Scholarship Application

This form is mainly for students starting college this coming Fall 2010. Please fill out the 2010-2011 HT3R Scholarship form. The application deadline is the end of February. Qualified applicants will be invited to interview by the end of March.

Personal Information

(* Required)
First Name *
Last Name *
Mailing Address
Email *
Phone
Academic Information SAT or ACT Math score is mandatory. You can obtain ACT testing at the UTPB PASS Office, 432-552-2630. If you have taken a test multiple times, enter the highest score for each section.
High School
Graduation Year
GPA (4.0 scale)
Senior Year Class Schedule (include corresponding grades)
Class Size
Your Class Rank
Top Percentile
Test Type *
SAT
ACT
SAT/ACT Overall
SAT/ACT Math *
SAT Critical Reading/ACT Reading
SAT Writing/ACT English
ACT Science
Intended College Major
(Scholarship is available only for "Pre-engineering", Mechanical Engineering - Nuclear, and "Nuclear Chemistry" majors)