$1,000 per year ($500 per semester), non-renewable award for ENTERING Freshmen Students

Instructions:

1. Please complete all information and return the completed application by June 1, 2008 to: Kim Gundersen, 10416 Doering Lane, Austin, TX 78750
2. Please attach a current transcript from your school.
3. Please attach official ACT/SAT test scores.

Required Test Scores:

GPA 3.0 - 4.0 ACT = 20 or SAT = 950

GPA 2.8 - 2.99 ACT = 21 or SAT = 990

Have you applied to LSU? Yes No

Have you been accepted to LSU? Yes No Still Waiting for Decision

Name: Sex: M F Age: DOB:

Address:

Street City State Zip

Phone: Email address:

Name of School Currently Attending:

Parent(s) or Legal Guardian(s):

Name Name

Address Address

Phone Phone

Please list all requested information, including the year(s) involved. Please be very specific. You may add additional pages if needed.

Leadership Opportunities Year

(Ex. Officer in organizations, etc.)

Community Service

(Volunteering, etc.)

Scholastic/Athletic Awards

(Ex. Trustee, Honor Roll, History Award, Track Team, Volleyball Captain, etc.)

Additional Extra-Curricular Activities, Awards, or Honors

(Ex. Band, Eagle Scout, etc.)

Hobbies, Talents, or Interests not listed above

(Ex. Piano Lessons, youth groups, etc.)

Please list any immediate family members who attended LSU:

Name Relation Years Attended Graduated

Please type and attach a brief (one page or less) statement responding to one of the statements below:

1. My goals for the future and how I plan to achieve them.
2. A personal challenge which I had to overcome and how I overcame it.
3. Someone who has had a significant impact on my life and why/how.

I certify that all information on this application is correct.

Student’s Signature Parent’s/Guardian’s Signature

Date Date