NAACP Scholarship Information Packet APPLICATION INSTRUCTIONS Application forms and required documents must be postmarked on or before the last Friday in the month of March. GENERAL INSTRUCTIONS: Please read the following information before completing this application. 1. You must fully complete a separate typed application for each scholarship for which you are applying. If you need more than one application, you must photocopy the enclosed application. 2. Complete and attach the title page and all supporting documents to each complete application. FOR EXAMPLE: IF YOU ARE APPLYING FOR THE HBCU SCHOLARSHIP FUND AND THE ROY WILKINS SCHOLARSHIP, TWO APPLICATIONS MUST BE SUBMITTED WITH THE HBCU SCHOLARSHIP FUND YOU SHOULD ATTACH: A. Title page for the HBCU Scholarship Fund B. Three recommendation letters C. An official transcript D. Financial verification information E. Evidence of full-time enrollment F. One page essay THEN, A SEPARATE TYPED APPLICATION MUST BE SUBMITTED FOR THE ROY WILKINS SCHOLARSHIP; WITH IT YOU SHOULD ATTACH: A. Title page for the Roy Wilkins Scholarship B. Two recommendation letters C. An official transcript D. Financial verification information E. CollegeUniversity Acceptance Letter F. Verification of NAACP membership G. One page essay All applications must include the required materials. The UNCFNAACP will not be responsible for making duplicate copies of applications andor required materials. If required materials are not included with each separate application, your application will be considered incomplete. All incomplete applications will be disqualified. Send to: The United Negro College Fund Scholarships & Grants Administration 8260 Willow Oaks Corporate Drive Fairfax, VA 22031 ATTN: Kimberly Hall Phone: 703.205.3400 www.uncf.org Scholarship recipients will be listed on the NAACP web page (www.naacp.org) by Mid- July of each year. Only scholarship recipients will receive official notification. -1
THE EARL G. GRAVES SCHOLARSHIP Please sign and attach this page to completed typed application ELIGIBILTY CRITERIA Applicant must be a junior or senior Business major enrolled in an accredited college or university in the United States; or a graduate student enrolled or accepted to a master s or doctoral program within a Business school at an accredited college or university in the United States (Applicant may apply during their sophomore year). Applicant must currently be in good academic standing and making satisfactory progress toward an undergraduate or graduate degree. Applicant must be a full-time student. Applicant must be in the top 20% of hisher class Applicant need not demonstrate a financial need. Members of the National NAACP Board of Directors, SCF Trustees, National Youth Work Committee, the NAACP Scholarship Selection Committee, employees and their spouses or families to the first degree of consanguinity are not eligible to apply for or receive this scholarship. AWARD: $5,000 REQUIRED MATERIAL Please submit the following with your completed TYPED application: Three letters of recommendation (other than relatives): One personal reference, two academic references from the business school of the accredited college (academic letters must be on official letterhead). Recent official college transcript. Evidence of full-time enrollment. If selected, verification of enrollment must be furnished. One page essay (see section H of the Applicant Personal Information Form ) Have you included? One Page Essay Transcript Three Recommendations Verification of Enrollment Student Signature: Date: - 2
THE AGNES JONES JACKSON SCHOLARSHIP Please sign and attach this page to completed typed application ELIGIBILTY CRITERIA Applicant must be a current member of the NAACP. Applicant must submit a copy of their NAACP membership card or membership application to verify membership. Applicant must be a citizen of the United States and be enrolled in an accredited college or university in the United States. Undergraduate applicant must be a full-time student. If a student drops below the required full-time status, the Scholarship Selection Committee will adjust the grant received to 50% of the award allocated for that semester. Graduate applicant may be a full- or part-time student. Graduating high school seniors and undergraduate students must possess a grade point average of 2.5 (C+) on a 4.0 system. Graduate students must possess a 3.0 (B) average on a 4.0 system. Applicant must demonstrate financial need based on the following scale: Persons in Family Income