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Instructions:Please type or print in black ink. All materials
must be submitted on or before May 1(Extensions may be granted). Please submit
this application along with an official high school transcript with GPA, All
Standardize Test Scores, Class Rank, and Three Letters of Recommendation. Please
submit all materials to: ACI Summer Program, School of Architecture, P.O. Box
4207, Prairie View, Texas 77446. For Information please contact Mr. Marshall
Brown or Mrs. Elma Gonzalez at (936) 857-2014.
Applicant Information
Name__________________________________ SSN:_____________________________
Address ______________________________________________ Apt. No________________
City ________________________________ State _________ Zip Code_______________
Home Phone Number (___)__________________ Day (___) ______________________
Parent(s) or Guardian(s) Information
Name__________________________________ SSN:_____________________________
Address ______________________________________________ Apt. No________________
City ________________________________ State _________ Zip Code_______________
Home Phone Number (___)__________________ Day (___) ______________________
High School Information
High School Name ____________________________________________________________
Address_____________________________________________________________________
City _________________________ State ______________ Zip Code _______________
Phone No. (___) ______________________ Present Grade ________________________
GPA ________________ Class Rank _____________ SAT/ACT Score _________________
Date of Graduation ____________________ Counselor Name _______________________
TASP Math________________ Reading_____________ Writing____________
Organizations and Awards
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
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