REGINA RENEE MARTINEZ MEMORIAL FOUNDATION

SCHOLARSHIP PROGRAM

The Regina Renee Martinez Memorial Foundation scholarship is for the advancement of graduating high school seniors who are willing to commit to work toward a college degree. This scholarship fund has been established in order to aid graduating seniors in furthering their education in memory of Regina. Scholarships will be awarded to individual recipients and will be made payable to a 2-year or 4-year accredited college on behalf of the student.

Applicants must meet and submit each of the following criteria to maintain eligibility:

• Applicant must be a graduating high school senior in the Greater Houston/surrounding areas.

• Full-time enrollment is required at a 2-year or 4-year accredited college or university.

• A minimum GPA OF 2.0 is required.

Applicants must submit the following documents along with a completed application to be considered for the 2019 fall scholarship:

• Sealed/Official high school transcript

• One Letter of Recommendation

• Volunteer Work/Extra Curricular Activities

• Essay

These documents are all required and must be enclosed with the application!

Applications are due no later than April 16, 2019 (there will be no exceptions).

Applications are available upon request to www.reginamartinezscholarshipfoundation.com

The Scholarship Committee will review all applications and choose its recipients. The 2019 recipients will be notified by mail. Proceeds from the scholarship award will be mailed to the Financial Aid Office at the college or university the student will be attending after verification of enrollment is confirmed. Applications must be completely filled out to be considered for the award. Incomplete applications will be discarded.

Submit application and supporting documents to:

Attn: Yvette J. Rodriguez

P.O. BOX 238 ▪ Galena Park, TX 77547

2019 REGINA RENEE MARTINEZ MEMORIAL FOUNDATION

SCHOLARSHIP PROGRAM APPLICATION

(Please Print Neatly or Type)

I. Information

Name _______________________________________________________________

Social Security Number ___________________ Date of Birth __________________

Home Address ________________________________________________________

Telephone (home) _______________________ (other) ________________________

Name of High School ___________________________________________________

School District ________________________________________________________

Class Rank (ex. 14 of 450) _________ of _________

II. Achievements

List awards received and/or positions of leadership held:

________________________________________________________________________

III. Community

List organizations and affiliations to which you belong (Church, Community, Work,

School):

________________________________________________________________________

IV. Education

List your educational plans (including the name of the school you will attend):

________________________________________________________________________

Check Appropriate Area: ____ Applied ____ Accepted

Field of Study or Major: ___________________________________________________

Anticipated Cost (per year): ________________________________________________

V. Financial Need

A. Check Appropriate Area –

_____ Dependent on parents for support (yes or no)

B. _____ Self Supporting Occupation __________________

C. ______ Family’s Gross Income (Check Appropriate Area):

_____ Less than $20,000 _____ $40,000 to $50,000

_____ $20,000 to 40,000 _____ Above $50,000

VI. Essay

On a separate sheet of paper, submit a TYPED essay of no more than 300 words on how

this scholarship application will help you achieve your educational goals.

Your signature indicates that all information contained in this application is complete,

factually correct and honestly prepared.

Signature ___________________________________ Date ___________________

Deadline to Return completed applications is April 16, 2019 to:

Regina Renee Martinez Memorial Foundation

Attn: Yvette J. Rodriguez

P.O. BOX 238

Galena Park TX 77547

All applications become property of The Regina Renee Martinez Memorial Foundation and will not be returned. The decision of the Scholarship Committee is final. Recipients will be required to show proof of registration before receiving the award. Funds will be sent directly to the Financial Aid Office of the school. All scholarship recipients will be contacted by mail and announced in an upcoming newsletter. Your signature above authorizes The Regina Renee Martinez Memorial Foundation to use your name and award amount for publicity purposes.