1. PERSONAL DATA

   	Mr. Ms.
   Last
   First
   Middle Initial
   University of Houston ID Number (your Peoplesoft ID)	(you are issued this number when you apply to the University. If you haven't applied, go to the UH admissions website at: http://www.uh.edu/admissions).
   Enter Your E-mail Address
   Permanent Address:
   Street
   Apartment #
   City
   State
   Zip	-
   Permanent Phone	-   -
   Houston Address: (if different from above)
   Street
   Apartment #
   City
   State
   Zip	-
   Home Phone	-   -
   Work Phone	-   -  Extension
   Citizenship	US Citizen US Permanent Resident Other Country. Specify Country
   Texas Resident (for tuition purposes)	Yes No Do Not Know
   Houston Area Resident	Yes No
   County in Texas Where You Attended High School (leave blank if you did not attend high school in Texas)	County Name

2. ACADEMIC DATA

   Please select your Status for the Fall 2012 semester.  If your STATUS changes during the academic year,  please contact the Bauer Scholarship Office.	Continuing Student in the       Bauer College of Business Incoming Freshman Transfer Student      (first semester in      Bauer College) Incoming Graduate Student
   Please select your UH Classification  for the Fall 2012 semester.  If your STATUS changes during the academic year,  please contact the Bauer Scholarship Office.	Freshman Sophomore Junior Senior MBA MS Accountancy MS Finance Ph.D. Dual Degrees MBA JD MBA MHM MBA MIE MBA MA Spanish MBA MIM MBA MSW
   Intended Major/Concentration for Fall 2012 List a second major ONLY if you are pursuing one.	1) None Accounting Finance Entrepreneurship International Business (MBA) MIS Marketing Management PreBusiness Supply Chain Management 2) None Accounting Finance Entrepreneurship International Business (MBA) MIS Marketing Management PreBusiness Supply Chain Management
   Expected UH Graduation Date	Month Unknown May Aug Dec Year    2012 2013 2014 2015 2016 2017 2018
   Will You Attend UH Full-time during the 2012-2013 academic year?	Yes No

   ACADEMIC HISTORY
   Institution	Dates Attended	Degree/Major	# Hours	GPA (on a 4.0 scale)
   Univ. of Houston

   For Graduate Students ONLY
   GMAT Score
   Were you a varsity athlete as a UH undergraduate?	No Yes If Yes, identify your UH varsity sport
   For Continuing Undergraduate Students ONLY
   Have you applied or been accepted into the University of Houston Honors College?	Yes No
   Are you active in University of Houston ROTC?	Yes No
   For Incoming Freshmen ONLY
   SAT Total -- Math and Critical Reading sections only
   ACT Total
   High School Class Rank
   High School Class Size
   High School Quartile	Do Not Know Top 10% 1 Top 25% 2 50-75% 3 25-50% 4 Bottom 25%
   Indicate the name of the high school you will graduate/have graduated from plus its county and state (if you graduated from high school in the U.S.).	High School County State (e.g., TX)
   Have you applied or been accepted into the University of Houston Honors College?	YES   NO
   For New Graduate or Undergraduate Students ONLY (not currently enrolled)
   Anticipated date of entrance to the University of Houston	unknown Spr 2012 Sum 2012 Fall 2012 Spr 2013 Sum 2013 Fall 2013 Spr 2014 Sum 2014 Fall 2014
   What other universities/colleges are you applying to? List top three.

3. CERTIFICATE PROGRAMS, SPECIAL TRACKS, ORGANIZATIONS AND ACTIVITIES

   Select specific Bauer College student organizations, degree tracks, certificate programs, and other community organizations and special activities or positions held over the past five years with the most recent first. For example:

   2011	PES	Inductee
   2011	American Marketing Association	Treasurer
   2011	Houston Advertising Federation	Holiday Food/Clothing Drive Coordinator

   	Year	Organization	Special Activities/Offices Held
   		C. T. Bauer College of Business Student Organizations
   1		Choose a Bauer College Student Organization Alpha Kappa Psi The Accounting Society AIESEC APICS American Marketing Association Bauer Ambassadors Bauer MBA Society Bauer Pre-Law Society Beta Alpha Psi Beta Gamma Sigma Business Marketing Association CEI Collegiate Entrepreneurs Organization Delta Sigma Pi Finance Association Gamma Iota Sigma GEMI Hispanic Business Students Association Master of Accounting Network (MANET) MIS Student Organization Mu Iota Sigma National Association of Black Accountants National Association of Women MBAs PES PPA RMI Society for the Advancement of Multicultural MBAs Society for Human Resource Management (SHRM) TEA The Energy Association
   2		Choose a Bauer College Student Organization Alpha Kappa Psi The Accounting Society AIESEC APICS American Marketing Association Bauer Ambassadors Bauer MBA Society Bauer Pre-Law Society Beta Alpha Psi Beta Gamma Sigma Business Marketing Association CEI Collegiate Entrepreneurs Organization Delta Sigma Pi Finance Association Gamma Iota Sigma GEMI Hispanic Business Students Association Master of Accounting Network (MANET) MIS Student Organization Mu Iota Sigma National Association of Black Accountants National Association of Women MBAs PES PPA RMI Society for Human Resource Management (SHRM) Society for the Advancement of Multicultural MBAs TEA The Energy Association
   3		Choose a Bauer College Student Organization Alpha Kappa Psi The Accounting Society AIESEC APICS American Marketing Association Bauer Ambassadors Bauer MBA Society Bauer Pre-Law Society Beta Alpha Psi Beta Gamma Sigma Business Marketing Association CEI Collegiate Entrepreneurs Organization Delta Sigma Pi Finance Association Gamma Iota Sigma GEMI Hispanic Business Students Association Master of Accounting Network (MANET) MIS Student Organization Mu Iota Sigma National Association of Black Accountants National Association of Women MBAs PES PPA RMI Society for Human Resource Management (SHRM) Society for the Advancement of Multicultural MBAs TEA The Energy Association
   		Other Organizations
   4
   5
   6
   7

