HATTON W. SUMNERS SCHOLARSHIP APPLICATION Students must be enrolled full-time (12 hours per semester) and have two years remaining of

undergraduate work

PERSONAL INFORMATION

How do you prefer to be addressed: Mr. Mrs. Miss Ms.

Full Name ______________________________________________________________

Nickname or Preferred First Name __________________________________________

Current street address ____________________________________________________

City, State, Zip __________________________________________________________

Cell Phone Number_______________________________________________________

School email address_____________________________________________________

Date of birth____________________________________________________________

Place of birth_________________________ Are you a US Citizen? Yes No

Permanent street address__________________________________________________

City, State, Zip __________________________________________________________

Permanent home phone number____________________________________________

Permanent email address _________________________________________________

MILITARY SERVICE Are you registered for the Selective Service? Yes No

Exempt from Registration? Yes No

Have you served in the US Armed Forces? Yes No

If yes, what branch? ____________________________________________________

Rank at Separation______________________________________________________

Citations and Decorations_________________________________________________

Type of Separation or discharge____________________________________________ (if dishonorable attach explanation)

ACADEMIC INFORMATION

School Attending________________________________________

Major(s)_________________________________ Minor(s) _______________________

Education: List all colleges/universities attended in most recent first

Institution name Dates attended Credit hours

Degree earned or to be earned

Date graduated or graduating

SUPPORTING DOCUMENTS Please attach the following documents:

A copy of ALL undergraduate transcripts A current resume listing high school and/or college honors, awards, activities, leadership positions, extracurricular activities and work experience A maximum 750 word essay on why you selected your field of study, your future educational goals and career ambitions A 2½” x 3” color photograph in a .JPG format clearly labeled with the student’s full name (Optional) No more than 3 letters of recommendation, at least one of which must be from a professor or instructor familiar with your academic achievements.

ACADEMIC INFORMATION VERIFIED BY THE INSTITUTION

Cumulative GPA_________

Number of Semester Credit Hours Completed at the end of the Current Semester _______

ACT Score: _________

SAT Score: ___________ + _____________ + ____________ = _______________ Math Verbal Written Total

I understand the terms of the relationship. I certify the accuracy of the information in this application and I give my permission and consent to the University to provide any and all academic or other information/records to the Hatton W. Sumners Foundation (“The Foundation”) on a regular basis or as requested by the Foundation. Further, I give my permission and consent that any and all of my directory information, including addresses, telephone numbers, email addresses, and like, may also be released upon request of the Foundation. In addition, I understand that participation requirements for 2019-2020 are:

• Attend the scholarship dinner/luncheon at the Scholar’s home university where graduating seniors are recognized

• Attend Public Policy Weekend for Scholars OR the Texas Tribune Festival • Attend any two other programs offered by the Foundation each year. Students may

select from, or be accepted to, any of these: o LBJ School Leadership Conference o Institute for Policy Innovation Distinguished Lecture Series (Each lecture

counts independently) o Annette Strauss Institute Texas Civic Ambassador Program o Fund for American Studies Summer Program o First Liberty Internships o Judicial Watch Internship o UNT Kuehne Lecture Series (Each lecture counts independently) o Issue One Townhall in either Oklahoma or Texas o Center for American and International Law Lecture Series (Each lecture

counts independently) o Institute on the Founding Documents Coordinated by Law Related Education

at Regional Education Service Centers o Pre-service Teacher Training at various universities o Glasshouse Policy Game Night o Additional programs conducted by the Foundation directly – luncheons with

speakers, networking programs, special dinners, etc. Limited waivers and/or substitutions will be determined on a case by case basis by Foundation staff. ____________________________________________ ________________________ Signature Date