Blacks in Government Department of Health and Human Services/ College Park Complex Chapter 2015 SCHOLARSHIP APPLICATION

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Blacks in Government Department of Health and Human Services/ College Park Complex Chapter 2015 SCHOLARSHIP APPLICATION BACKGROUND Blacks in Government (BIG) is a professional organization for the civil service employee. The Department of Health and Human Services (HHS), College Park Complex Chapter is comprised of employees of HHS and the U.S. Food and Drug Administration (FDA) who are located in Washington, DC and College Park, Maryland. Additional information on the national organization of BIG may be found at http://www.bignet.org. Additional information on the HHS/College Park Complex Chapter may be found at http://www.bignet.org/regional/hhssw.complex. AWARDS The HHS/College Park Complex Chapter is pleased to announce that it will award at least three $1,000 academic scholarships and at least two $500 Reginald Bennett and Garnett Wood Book Awards in 2015. ELIGIBILITY REQUIREMENTS To be considered for a book award or scholarship, the applicant must: Be a graduating senior from an accredited secondary educational institution in one of these areas (BIG Region XI, http://www.bigrxi.org/): District of Columbia, Charles County, MD, Montgomery County, MD, Prince Georges County, MD, Alexandria, VA, Arlington County, VA, Fairfax City, VA, Fairfax County, VA, Falls Church, VA, Loudon County, VA, and Prince William County, VA. Enter a four-year university or college as a full-time freshman in the Fall of 2015; Have a scholastic average of at least 2.75 on a 4.0 scale; Not be an immediate relative (son or daughter) of a member of the BIG HHS/College Park Complex Chapter. APPLICATION PROCEDURES The application packet must include the following:

Scholarship Application (attached). A typed application is preferred. One recommendation from an official or teacher of the applicant s current school, with the official's signature on the letter. One recommendation from an official of the applicant s extracurricular activity (e.g., school activity, community organization, church, or employer), with the official's signature on the letter. A copy of the applicant s high school transcript in an envelope sealed by a school official, with the official's signature or the school stamp across the sealed portion of the envelope. A copy of the applicant s resume, which will include GPA, any work experience, extracurricular activities, community service, AP courses, honors courses, and college credit courses. The 2015 National Black History Month theme is A Century of Black Life, History, and Culture. Please provide a typed single spaced essay of between one and three pages on the following topic: Nelson Mandela believed that what counts in life is not the mere fact that we have lived. It is what difference we have made to the lives of others that will determine the significance of the life we lead. Describe a situation in your own life that relates to these words and how you think it will influence your future aspirations. The completed application packet must be postmarked by March 16, 2015 and returned to the address below. Please do not fold the application or use staples. Final selections will be made by April 20, 2015. All students will be notified of their status after this date. Rhoma Johnson, PhD BIG Scholarship Committee Chair U.S. Food and Drug Administration/ HFS-317 5100 Paint Branch Parkway College Park, MD 20740 For additional information or questions, please contact Rhoma Johnson, PhD at 240-402-2066 or Reginald Bennett at 240-402-2009.

Blacks in Government Department of Health and Human Services/ College Park Complex Chapter 2015 SCHOLARSHIP APPLICATION Directions: Please type or print your information on the blanks provided. You may attach additional sheets if needed. Put your name on the top of each separate page submitted. I. PERSONAL INFORMATION Student's Name: Permanent Address: Home Telephone Number: Cell Phone Number: Email Address: Parent(s)/Legal Guardian(s):

Name: II. SCHOOL INFORMATION High School: Address: High School Counselor: Graduation Date: Grade Point Average: (Check One) Unweighted: Weighted: IV. COLLEGE APPLICATIONS List the colleges and universities to which you have applied. Please place an asterisk next to those to which you have been accepted. 1. 5. 2. 6. 3. 7. 4. 8.

Name: V. EXTRACURRICULAR ACTIVITIES List the school and community organizations in which you have participated in high school, the years during which you participated, and any office(s) you held or currently hold in those organizations. Also list community service activities in which you regularly participate. ACTIVITY YEAR(S) YOU PARTICIPATED (e.g., 9 th 11 th grades) OFFICE(S) HELD VI. COMMUNITY SERVICE List community service activities in which you regularly participate. ACTIVITY YEAR(S) YOU PARTICIPATED (e.g., 9 th 11 th grades) NUMBER OF HOURS COMPLETED

VII. HONORS, AWARDS AND RECOGNITION List the honors, awards and any other recognition that you have received and the dates you received them. VIII. INTERN/WORK EXPERIENCE List your part or full time work or intern experience (paid or unpaid). Start with your most recent job, identifying the employer, job title, supervisor, and length of each position. EMPLOYER JOB TITLE SUPERVISOR DATES OF EMPLOYMENT IX. CERTIFICATION By the signature below, you affirm that all information you provide is true and complete to the best of your knowledge. Misrepresentation or the submission of inaccurate or incomplete information will result in disqualification or forfeiture of any award. Applicant Signature Date Parent/Guardian Signature Date High School Counselor Signature Date