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Dshs Scholarship Essay

These forms are available at your local Community Service Office. Some of these forms can be filled out on-line and then printed out. Some of the forms are in the Adobe Acrobat (PDF) format. You will need the free Adobe Acrobat Reader to open them. If you do not already have this program, you may click on the icon below to install it.

Interactive Forms that can be filled out and submitted on-line

Application for Benefits (form 14-001)

This link will take you to the start page for the Online Application. To start your application, click on the APPLY NOW tab at the top of the page.

Application for Children's Medical Benefits

This link will take you to the Washington Healthplanfinder site where you may submit your application online. This application is only for individuals under the age of 19 who want medical benefits.

Working Connections Child Care Application (form 14-417)

This link will take you to the start page for the Online Application. After you start the application, select  Child Care as the program you want to apply for.

Application for Benefits  | Interactive Forms ( complete on-line and then print)  |  Pamphlets  |  Printable Forms

  • Application for Benefits (form 14-001) - This form is completed to request benefits. PDF format. Translations.

The Application for Benefits is available in several languages. 










  • Authorization for Alternate EBT Cardholder (form 27-130)

This form is used when you, the Head of Household (HOH), wants to authorize someone you trust to help use your food or cash benefits.  You and the person selected need to complete and sign the form and take it to your nearest Community Services Office to get the alternate EBT card.

Microsoft Word Format.  Translations.

  • Authorization to Release Information (form 17-063)

This form is used when someone needs to authorize another to obtain their records.
Microsoft Word format. PDF format.

  • Background Authorization - ESA (form 09-653.) [formerly form 09-891]

This form is used to request criminal background inquiry to determine eligibility for: WCCC, TANF (in loco parentis), Protective Payee, & Contractor.
Microsoft Word format. PDF format.Translations.

  • Child Support Enforcement Referral (form 14-057)

This form is to provide information on the Absent Parent.
PDF format. Translations.

  • Client's Rights and Responsibilities (form 14-113)

This form is completed at each Eligibility Review.
PDF format. Translations.

  • Consent to Exchange Confidential Information for Services Coordination (form 14-012)

This form is used when a person needs to authorize the sharing of his or her information between programs, either inside or outside of the agency, to coordinate services.
Microsoft Word format. PDF format. Translations.

  • Eligibility Review (form 14-078)

Eligibility Review forms can also be used to apply for benefits.
PDF format. Translations.

  • Fair Hearing Withdrawal (form 02-528)

This form is used when your Fair Hearing issues is resolved prior to the hearing date.
Microsoft Word format. PDF format.

  • Mid certification review (form 14-467)
  • Request for Fair Hearing (form 05-013)

If you do not agree with an action that has been taken in reducing, terminating or denying benefits, you may request a hearing to review the action. This form can be completed and returned to the address on the form or your local Community Service Office.
Microsoft Word format. PDF format. Translations.

  • Employment Verification (form 14-252)

This form is used when you start work or self employment.  (This form used to be called the "Start Work" form.)
PDF format. Translations.

  • Stop Work Questionnaire (form 14-438)

This form is used when you stop work or self employment. The form should be signed by you but must be completed by your employer. Your employer can also complete this form On-Line.
PDF format. Translations.

  • Statement of Collateral Information (form 14-222)

This form is completed by the person providing the information that your case worker has requested. You would complete Section 2, print it out and sign it. The person providing your collateral information would complete Section 3.
Microsoft Word format. PDF format. Translations.

  • Statement of Education, Employment and Health (form 14-050)

This form is completed by you. This forms helps us learn more about your health problems and possible sources of medical evidence. It also gives us a history of your education and work experience.
Microsoft Word format. PDF format. Translations.

  • Statement from Landlord/Manager(form 14-224)

This form is used to verify where you live, who lives with you, how much your rent is and what utilities you are responsible for. The landlord/manager completes all portions of this form. Your landlord can complete this form On-line.
Microsoft Word format. PDF format. Translations.

