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Johnson, Katherine C

From: Sent:To: Subject:

Attachments:

Johnson, Katherine CMonday, April 9, 2019 4:40 PMprograms@tame.orgTAME Scholarship Application for Katherine Johnson

To whom it may concern,

Thank you for the opportunity to apply for the TAME Freshman Scholarship. Here are the documents I am attaching to this email, which have all been marked with my name.

• Scholarship application & essay• HS transcript• ACT results• First two pages of my family’s most recent tax return, IRS Form 1040• My acceptance letter from University of Houston• Letter of recommendation from my TAME Club Sponsor Dr. Mae Jemison

I have also reached out to Mrs. Nyota Uhura, the science teacher who runs my NSBE Jr. Chapter, and asked her for the optional second letter of recommendation. She plans to submit it this week through tame.org/letter.

Please let me know if you have any questions about my application.

Regards,

Ms. Katherine Johnson Houston High School, Class of 2019 TAME Club President 281-483-0123katherinethecomputer@example.com

2019TAMEScholarshipApplication_KatherineJohnson.pdf; ACT2018_KatherineJohnson.png; UH-Acceptance-Letter-KatherineJohnson.jpg; Letter of Recommendation Mae Jemison_KatherineJohnson.pdf; HHSTranscript2019_KatherineJohnson.png; IRS-forms-1040-2018_KatherineJohnson.pdf; sat-score-report-2018_KatherineJohnson.jpgSAM

PLE

2019 Scholarship Application www.tame.org Page 3 of 5

SCHOLARSHIP APPLICATION

PERSONAL INFORMATION

Applicant Name: _____________________________________________________________ (First Middle Last)

Permanent Address: ________________________________________________________________________

City: _______________________________________________ Zip Code: _____________________________

Phone Number: (____)_________________ E-Mail*: _____________________________________________*(Parents/guardians will be emailed only in case of emergency—the primary contact will be student email)

Gender: ______________________________ Date of Birth: ________________________________________

Ethnicity: � African American � Asian/Pacific Islander � Caucasian

� Hispanic � Native American � Other: _________________

TAME Chapter:

Parent/Guardian’s First & Last Name: ___________________________________________________________

Phone Number: (____) _________________ E-Mail*: ______________________________________________ *(Parents/guardians will be emailed only in case of emergency—the primary contact will be student email)

List your family's Adjusted Gross Income: _________________________________________________________ (Line 38, IRS Form 1040; you must submit a copy of the first 2 pages of your parent/guardians’ most recent tax return)

Did either of your parents/guardians graduate from college? � Yes � No

Are either of your parents/guardians currently enrolled in college? � Yes � No

Are any of your siblings college graduates? � Yes � No

Are any of your siblings currently enrolled in college? � Yes � No

TAME MENTOR PROGRAM

TAME offers a support system that matches first-year college students with coaches from TAME’s network of STEM professionals. Your coach would offer encouragement and info about how to navigate college, classes, finals, financial aid, and much more. They’ve been through this before—and they want to help.

I am interested in TAME matching me with a coach from TAME’s network of STEM professionals. I understand that TAME will email me in late July to begin this process.

� Amarillo

� Capital Area (Austin)

� Corpus Christi

� Dallas

� East Texas

� Fort Worth

� GC-TAME (Houston)

� GT-TAME (Beaumont)

� Lubbock

� San Angelo

� San Antonio

� Valley

� West Texas

� Wichita Falls

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2019 Scholarship Application www.tame.org Page 4 of 5

I am interested in collegiate volunteer opportunities as a TAME Ambassador. (Learn more at tame.org/alumni)

I am interested in joining the TAME Alumni Network on LinkedIn. (Learn more at tame.org/alumni)

TAME PARTICIPATION

What year and grade level did you first participate in TAME? __________________________________________ (Enter the year and grade – ex. “2013, 6th grade” or “2019, 12th grade”)

Are you part of a TAME Club now? � Yes � No

Name of TAME Club Adult Sponsor: ___________________________________________________________

Please mark the grade levels you have participated in TAME’s Divisional and State STEM Competitions, and whether you received an award. (If you have been invited to State this year, you can mark “yes” for participation here and submit your application before the event.)

