2012-2013 Terry Foundation Scholarship Application Guidelines for University of North Texas Candidates

Qualifications
To be considered for the Terry Foundation Scholarship, students must demonstrate the following: be a U.S. citizen or Permanent Resident of the United States; be a 2012 graduate from a Texas high school or Texas home-school; admission to the University of North Texas as a full-time student for 2012-2013; strong academic abilities, as evidenced by grades and SAT scores; a record of leadership in school and community; financial need; reside on campus for the first year; and be (and remain) unmarried and without children.

Application Process and Deadlines

1. Apply for admission to the University of North Texas. 2. Submit a Terry Scholarship application online by Sunday, January 15th. 3. Submit the following documents by mail: A signed and completed 2012-2013 Terry Scholarship Application form (attached). An official high school transcript and a copy of any college transcripts. This should be in addition to any transcript previously sent to the University of North Texas or the UNT Honors College. Two (2) letters of recommendation in sealed envelopes. (At least one of your letters must be written by one of your core subject teachers (English, math, history, or science). Both letters should speak to your academic and leadership abilities. Each letter must be SIGNED by the teacher or person recommending you.) 4. File a FAFSA on-line between January 1st and March 31st. You are encouraged to include a printed copy of your Student Aid Report from your 2012-2013 FAFSA with this application. 5. Apply for on-campus housing no later than March 31st. For more information, please refer to the UNT Housing website (www.unt.edu/housing/). Exceptions will not be granted for Terry Scholars to live off-campus during the first year.

Nomination Process
All completed applications received (with all requested supplemental documents) will be reviewed by the University of North Texas. Then, UNT will nominate 42 applicants for the Terry Foundation Scholarship. The Terry Foundation will conduct interviews of each nominee. The Terry Foundation will award up to 26 scholarships for use during the 2012-2013 academic year. Please know that the University of North Texas serves as a nominating body only; all final decisions regarding scholarship awards are made by the Terry Foundation. Additional information about the Terry Foundation Scholarship is available at www.terryfoundation.org

Submitting Your Application

Please submit all materials in one envelope.

Mail ALL additional documentation for your Terry Foundation Scholarship application to:

Terry Foundation Scholarship Competition Student Financial Aid and Scholarships University of North Texas 1155 Union Circle, #311370 Denton, TX 76203 Questions?
Contact Student Financial Aid and Scholarships office by emailing terryscholarsatunt@unt.edu.

For your application to be considered, all supporting documents for your application must be submitted by Wednesday, February 1, 2012. Mailed applications MUST be postmarked no later than February 1, 2012 to be considered.

Student Name: Joseph Prein

UNT ID: jdp0274

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2012-2013 Terry Foundation Scholarship Program Application

Fill out each section of the application form completely, taking care to respond to each question in the space provided. All applications must be TYPED. I CERTIFY the information I am providing is complete and correct to the best of my knowledge. If my application is accepted, I agree to abide by the policies, rules, and regulations of the Terry Foundation. I understand that the University of North Texas is solely a nominating body. The University reviews applications received to nominate 32 students for the Terry Foundation to interview. I authorize the University to share my application information with the Terry Foundation, if I am nominated for an interview. I authorize the University of North Texas and/or the Terry Foundation to verify the information I have provided. I further understand that this information will be relied upon by the Terry Foundation in determining my financial eligibility and that the submission of false information is grounds for rejection of my application, and/or withdrawal of an offer of scholarship. I understand I may be asked for additional information to be considered for the Terry Scholarship.

Applicants signature:

Date: 01/31/2012

I. CONTACT INFORMATION Please provide contact information for your parent/guardian, your high school counselor, and yourself below. This contact information will be used, as needed, to contact you regarding your Terry Scholarship application.

Students Preferred Name: Students Cell Phone Number: Students Preferred E-mail Address: Parent/Guardians Cell Phone Number: Parent/Guardians Daytime Phone Number: Your High School Counselor: School Phone/Ext.: Your High School Counselors Email Address:

Joseph Prein (832) 814-3571 jprein@yahoo.com (832) 622-4136 (713) 298-1893

II. FINANCIAL INFORMATION All Terry Foundation Scholarship applicants must complete a Free Application for Federal Student Aid (FAFSA) and select the University of North Texas (school code: 003594) to receive the information. FAFSA forms are submitted online annually January 1st at www.fafsa.gov. File your FAFSA before March 31st. Financial information may be subject to verification from tax returns. Please complete all questions or your application cannot be considered. Describe special circumstances affecting your familys ability to fund your college expenses (response required):

Number of family members attending college during 2012-2013 (include yourself):

StudentFinancialAidandScholarships,1155UnionCircle#311370,Denton,TX76203

Student Name: Joseph Prein

UNT ID: jdp0274

Page 3 of 4

Please provide the information for all children less than 25 years of age in your household. Do not include yourself or your parents. Name Age Relationship School/College Year in College Self-Supporting?

College Savings Information: Funds for college saved by you: Funds for college saved by others: Do you have a Texas Tomorrow Fund or 529 college savings plan? What is the plans value? Projected parental support for your college expenses (annual amount): Your parents or guardians total cash savings (not limited to college): Student Information: Students Marital status: Students Total 2011 income: $ 0.00 $
No

$ $ 5,000.00 $ 10,200.00

Single

$ 0.00

Student presently lives with (name & relationship to student): Phillip & Patricia Prein - parents Parent/Guardian Information: (Answers should be for the parent(s) and/or guardian(s) who support the student at least 50%.) Patricia Prein Parent/Guardian #1s name: Parent/Guardian #1s relation to student: Mother Occupation: Sales Employer: American Welding Services Age: 52 Highest level of education achieved: Some College Annual 2011 income: $ 58,032.00
Phillip Prein Parent/Guardian #2s name: Parent/Guardian #2s relation to student: Father Occupation: Safety Manager Employer: American Welding Services Age: 54 Highest level of education achieved: High School / GED Annual 2011 income: $ 39,910.00

Are you (or your family) receiving financial assistance (such as Social Security disability) from any local or federal No government entity? If yes, please indicate the type of assistance and amount received per month: Type of assistance received: Amount received per month: $ Value of your parents or guardians other investments (NOT including home): Net Value Value of your parents or guardians businesses, farms and/or ranches: Parents or Guardians Adjusted Gross Income for 2011 (from Form 1040/1040A): Was your familys 2011 income the same as it was for 2010? If no, did it increase/decrease? Est. amount changed? $ $ 96000 $0 $ 98724

StudentFinancialAidandScholarships,1155UnionCircle#311370,Denton,TX76203

Student Name: Joseph Prein

III. SCHOLARHIP INFORMATION

UNT ID:

Page 4 of 4

Please refer to the Student Financial Aid and Scholarships website for more information about the scholarship opportunities available at UNT (www.unt.edu/finaid/scholarships.htm). Please indicate any college or departmental scholarships specific to your intended major for which you are applying:

Physics departmental scholarship

List other scholarships for which you have applied for the 2012-2013 academic year: Scholarship or Grant Name Duration of Award (1 year or # of years) Amount per year

Betsy Warren Scholarship

varies

List other scholarships for which you will receive for the 2011-2012 academic year: Scholarship or Grant Name
UNT Achievement Recognition Scholarship

Duration of Award (1 year or # of years)

Amount per year

$3,000

Print and sign your application. Applications without a signature and all required additional documents will not be considered. Applications and all required documents must be postmarked by February 1, 2012.

StudentFinancialAidandScholarships,1155UnionCircle#311370,Denton,TX76203