  • Statement from School (form 14-223)

This form is used to verify that you or your children are in school and the expected date of graduation. You would need to complete Section 2, print it out and sign it. The school completes Section 3.
Microsoft Word format. PDF format. Translations.


  • How to Use Your Washington EBT Quest Card (form 22-310)

Recipients of food assistance are issued an Electronic Benefits Transfer (EBT) Card. This card, also called a "Quest Card", is used like a debit card to purchase food items at stores. This online pamphlet tells how and where to use the card once approved for benefits.
PDF format. Translations.

Printable Forms

  • Change of Circumstances (form 14-076)

Form for reporting changes or requesting termination. This form also lists what changes need to be reported.
PDF format. Translations.

SCHOLARSHIPS come from a variety of sources, including the college you plan to attend.  Be sure to fill out the scholarship application ( if required) when you complete you application for admission.  Scholarships are awarded based on merit and /or need.  Money is typically distributed quickly so waiting to apply for scholarships is not a good idea.  

Here are a few websites to look for scholarship opportunities:

Scholarships are listed in order of deadline.  

Tips to Avoid Scholarship Scams

ACC Scholarships - Deadlines vary

American Psychological Association Scholarships, Grants an Awards -  Deadlines Vary 

Scholarship Deadlines by Month -  Deadlines Vary 

Weird Scholarships -  Deadlines Vary 

Zinch Three Sentence Essay Scholarship -  Deadlines Vary

Form Swift -  Deadline Varies
Business focused scholarship

Business Degree Scholarships - Deadlines Vary

Texas Tech Scholarships - Deadline Varies

How to Start a Blog Scholarship -  Deadline;  Applications Accepted Year Round

AFSA Scholarships -  Deadlines Vary 

Pathevo Scholarship -  Deadlines Vary 
A No Essay Scholarship   This is not college nor major specific.  

Imagine America Foundation-  Deadlines Vary; Geared for trade school students.


Local Scholarships

Cherry Gray P.E.O Scholarship -  Deadline:  January 31, 2018   Must be female to apply. 

United Heritage Community Scholarship -  Deadline:  February 15, 2018

Hays County A & M Mothers Club - Deadline:  March 7, 2018

PEC COOP Scholarships -  Deadline:  March 21, 2018   Two of our 2017 graduates won scholarship money last year. 

DSHS Tennis Scholarship -  Deadline: March 29, 2018

Austin Area CTE Scholarship Oppotrunities -  Deadline:  March 31, 2018 

Austin Community College Foundation Scholarships -  Deadline:  April 1, 2018

Young Women's Alliance -  Deadline April 1, 2018 

Dripping Springs Lions Club Scholarship -  Deadline:  April 2, 2018

Ann Hohman Scholarship -  Deadline:  April 2, 2018  For future educators. 

Dripping Springs Rotary Scholarship -  Deadline:  April 2, 2018

DSABC Scholarship -  Deadline:  April 6, 2018

Dripping Springs Women's Club Scholarship -  Deadline:  April 9, 2018

Dripping Springs Order of the Eastern Star -  Deadline:  April 10, 2018

Dripping Springs A & M Club - Deadline:  April 10, 2018

DSHS PTSA Scholarship -  Deadline:  April 13, 2018   Applicant must be a current PTSA member as of 11/15/17.

Dripping Springs Theatre Booster Club Scholarship -  Deadline:  April 15, 2018

Stephen and Caroline Bradford Entrepreneurial Scholarship -  Deadline:  April 30, 2018   

Brittany Tuck Scholarship -  Deadline:  May 4, 2018


The expired scholarships are left up for reference only. Scroll down for current scholarship opportunities.   

TAR Creative Content Writing Scholarship-  Deadline:  September 30, 2017

Hiking Ambition Wellness Scholarship -  Deadline:  September 30, 2017

Voy Media Entrepreneur Scholarship -  Deadline:  September 30, 2017

The Beauty + Wellness Scholarship -  Deadlines:  September 30, 2017, Jan. 1, 2018 ,Mar. 31, 2018 , June 30,2018.  This scholarship is awared every quarter.  Students are asked to write a brief 500 word essay on their experiences maintaining health + wellness while enrolled in school. 