4. AWARDS AND HONORS

   Indicate any awards or honors you have received over the past five years. List the most recent first. For example:

   2011	Delta Sigma Pi	Outstanding Fundraiser of the Year
   2011	Sales Association	Top Salesperson of the Month

   	Years	Organization	Awards or Honors
   1
   2
   3
   4

5. PREVIOUS SCHOLARSHIPS

   Please indicate any current or previous college scholarships.

   	Year	Scholarship Name	Scholarship $ Amount	University
   1
   2
   3
   4

6. FINANCIAL NEED

   Many of the Bauer College of Business scholarships have a financial need requirement. In order to show financial need, students should complete one of the following forms:

   1. The Free Application for Federal Student Aid (FAFSA) for 2012-2013

      If you are a U.S. Citizen and permanent resident, go to www.fafsa.ed.gov to complete the application.

      Even if you have not previously qualified for financial aid, you should complete the FAFSA. The University of Houston urges all eligible students (citizens or permanent residents) to apply for FAFSA. Even if you do not expect to receive Federal funding, many other aid and scholarship programs -- like the Bauer Scholarship Office -- may make use of this data.

   2. If you are an International Student you should complete the Bauer Financial Need Application for International Students here.
      This form will be used by Bauer to determine your financial need. Turn in the complete application and all requested materials to the Bauer Scholarship Office. If you do not have all requested documents, please include a letter stating why those items are not available.
      This application is similar to the form used for the Texas Public Education Grant (TPEG) but will not allow you to be considered for that award. If you would like to apply for the TPEG, you must also complete a different form available from the International Student and Scholar Services Office at www.issso.uh.edu/finances/tpegisssoscholarship.html and turn it in to them by their deadline.

   You are not required to submit either financial aid document but, if you do not complete the appropriate form above, you will not be considered for any Bauer scholarships that use financial need as a criterion.

7. OTHER DATA

   Marital Status:	Married Single
   Number of Dependents Not including yourself
   Relationship of Dependents
   Current Employer Do not include internships.
   Position
   # Hours worked per week
   Does your employer provide for tuition reimbursement?	No Yes
   If Yes, what percentage of the tuition and fees do they cover? (e.g., enter 60 for 60%) (Use no decimal or percent sign)
   Did your parents finish high school?		Yes
   		No
   		one parent did and one parent did not.
   Did your parents attend college or university?		Yes
   		No
   		one parent did and one parent did not.

8. FINANCIAL NEED STATEMENT Write a brief explanation of your financial need for a scholarship. (240 characters maximum. The characters are counted and you are prevented from exceeding 240 characters)

   Although I am very thankful for the financial aid awarded to me, it is not enough. I am seeking a new job to be able to afford my tuition. I do not count on help from my parents and I am doing the best I can to not take anymore loans.

9. CAREER GOALS AND OBJECTIVES STATEMENT

   Please state your specific career goal (examples - To work as a CPA for a large public firm; To establish my own business in Basket Weaving; To become a university finance professor after traveling the world). (240 characters maximum. The characters are counted and you are prevented from exceeding 240 characters)

   I intend to graduate from Bauer's MSACCY program and then receive a CPA license. I hope to work for the local firm Weinstein Spira, where I will be interning at this summer.

10. LEADERSHIP STATEMENT

    Please state how you are demonstrating specific leadership abilities/skills during your collegiate experience. Incoming freshmen and graduate students may include community/volunteer/professional association experiences. ( 240 characters maximum. The characters are counted and you are prevented from exceeding 240 characters)

    I am currently the Vice President of The Accounting Society. This position has given me the opportunity to strengthen my leadership skills. I am also very involved in Beta Alpha Psi and will apply to become an officer this upcoming year.

11. CERTIFICATION

    I hereby certify that to the best of my knowledge the information contained in this application is true and correct. Although not required at this time, I may be required to supply supporting documentation to verify this information later. I agree to release any information concerning my records at the University of Houston to any federal, state, or private agency/donor necessary for the administration of the scholarship program.

    Check here if you agree.

AFTER you submit your application, you will receive an immediate confirmation email. If you do not receive this email, you have either entered your email address incorrectly on the application (check your printed copy) or your application was not submitted properly. Check your junk/spam/trash folder for the email confirmation and add "jsneed@bauer.uh.edu" to your contacts/safe senders list. If there was a problem in submitting, you will need to retype your application and resubmit.

If you have problems or comments click jsneed@bauer.uh.edu.