Limits Persons in Family Income Limits 1 $ 14,355 5 $ 33,915 2 $ 19,245 6 $ 38,805 3 $ 24,135 7 $ 43,695 4 $ 29,025 8 $ 48,585 Applicants who exceed the income limitations may apply and compete for a certain amount set aside for those students. Renewals will not be automatic. Recipients will have to compete for the renewal of their scholarships. Additional information, such as the most recent cumulative grade point average, NAACP activities, as well as other civil rights activities, and academic awards will be considered. The renewal award may be reduced or denied based on insufficient NAACP activities. Applicants for the Agnes Jones Scholarship must not have reached the age of 25 by the application deadline. Members of the National NAACP Board of Directors, SCF Trustees, National Youth Work Committee, the NAACP Scholarship Selection Committee, employees and their spouses or families to the first degree of consanguinity are not eligible to apply for or receive this scholarship. AWARD: Undergraduate: $1,500 Graduate: $2,500 REQUIRED MATERIALS Please submit the following with you completed TYPED application: Three letters of recommendation (other than relatives): One personal reference, one academic reference and one NAACP reference. - 3
The NAACP letter of recommendation should be from the Advisor of the Youth Council or College Chapter; member of the Executive Committee of the Branch, Youth or College Chapter; member of the National Board; SCF Trustees; member of the National Youth Work Committee; or NAACP employee, except for those persons who are current members of the Scholarship Committee. Persons submitting letters must specify title and use NAACP letterhead. Recent official transcript of grades (high school or college). Financial Verification Information -College Scholarship Service, Princeton, New Jersey 08540 or -Student Aid Report (SAR) or -Free Application for Federal Student Aid (FAFSA) or -Complete copy of parents most recent Income Tax Forms NOTE: Student Aid Report (SAR) After the Department of Education processes your FAFSA application, you will be sent a Student Aid Report (SAR). The SAR outlines the information you provided on the FAFSA and reports your Expected Family Contribution (EFC). Evidence of full-time enrollment or application for full-time enrollment for undergraduate applicants (verified by a copy of the application for enrollment; acceptance letter, or letter from the university verifying status). If selected, verification of enrollment must be furnished. Evidence of NAACP membership, verified by a copy of membership card or receipt of membership. One page essay (see section H of the Applicant Personal Information Form ) Have you included? Transcript Verification of NAACP Membership Financial Information Three Recommendations Verification of Enrollment One Page Essay Student Signature: Date: - 4 -
THE HBCU SCHOLARSHIP FUND Please sign and attach this page to completed typed application ELIGIBILITY CRITERIA Applicant must be a current student or incoming freshman at a Historically Black College or University. Applicant must be a citizen of the United States and apply to be accepted at an accredited college (excluding proprietary schools) in the United States. Applicant must be a full-time student. If a student drops below the required full-time status, the Scholarship Selection Committee will adjust the grant received to 50% of the award allocated for that semester. Applicants must possess a cumulative grade point average of 2.5 (C+) on a 4.0 system. NAACP membership and participation is highly desirable. Applicant must demonstrate financial need based on the following scale: Persons in Family Income Limits Persons in Family Income Limits 1 $ 14,355 5 $ 33,915 2 $ 19,245 6 $ 38,805 3 $ 24,135 7 $ 43,695 4 $ 29,025 8 $ 48,585 Members of the National NAACP Board of Directors, SCF Trustees, National Youth Work Committee, the NAACP Scholarship Selection Committee, employees and their spouses or families to the first degree of consanguinity are not eligible to apply for or receive this scholarship. AWARD: $2,000-5 -
