The Barbara Lewis King Scholarship Foundation Scholarship Application 2016 The purpose of the Barbara Lewis King Foundation Scholarship is to invest in the future of young men and women through a scholarship program awarding scholarships to eligible college bound high school students. In addition, the foundation seeks to encourage and support the development of civic responsibility and leadership skills in participating students/applicants through church service, community service, commitment to academics and creative expression. Student (Applicant) must: Eligibility Requirements 1. Provide a record of community service: volunteering at school, church, and the community. The leader or director of the organization and or service must document a record of your service in a letter. 2. Demonstrate a dedication to academics, with a minimum of a 3.0 GPA or a meaningful expression of creativity, and/or additional leadership skills. 3. Provide proof of graduation and acceptance to a 4-year college/university, community college, or technical school. 4. Complete the attached application, which must be received by the committee on or before 12:00 noon, Sunday May 1st, 2016. As a part of the application we require a brief essay, a questionnaire form, an official sealed school transcript, two written recommendations from a school official and one recommendation from a community leader who knows you well. This scholarship applies to Georgia residents only. The Scholarship Procedure Scholarships shall be monetary in nature and shall be derived from the Barbara Lewis King Scholarship Foundation which is supported by voluntary contributions, and fundraisers. Scholarships will be provided one time and are not renewable. Applicants will be scheduled for an interview with the Barbara Lewis King Scholarship Committee and Dr. Barbara Lewis King. Recipients nominated for the scholarship award will be notified by mail. The number and amounts of scholarship distributions will depend upon the number of participants in the Program and the availability of scholarship funds. 1
The Barbara Lewis King Foundation Scholarship Application 2016 Application Instructions Please return the completed application packet to a member of the Barbara Lewis King Foundation Scholarship Committee, or place in the Scholarship Mailbox outside the Church Office on or before 12:00 noon on Sunday May 1st, 2016. The mailing address is, Barbara Lewis King Scholarship Foundation., 2450 Cascade Rd., Atlanta, Ga. 30311, Attention: Scholarship Committee. Applications that are mailed must be received by Sunday May 1st, 2016. Your application packet must be in a manila envelope with your name on it. Printable copies of the application are available at www.blksf.net. The application packet must include in the following order: 1. Completed application information form. 2. A recent 5x7 picture (head shot) of yourself in appropriate attire, with your name printed on the back of the picture. All photographs become a part of the official application and will not be returned. 3. Provide a one paragraph response to each of the following questions, A through E. (see attachment page): A. The scholarship is named in honor of Dr. Barbara Lewis King. Please write an essay on Dr. Barbara s accomplishments and how they have enlightened or inspired you. B. What impact has your faith made in your life and how do you plan to use it? C. What are your career goals and your strengths as they apply to this career? D. List and describe accomplishments, awards, affiliations, volunteer and extracurricular activities, interest, and hobbies. E. Why should scholarship assistance from the Barbara Lewis King Scholarship Foundation be awarded to you? 4. Submit a ½ to 1 page, 12pt. font, and single-spaced essay on a topic of your choice. 5. A copy of your acceptance letter from the college/university, community college, or technical school. 6. A sealed copy of your official school transcript. 7. A letter from the leader or director of the organization where you have provided community service. 8. Two sealed letters of recommendation, from teachers, professors, or school officials. Your name must be placed on the top left hand corner of all documents/envelopes, and placed on the back of your photo. If you have questions about the application or the application procedure, please do not hesitate to contact us at: barbaralewiskingscholarship@gmail.com or call 678-390-4392 Only applications completed as above instructions will be considered. We look forward to considering your application. 2
Barbara Lewis King Foundation Scholarship Application 2016 Scholarship Application Packet Check Off List In order to avoid unnecessary delay of the processing of your scholarship application, please make certain that you carefully check off each of the required submission items. Please place this Check Off Sheet on the top of your application packet Completed application information form Recent 5x7 photo (head shot), with name printed on the back (Please see the attachment example for the actual size of a 5x7 photo). Responses to questions A through D, single-spaced, 12 pt. font ½ to one page essay, single-spaced, 12 pt. font, topic of your choice Copy of acceptance letter from college or technical school Sealed copy of official school transcript Letter from Leader or Director where you performed Community Service Two sealed Letters of Recommendation Your name is placed on the top left hand corner of all documents/envelopes The number and amounts of scholarship distributions will depend upon the number of participants in the Program and the availability of scholarship funds. By registering for this scholarship, I agree that BLKSF*, its employees, volunteers, and agents have the right to photograph, videotape, and /or record me as a recipient and use my photograph, videotape and/or recorded name, likeness, voice, and statements to promote BLKSF including without limitation, a derivative use, without compensation to me, at the sole discretion of BLKSF. I release BLKSF, its agents, affiliates, and licensees from all liability connected to their use of my name, likeness, voice or statements including, without limitation, any right of privacy of publicity claims. Print Name Signature Date Parent/ Guardian Signature Date Print name *BLKSF =Barbara Lewis King Scholarship Foundation 3
Barbara Lewis King Foundation Scholarship Application 2016 Attachment for Questions (A-E) Please return typed, single spaced 12pt. font A. The scholarship program is named in honor of Dr. Barbara Lewis King. Please write an essay on Dr. Barbara s accomplishments & how they have enlightened or inspired you B. What impact has your faith made in your life and how do you plan to use it? C. What are your career goals and your strengths as they apply to this career? D. List and describe accomplishments, awards, affiliations, volunteer and extracurricular activities, interest, and hobbies. E. Why should scholarship assistance from the Barbara Lewis King Scholarship Foundation be awarded to you? 4
Barbara Lewis King Scholarship Foundation Scholarship Application Information Form 2016 (Please Print) Application Deadline: on or before 12:00noon Sunday May 1st, 2016 Student s Name (Print) Address City State Zip Code Telephone (including area code) Email School/College Grade/Level Parent/Guardian Name(s) (if applicable) Address (If Different From Above) City State Zip Code Telephone Number (including area code) Email After receipt and review of this completed application packet, the Scholarship Committee will contact you for an interview. If you require additional information or assistance please contact Barbara Lewis King Scholarship foundation at: barbaralewiskingscholarship@gmail.com or call 678-390-4392 5