UCSC Scholarship Program for Children of Classified Employees Application

Name: _____________________________ Social Security #:   _____________________ 

Mailing Address:   _________________________________________________________ 

Date of Birth: ______________________________ Phone : ________________________ 

Parent Name (Must be UTHSC-H Employee):  ___________________________________

High School attending: _____________________________________________________ 

Address: _________________________________________________________________

_________________________________________________________________________ 

High School Counselor: ____________________________________________________ 

Phone #: _________________________________________________________________

University or Technical School you plan to attend: 
__________________________________________________________________________ 

Address:  _________________________________________________________________ 

Begin date: ________________________________________________________________

The following must accompany your Completed application: 

GPA (must be on a 4.0 scale)

SAT or ACT score

High school transcript 

Two letters of references from a professional (i.e., teacher, counselor, employer)

One page essay, double-spaced, 1" margins, on your career goals and how this award will benefit you

A letter of acceptance from an accredited university or technical school

Print out application then complete and
Submit to: Cecilia Lim, 7000 Fannin St., UCT 902, Houston, TX 77030