Amazelaw Scholarship -  Deadlines:  September 30, 2017, January 15, 2018 and March 31, 2018.  This scholarship is run three times a year.  Type a 500-1000 word essay on the following question: What types of legal penalities would you believe would effectively deter drivers from texting while driving.

 Maid Sailors Scholarship -  Deadline : Sept 30, 2017
Create a 2-4 minute video explaining why you think education is the key to a brighter future, and how you can shape society. 

Hispanic Heritage Scholarship -  Deadline Oct. 2, 2017

Wendy's Heisman Scholarship -  Deadline: Oct. 2, 2017

United States Presidential Scholars -  Deadline:  Oct. 6, 2017

Coca Cola Scholars Program Scholarship -  Deadline: Oct. 31,2017

Real Estate Scholarship -  Deadline:  Oct. 31, 2017

Furious Grill Eat Healthy Scholarship -  Deadline:  Nov. 15,2017

Internet Marketing Scholarship  -  Deadline:  Nov. 30,2017

Griswold Home Care Annual Scholarship -  Deadline: Nov. 30, 2017

The Uncomfortable Scholarship -  Deadline:  Dec. 1, 2017. It's a fact of life that sometimes we’ll find ourselves in some not-so-comfortable situations. But it’s overcoming these challenges that make us grow. Tell your story about how you faced an uncomfortable situation and how you handled it.

Pillow For Life Scholarship -  Deadline:  Dec. 15, 2017

Lead Roster B2B Sales & Marketing -  Deadline:  Dec. 15, 2017

Houzz Scholarship Opportunities -  Deadline:  Dec. 15, 2017   Geared for the student interested in Architecture, Residential Design and Construction Management

The SEO &Content Marketing -  Deadline:  Dec. 15, 2017

Discover Student Loans Scholarship -  Deadline:  Dec. 31, 2017

NHS Scholarship -  Deadline:  Jan. 30, 2018

A+Federal Credit Union -  Deadline:  February 5, 2018

Design a Better Future -  Deadline:  February 11,2018

University of Houston Frontier Fiesta 2018 Scholarship -  Deadline:  February 15, 2018   Offered to incoming freshmen who will be attending the University of Houston.

TXDOT Engineering Scholarship Opportunities -  Deadline:  March 1, 2018

Austin Board of Realtors Scholarship -  Deadline:  March 2, 2018 

Microsoft DisAbility Scholarship -  Deadline:  March 15, 2018 

Phi Delta Kappa ( PDK) Prospective Educator Scholarship -  Deadline:  March 21, 2018  Application procedures and guidelines. 

Hispanic Scholarship Fund -  Deadline:  March 30, 2018

Texas Rural Education Association Scholarship -  Deadlline April 1, 2018   Intended for the future teacher.   

Young Women's Alliance Scholarship -  Deadline:  April 1, 2018                                                                          

Wedding Retouching Scholarship - Deadline:  April 24, 2018

Texas Interscholastic League Foundation- Deadline:  May 11, 2018    TILF provides scholarships to students who participate in UIL academic and music competitions.  Aug. 31, 2018 

Fannie Bowzer and Gomillion Byars Scholarship -  Deadline:  April  25, 2018    Must be African American to apply. 

iVisa Annual Scholarship -  Deadline:  May 15, 2018
Write a 500 word story.  The story must discuss how you learned a new culture, and how the cultural experience improved your life.  

Best Mattress Reviews Scholarship -  Deadline: May 19, 2018

Quit Smoking Scholarship -  Deadline:   May 31, 2018

Ziprecruiter Scholarship -  Deadline:  June 30, 2018 Financial Futures Scholarship -  Deadline:  July 31, 2018 

Aspiring Nurse Scholarship  -  Deadline August 31, 2018 

Annual $2400 Student Scholarship  -  Deadline August 31, 2018

The Unsullyd Annual $2000 Student Scholarship Program -  Deadline:  October 31, 2018.  Write a word articile on the topic " The Power of Natural Skin Care and Organic Makeup"