Prairie View A&M University National Alumni Association Houston ...

Submit to:Prairie View A&M University National Alumni AssociationHouston Alumni ChapterP.O. Box 88085Houston, Texas 77288www.pvamuhouston.comPrairie View A&M University National Alumni AssociationHouston Alumni ChapterAttention: Scholarship CommitteeP.O. Box 88085Houston, TX 77288Postmark by: June 30, 2012Conditions for accepting the scholarship:The award recipient must agree to attend at least one meeting of the PVAMUNational Alumni Association (NAA) Houston Chapter. The meetings are held onthe 3rd Saturday of each month at 11:00 a.m.In addition, upon receipt of the Houston Alumni Chapter Scholarship Award Letterthe addressed recipient must submit an electronic headshot (jpeg) along with abrief biography to be displayed on the PVAMU Houston Alumni Associationwebsite: www.pvamuhouston.com and other promotional material.The scholarship award recipient must also attend and perform the following:• PVAMU NAA Houston Chapter Scholarship Fundraising Gala, held inFebruary 2013• Five (5) Volunteer Service Hours a semester at the Prairie View A&MUniversity - National Alumni Headquarters• Upon receipt of the award letter recipient must notify the National AlumniHeadquarters, Ms. Erma Sadberry, (936) 857-5817.Upon graduation recipients are encouraged to become an active member of thePrairie View A&M University National Alumni Association.3 | P a g e

Prairie View A&M University National Alumni AssociationHouston Alumni ChapterP.O. Box 88085Houston, Texas 77288www.pvamuhouston.comPlease print.DateScholarship Application_______________________________________Last Name _________________________ First Name _____________________Social Security Number _________-_________-________(New Applicants only)Student ID:______________________(Returning Applicants only)Date of Birth Month_________________ Date__________ Year________Gender: Male FemaleEmail Address:______________________________________________________Current Address: ____________________________________________________Telephone Number: (_______) __________-______Mobile__________________Home Address: ____________________________________________________City ___________________State____________________ Zip_______________Major _____________________________ Minor __________________________Classification _______________________If currently enrolled at PVAMU, Number of Credit Hours Completed _______Parent/Guardian InformationParent/Guardian _____________________________________________________Telephone Number: (_______) __________-______________Home Address: ____________________________________________________City ___________________State____________________ Zip_______________4 | P a g e