Amarillo College - Harrington Scholarship Application

Personal Information

First Name

Middle Name

Last Name

Last 4 Digits of SSN

Date of Birth

Male

Female

Race or Ethnic Group

Marital Status

Planning to live with

Date of Marriage

Spouse Name

Number of Children

U.S. Citizen

Not a U.S. Citizen

Texas Resident

Not a Texas Resident

Contact Information

Permanent Home Address

Street or P.O. Box

City

State

Zip

Home Phone

Cell Phone

Email Address

Email for Parent or Legal Guardian

An email will be sent to your parent/legal guardian containing a link to fill out additional required information.

Reference Email (Faculty, Advisor or Administrator)

An email will be sent to your reference containing a link to fill out additional required information.

Student Information

High School Name

Graduation Date

GPA by Percentage

ACT and/or SAT Score

Anticipate College Attending

Anticipated Major

I have Applied for Admission

I have Not Applied

Already Admitted

Not Admitted

Planning to work

Not Planning to work

How many hours will you be working, weekly?

Required Essays

List all the extra-class activites (outside classroom)

List below all prizes, awards, honors, and special recongnition

List all scholarships and awards already won and amount of each.

Which scholarships are renewable?