Mathematics Scholarship Application

for High School Students

Fill in the application below. Upon completion you will have a chance to review your application. After you have submitted the application you should receive an email confirming your application has been received.
NOTE: High School Students MUST submit a copy of their transcript.
This can be sent by mail to: Dr. William Hahn 1900 W. 7th St. #1301 Plainview, TX 79072	Or by fax to: 806-291-1968


Full Name:
Email Address:
Telephone:
Home Address:

	City	State	Zip Code

Projected Major:		Minor (or Second Major):
High School:		Graduation Date:
What are your ACT and/or SAT scores (if taken)?
ACT Score:		SAT Score:

List the mathematics courses you have taken in the past two years of high school:

Leadership and Future Plans: Please discuss any ways you have demonstrated leadership or community involvement, and your plans after college graduation: