APPLICATION FOR CLARK SCHOLARS PROGRAM
TEXAS TECH UNIVERSITY
Summer, 2008

Please note that this Program is available only to those students graduating in 2008 or 2009

       PART A. General Information                             Part B            Part C                

Name  

 

S.S.#  

 

Permanent Address

High School Name and Address

Street

Name
City Street
State City
Zip Code State

Home phone number Zip code
E-mail address High School Counselor
Name 
Phone Number 

              Please indicate any college entrance examinations you have taken and the score(s) received
  PSAT   SAT    ACT    Other       Score   

When will you graduate from high school? 

What is your current high school grade point average
(please attach official transcripts)

Current class standing?

         Please list names of three high school teachers who will be completing the enclosed evaluation forms.



 

 

 

List school and community activities that you have participated in for the last three years.  Please note if you had a leadership role (use the back of this page if necessary).


 Home                                                                                                                                       Part B