2015 Scholarship Application Alcorn State University Alumni Association of Middle TN

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1 2015 Scholarship Application Alcorn State University Alumni Association of Middle TN The Alcorn State University Alumni Association of Middle TN is proud to offer a scholarship for the continuance of your post-secondary education. If you meet the criteria and wish to be considered for the award, please submit an application along with the required documentation to the Scholarship Committee at the address listed below. The Scholarship will be awarded for the school term. I. Student Eligibility To be eligible for the Alcorn State University Alumni Association of Middle TN Scholarship, a student must meet the following criteria: 1. Be a resident of the State of Tennessee, Middle TN area 2. A graduate of a Middle TN area high school 3. Minimum 2.5 (4.0 scale) grade point average 4. Been accepted as a full-time student at Alcorn State University II. Student Criteria The following criteria will be utilized to select the award recipients: GPA ACT and/or SAT score Essay Involvement in Civic/Community Service Participation in extracurricular activities III. Application Submission As an applicant, along with your application, you should attach the following documentation and it should be submitted NLT June 15, A brief autobiography and essay titled Why I selected Alcorn State University to further my Education (350 word minimum) Two (2) letters of reference: One (1) academic reference (on official school letterhead) and one (1) character reference Official, sealed copy of your high school transcript or current University transcript Copy of SAT and/or ACT test scores Passport-size color photo (plain background, no group photos) Alcorn State University acceptance letter

2 IV. Award Selection Process A listing of eligible applicants will be submitted to the committee NLT the 1 st Saturday commencing the month after the due date of all applications (June 15, 2015). Scholarship applications will be reviewed on the merit of the Student Criteria listed in Outline II above. The committee will present the most eligible applications to the alumni body for voting selections during the 1 st Saturday meeting commencing the month after the committee is presented with the applications. Congratulatory letter(s) will be mailed to the Scholarship award recipients, duplicate copy sent to the parent/guardian listed on the application.

3 CERTIFICATION I understand the information previously read for the conditions of eligibility and criteria for the Alcorn State University Middle TN Chapter Scholarship. I certify that the information contained herein this application and attachments are true and accurate to the best of my knowledge. If asked by an authorized official, I agree to provide proof of the information I have stated on this form. Please sign below confirming your knowledge of this certification. Applicant s Signature Date signed Point of contact: All completed applications should be mailed to the address stated below. Only completed applications will be considered. If there are any questions, please contact Ms. Stacey Lanier at (615) Mailing Address: Alcorn State University Alumni Association of Middle TN Attn: Scholarship Committee P.O. Box Nashville, TN 37212

4 (Please print or type) PERSONAL DATA Alcorn State University Alumni Association of Middle TN JEWEL HULL SCHOLARSHIP APPLICATION NAME: LAST FIRST M.I. HOME ADDRESS: STREET CITY ST ZIP TELEPHONE: ( ) CELL PHONE: ( ) SOCIAL SECURITY NO: D.O.B.: CITIZEN STATUS: U.S. Citizen *Eligible Non-Citizen (*Must provide copy of Alien Registration Card: I-151 or I-551) EDUCATION: H.S. Attended: G.P.A.: What type of degree are you pursuing? Please list other scholarship, external aid, or financial aid that you are or will be receiving for the academic year: Please list scholarship(s) for which you have applied or plan to apply for the academic year:

5 Alcorn State University Alumni Association of Middle TN JEWEL HULL SCHOLARSHIP APPLICATION Items listed below are a part of the application packet. Please attach any additional sheets of paper as needed with your name and social security number listed on each page. 1. Please list any awards, accomplishments or recognitions you received during the past 4 years (include specific time and date of related event). 2. Please describe activities and/or work experience other than those directly related to your high school experience. You may list (for example: community service, church activities, part-time or full-time employment). 3. Please list and/or describe any leadership skills/roles, extracurricular activities or memberships in which you are involved. 4. Write a short essay (one page only) explaining why furthering and/or earning your college education is important to you (separate sheet). 5. Applicant must provide two letters of recommendation; one must be from a supervisor, faculty member or other individual knowledgeable with applicant's qualifications (family members are ineligible). 6. Please provide a small individual photo (non-returnable). 7. An official school transcript Do you have any relatives (by blood or by marriage) who are currently members of an Alcorn Alumni Chapter? If yes, please provide their name, relationship to you and chapter location: Do you have any immediate (parents, siblings or grandparents) family member(s) who graduated from Alcorn State University? If yes, please provide their name, relationship to you and graduation date:

6 Alcorn State University Alumni Association of Middle TN JEWEL HULL SCHOLARSHIP GUIDELINES The Middle TN Alumni will award a limited number of scholarships, based on the availability of institutional and private funds, to academically meritorious or needy students. The scholarship totals $ per academic year (Sept.-May), $ when awarded by semester. Institutional scholarships are provided to assist academically-deserving students; however, students with demonstrated need will also be considered. All scholarships and other financial aid already awarded will be taken into consideration when determining eligibility. I. ELIGIBILITY REQUIREMENTS Recipients of the institutional scholarship are required to: A. Complete the Free Application for Federal Student aid for need-based consideration. B. Be enrolling as a first time student at Alcorn State University. C. Pursuing a Bachelor s Degree. D. Enroll as a full-time student for both fall and spring semesters. E. Have and maintain academic progress and a satisfactory GPA of F. Maintain satisfactory behavior during school term according to Alcorn s disciplinary policy. G. U.S. citizen or eligible non-citizen. II. III. IV. APPLICATION PROCEDURES A. Complete and submit a Scholarship Application along: B. Submit an official high school transcript. C. One page essay about yourself explaining why obtaining your education is important to you. D. Two letters of recommendation (non-family member). E. A non-returnable photo. SELECTION RECIPIENTS Selections will be based on student s overall academic progress, financial need, extracurricular activities, leadership roles/skills, and participation in community services. NOTICE OF AWARDS Students will be notified by letter of scholarship award or denial. Specific details outlining time, date and/or recognition of award will be included the letter. V. RENEWAL OF SCHOLARSHIP This scholarship is not renewable.

7 VI. REVOCATION OF AID The Middle TN Alumni reserves the right to cancel any scholarship or aid awarded at any time if the applicant fails to meet the standards of academic progress, other scholarship requirements, or falsifies information reported. (Keep for your records) Alcorn State University Alumni Association of Middle TN JEWEL HULL SCHOLARSHIP CERTIFICATION Having fully read and understood the criteria and instructions for submitting an application for the Jewel Hull Scholarship. I hereby submit this completed application packet for consideration of an award. I further understand there is no guarantee of an award, and any award made will be based on an objective review of all applications received and total amount of funds available for awards. I further understand and accept that, should I receive the Jewel Hull Scholarship award, I will comply with the hope of the donor(s) who made this scholarship possible. I further understand and agree that information about my academic progress and other information appearing within my application may be shared with the originating donor and chapter affiliation. I certify that all the information included in this application is true and complete. I hereby grant permission to the Alcorn State University Alumni Association of Middle TN to verify such information and to release information to the alumni chapter of any scholarship for which I may have received. Applicant s Signature Date

8 APPLICATION SUBMISSION: Return the completed application packet by June 15, 2015 to an Alcorn State Alumni Association of Middle TN member or mail to: Alcorn State Alumni Association of Middle TN P.O. Box Nashville, TN The Alcorn State University Alumni Association of Middle TN of acknowledges that educational opportunities are offered without, regard to race, color, age, gender, nationality, religion, or disability with respect to access, employment programs, or services. FOR OFFICE USE ONLY Fall Term $ MTAAC Approval Signature Spring Term $ Date

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