ACADEMIC INFORMATION

Enter the name and address of the high school you attend: ____________________________________________

__________________________________________________________________________________________

Current GPA, un-weighted 4.0 scale: _______________________________

SAT Score: _______________________________ and/or ACT Score: _______________________________

Which community college/university do you plan to attend? _________________________________________

What do you plan to major in? ________________________________________________________________

Grade Divisional Participation

Received an award

State Participation

Received an award

6th � Yes � No � Yes � No � Yes � No � Yes � No

7th � Yes � No � Yes � No � Yes � No � Yes � No

8th � Yes � No � Yes � No � Yes � No � Yes � No

9th � Yes � No � Yes � No � Yes � No � Yes � No

10th � Yes � No � Yes � No � Yes � No � Yes � No

11th � Yes � No � Yes � No � Yes � No � Yes � No

12th � Yes � No � Yes � No � Yes � No � Yes � No

SAMPLE

2019 Scholarship Application www.tame.org Page 5 of 5

PERSONAL ESSAY

Write a personal essay of 150 words or less explaining why you deserve this scholarship. Consider addressing your financial need, your participation in TAME, and why this matters to you, your family/community, and your future. (Essay may also be submitted as a separate typed document)

CHECKLIST – The following materials MUST be submitted to apply for a TAME Scholarship:

This completed application and essay

Copy of most recent high school transcript (does not need to be a formal sealed transcript)

Copy of SAT score results and/or copy of ACT score results

First two pages of your family’s most recent tax return, IRS Form 1040

Copy of acceptance letter from community college/accredited university

Letter of recommendation from your TAME Club Sponsor

o Option 1: Your Club Sponsor can submit their letter at tame.org/letter

o Option 2: Your Club Sponsor can send the letter to you as a PDF or Word document to submitwith the rest of your documents

Optional: Additional letter of recommendation written by a STEM teacher or responsible person in thecommunity who knows you well and can attest to your personal qualities and abilities. This letter should notbe written by a family member or casual acquaintance. (In the event your Club Sponsor is a family member,the additional letter of recommendation is mandatory.)

CERTIFICATION

I certify that the information contained in this application is true and correct to the best of my knowledge.

_______________________________________ ___________________________________ Student Signature Date

SAMPLE

HIGH.SCHOOL TRANSCRIPT

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Houston, TX 12345 Houston, TX 12345 PttONE Nwan: 555-555-5555 PtioJte � 555-555-5555

DATEOF B'mTH:01/01/2.000 00Wl.A1111=u; j:n:.dae�aam PAJtENT/Gt.WtDIAN: John Doe

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I do hereby self<enify ;;nd ;;ffrm rfia this is the olffd.l tr.1nscriJX and rerorriof J;;neDoes in tire ;;ademlcm.-vi.s of 2009-1013.

Tn�: Principal Date:

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April 2, 2019

To Whom It May Concern,

It is my great pleasure to recommend Katherine Johnson for the TAME Scholarship. I met Katherine her Sophomore year when she joined the TAME Club that I sponsor at Houston High School. Katherine was also in my AP Calculus class during her Junior year.

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Morbi nulla ipsum, finibus at bibendum eget, tristique nec lectus. Aenean mauris lectus, tempor vitae libero eget, fermentum imperdiet tortor. Suspendisse mattis nisl ac sem porttitor, sit amet pellentesque nunc posuere. Morbi in accumsan ligula, eget varius enim. In convallis imperdiet urna quis cursus. Mauris ultrices mi posuere ante pulvinar, et vestibulum dui condimentum.

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Please feel free to contact me if you have any questions at example@email.com.

Regards,

Dr. Mae Jemison

Houston High School

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