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UCSC Educational Awards Program
for Children of Full-time Classified Employees
Application

Name: ___________________________________________________________________

Mailing Address:   ___________________________________________________________

Date of Birth: ______________________________ Phone : __________________________

Student's Email Address: ______________________________________________________

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

High School attending: ________________________________________________________

Address: __________________________________________________________________

_________________________________________________________________________

High School Counselor: ________________________________________________________

Phone Number: ______________________________________________________________

University or Technical School you plan to attend: 

__________________________________________________________________________

Address:  ___________________________________________________________________

College Start 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 record or description of volunteerism, extra-curricular or activism at the school or community level.
  • A letter of acceptance from an accredited university or technical school
  • 8 x 10 Head Shot (to be placed in U.C.S.C.@Work Newsletter and on UCSC web page)
  • Print out application then complete and submit to:

    Maria Barrientos
    UTHealth
    7000 Fannin Street, Ste 1870
    Houston, TX 77030-5401
    Phone: 713-500-3541
    Fax: 713-500-0334
    Maria.Barrientos@uth.tmc.edu