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Brazoria Telephone Company

Scholarship Application

Charles & Beulah Hendrix Honorary Scholarship
P.O.Box 2008 Brazoria, Texas 77422
(979) 798-2121

 
Name:* Address:
City: State:
Zip Code: Phone Number:
Father's Name: Employment:
Mother's Name: Employment:
Brothers or Sisters: Email:*
College or University you plan to attend:
Have you applied for other Scholarships? If so list:
College Major:
Do you plan to attend full-time or part-time?
Do you plan to work while attending college?
Please indicate which semester you wish to apply for, e.g. Fall '07
List Academic Awards and Honors:
List Extracurricular activities including hobbies and special talents:
List job experiences or volunteer work:
Explain in your own words why you need this scholarship:
* = fields are required
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