Legal First Name

Legal Last Name

Date of Birth

Email used on ApplyTX Application or CommonApp

Cell Phone

Name of High School

City of High School

County of High School

Current Overall High School GPA

Are you a Texas First Graduate?

Are you in the Top 10% of your graduating class?

Have you completed any college credit (dual credit) hours?

How many hours?

Are you an Early College High School Graduate?

Accountability - acceptance of responsibility for one's own actions

Ability to Connect with Others - cultivating relationships and spotting opportunities

Adaptability - easily adjust to changing circumstance

Communication - the ability to convey or share ideas and feelings effectively

Integrity - behaving honorably, even when no one is watching

Emotional Intelligence - the ability to manage both your emotions and understand the emotions of people around you

Problem Solving - identify and solve problems effectively and efficiently

In no more than 250 words, pick one of the categories listed above and provide an example of why you feel you deserve the ranking you gave yourself.

Justification

In no more than 250 words, briefly describe how you believe you have served as a leader in your community. Your community can be your school, church, organization, etc.

Institution 1

1 (a) Have you applied to this institution?

Yes No

If yes, "what is your assigned student ID at this institution?"

1 (b) Have you listed this institution on your FAFSA/TASFA?

YesNo (You must have this institution listed on FAFSA/TASFA by February 15, 2025)

1 (c) Have you applied for housing at this institution?

YesNo

Institution 2

2 (a) Have you applied to this institution?

Yes No

If yes, "what is your assigned student ID at this institution?"

2 (b) Have you listed this institution on your FAFSA/TASFA?

YesNo (You must have this institution listed on FAFSA/TASFA by February 15, 2025)

2 (c) Have you applied for housing at this institution?

YesNo

Institution 3

3 (a) Have you applied to this institution?

Yes No

If yes, "what is your assigned student ID at this institution?"

3 (b) Have you listed this institution on your FAFSA/TASFA?

YesNo (You must have this institution listed on FAFSA/TASFA by February 15, 2025)

3 (c) Have you applied for housing at this institution?

YesNo

I understand living on campus in a Living Learning Community may be a requirement for this institution. You will receive specific requirements from the institution if you are selected as a Texas Leadership Scholar.

YesNo

First Name

Last Name

Title

Work Email

Confirm Work Email

Please make sure the email matches the Work Email above

I consent to the release of all information included in this application to be shared with participating institutions in the Texas Leadership Scholars program for selection purposes. Without consent, I understand my application cannot be considered.

YesNo

Edit this text