UHSAA Scholarship Program
Recommendation and Application Forms

Letter of Recommendation
(Please indicate how the applying student has excelled in your class in regard to academics, leadership, and citizenship)

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Teacher's Name_______________________________________

Teacher's Signature____________________________________

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Application
Complete the following information and attach: 1) proof of citizenship, 2) TAAS/TAKS scores, 3) SAT/ACT scores, 4) letter of recommendation, 5) 250 word essay and submit to your high school counselor (Ms. Flores) by April 1st.
Last name ________________________________________ First name ____________________________ M.I.____ ID#____________________
Address (No., Street, City, State, Zip)
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_____________________________________ Phone No.__________________
Career goal_______________________________________________________
Name and location of the educational institution you plan to attend
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GPA______ (Counselorís initials) ______

I certify that the above information is accurate

Studentís Signature ________________________________ Date __________________