NEO A&M Alumni Scholarship App

Applicants Full Name:
Social Security Number:
Home Address:
City:
State:
Zip:
Email Address:
School Address (on campus):
PO Box:
Campus Phone:
High School Attended / Location:
Year Graduated:
Rank In Class:
Grade Point Average (GPA):
High School Counselor:
GED Received Year (if applicable):
ACT Score - Language Arts:
ACT Score - Mathematics:
ACT Score - Reading:
ACT Score - Science:
ACT Score - Composite:
Will you live on campus?	Yes No
Major Area of Study:
List colleges / universities and year(s) attended, credit hours/GPA earned, certificates/degrees
List any specific Foundation scholarship(s) you are applying for
The following information is volunatry and is requested for reporting purposes only, in accordance with the 1968 CIvil Rights Act as amended.
American Indian or Alaska Native Asian or Pacific Islander Hispanic African American White Other	Tribe:

Single Married
If Married, will your spouse be attending NEO?	Yes No

Please share other information regarding your need for assistance, career / vocational plans, etc. (THIS IS VERY IMPORTANT)

Please provide an area code and phone number where we can contact you if we need more information