2016 Scholarship Application Please type or print legibly WHO IS ELIGIBLE TO APPLY FOR HAHMP SCHOLARSHIPS - High school seniors, college undergraduates, and first-year graduate students who are pursuing careers in print, photo, broadcast, online journalism or public relations. - Students must plan to attend, full-time for the entire academic year, an accredited community college or university that is within the United States or Puerto Rico. Applicants must reside in the Greater Houston Area. !STUDENT CONTACT/PERSONAL INFORMATION Name: (Last, first, middle):
Social Security Number: ______________________ Age: _______________ Date of Birth: (mm/dd/yy) ______________________ Country of Origin:_____________________________ Permanent Address: !Street Address ____________________________________________________________ City _______________________________________ State ________________________ Zip Code________ Home Phone (____) _______________ Cellular Phone (____) ______________ Page 2 / 2016 HAHMP Scholarship Application
E-mail ______________________________ ! School Address: (School you are currently attending) Street Address __________________________________________________________________ ________________________ City ________________________________ State ________________________Zip Code _________________________________ Phone (_____) ___________________ ! Parents or Legal Guardians Full Name: __________________________________________________________________ Do you have siblings? Yes ______ No ______ If yes, how many are going to college in the fall of 2015? ______________________
SCHOLARSHIP INFORMATION Please tell us about your interests with a check mark: Print (Reporter) ______ Print (Editor)_______ Television Broadcast (Talent) _______ On-line _______ Radio (Broadcast/Talent)______ Television Production_______ Public Relations __________Radio (Production)_______ Television_______ Photography_______ Other (specify) ______________ English or Spanish-language Media? English ________ Spanish ________ Have you received a scholarship from HAHMP before? Yes ______ No _______ If yes, when, and what amount? ____________________________________ Note: You can only receive the HAHMP scholarship twice. Have you applied for other scholarships? Yes ______ No ______ If yes, have you been awarded any scholarships for the fall of 2016? How much? _________________Please list if you have done any internship or any activities related to your major.
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SCHOOL INFORMATION School currently attending __________________________________________________________________ Colleges applying to or attending in Fall 2016 __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ College class standing in Fall 2016: Freshman ________ Junior ________ Sophomore _______Senior ___________ 1st Year Grad _______ Major ________________________________________ Minor ________________________________________________________ Expected graduation date _________________________________________________________________ Are you a full-time student? Yes _______ No _______ GPA _______ On what scale? ________________________________________________________
FINANCIAL NEED STATEMENT ESTIMATED EXPENSES FOR 2016/2017 ACADEMIC YEAR A. Tuition
___________
B. Room and Board
___________
C. Books
___________
Total Expenses (the sum of A, B, C)__________ ESTIMATED INCOME FOR 2016/2017 D. Your Employment Income
____________
E. Parents or Family Contribution _____________
F. Scholarships
_____________
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G. Financial Aid (including student loans, grants and work-study)
________________
Total Income (the sum of D, E, F, G)
________________
DIFFERENCE BETWEEN EXPENSES AND INCOME FOR 2016/2017 ACADEMIC YEAR Total Income
____________
Total Expenses
____________
Difference
_____________
SCHOLARSHIP APPLICATION CHECK LIST ___ Completed HAHMP Scholarship Application ___ Parents/Guardians most recent W-2 forms (or yours if you are independent) ___ Official school (high school or college) transcripts in sealed envelope ___ Two letters of recommendation in separate sealed envelopes (from people who are familiar with your academic and/or journalism !work.) Letters of recommendation need to include contact information ___ One-page resume (listing your educational background, work history, awards, journalism-related internships, other scholarships, !language proficiency and any work done for your school or community newspaper, radio and/or television) ___ Autobiographical essay (Please type, double-spaced, an autobiographical essay of two pages about your background and career goals. Please include extracurricular activities, such as clubs and community involvement. Essay should address: Why are you interested in a career in the communications field? What event, story, person, or experience inspired you to want to pursue !a career in this field? What hardships or obstacles have you experienced in trying to achieve your goals.
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___ Headshot. Can be one of your graduation !
Applicant’s Signature___________________________ Date________________
DEADLINE EXTENSION MARCH 18th, 2016 2016 SCHOLARSHIP AMOUNT: $3,500
!APPLICATION
MAY NOT BE SUBMITTED ELECTRONICALLY. !
ONLY COMPLETED APPLICATIONS MAILED IN ONE PACKAGE INCLUDING SUPPORTING MATERIALS WILL BE CONSIDERED.
Mail package to: Attention: Claudia Deschamps P.O Box 273394, Houston, TX 77277-3394 !
PLEASE EMAIL SCHOLARSHIP CHAIR CLAUDIA DESCHAMPS for more info.
[email protected] 832-455-5144 or visit www.hahmponline.org
