate College? Yes No Mother s gross income Did Mother graduate College? Yes No (iii) Elaboration of Financial Need Provide below, or attach separately, an explanation of financial circumstances. Consider, in this section such issues as: List other significant financial resources, and the amounts per year of those resources, available to Applicant that will be committed toward educational expenses. Include any financial aid, FSFA, Pell Grants, TOPS Awards, other scholarship awards, or tuition exemption. Scholarship Grant Application Form 2016 Page 6

8 Whether applicant is working or expects to work during the school year. Please include number of hours per week applicant expects to work. Circumstances which present unusual restrictions on the ability of the applicant's family to contribute toward his/her educational expenses. (Attach separate sheet, if needed.) Please print and sign the application. I affirm that the information submitted on and with this Application is true, correct and complete to the best of my knowledge. Applicant s Signature Date Signature of Applicant s Legal Guardian if Applicant is less than 18 years of age Scholarship Grant Application Form 2016 Page 7

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