REQUIRED MATERIALS Please submit the following with your completed TYPED application: Three letters of recommendation (other than relatives): One personal, one academic reference and one NAACP reference. The NAACP letter of recommendation should be from the Advisor of the Youth Council or College Chapter; member of the Executive Committee of the Branch, Youth or College Chapter; member or the National Board; SCF Trustees; member of the National Youth Work Committee; or NAACP employee, except for those persons who are current members of the Scholarship Committee. Persons submitting letters must specify title and use NAACP letterhead. Recent official transcript of grades. One page essay (see section H of the Applicant Personal Information Form ) Financial Verification Information -College Scholarship Service, Princeton, New Jersey 08540 or -Student Aid Report (SAR) or -Free Application for Federal Student Aid (FAFSA) or -Complete copy of parents most recent Income Tax Forms NOTE: Student Aid Report (SAR) After the Department of Education processes your FAFSA application, you will be sent a Student Aid Report (SAR). The SAR outlines the information you provided on the FAFSA and reports your Expected Family Contribution (EFC). Evidence of full-time enrollment or application for full-time enrollment. If selected, verification of enrollment must be furnished. Have you included? Transcript Verification of NAACP Membership Financial Information Three Recommendations Verification of Enrollment One Page Essay Student Signature: Date: - 6
THE LILLIAN & SAMUEL SUTTON EDUCATION SCHOLARSHIP Please sign and attach this page to completed typed application ELIGIBILTY CRITERIA Applicant must be an Education major and a United States citizen enrolled in an accredited college in the United States. NAACP membership and participation is highly desirable. Undergraduate applicant must be a full-time student. If a student drops below the required full-time status, the Scholarship Selection Committee will adjust the grant received to 50% of the award allocated for that semester. Graduate students may be full or part-time students. Graduating high school seniors and undergraduate students must possess a grade point average of 2.5 (C+) on a 4.0 system. Graduate students must possess a 3.0 (B) average on a 4.0 system. Renewals will not be automatic. Recipients will have to compete for the renewal of their scholarship and must maintain a 2.5 GPA for undergraduates and a 3.0 for graduates to qualify for renewal. Additional information such as recent GPA, and verification of education major will be considered. Members of the National NAACP Board of Directors, SCF Trustees, National Youth Work Committee, the NAACP Scholarship Selection Committee, employees and their spouses or families to the first degree of consanguinity are not eligible to apply for or receive this scholarship. AWARD: Undergraduate: $1,000 Graduate: $2,000 REQUIRED MATERIALS Please submit the following with your completed TYPED application: Two letters of recommendation from a teacher or professor in the major field of specialization. Letters must be typed on appropriate letterhead. Evidence of full-time enrollment or application for full-time enrollment for undergraduate applicants (verified by a copy of the enrollment application; acceptance letter; or letter from the university verifying status). If selected, verification of enrollment must be submitted. Recent official college transcript. Financial Verification Information -College Scholarship Service, Princeton, New Jersey 08540 or -Student Aid Report (SAR) or -Free Application for Federal Student Aid (FAFSA) or -Complete copy of parents most recent Income Tax Forms NOTE: Student Aid Report (SAR) After the Department of Education processes your FAFSA application, you will be sent a Student Aid Report (SAR). The SAR outlines the information you provided on the FAFSA and reports your Expected Family Contribution (EFC). One page essay (see section H of the Applicant Personal Information Form ) - 7
Have you included? Transcript Verification of Employment Two Recommendations Financial Information Verification of NAACP Membership One Page Essay For High School Seniors Only: CollegeUniversity Acceptance Letter Student Signature: Date: -8
THE ROY WILKINS SCHOLARSHIP Please sign and attach this page to completed typed application ELIGIBILTY CRITERIA Applicant must be an entering college freshman. Applicant must be a citizen of the United States and seeking enrollment in an accredited college in the United States. NAACP membership and participation is highly desirable. Undergraduate applicants must be full-time students. If a student drops below the required full-time status, the Scholarship Selection Committee will adjust the grant received to 50% of the award allocated for that semester. Applicant must possess a grade point average of at least 2.5 (C+) on a 4.0 system. The Roy Wilkins Scholarship is not renewable. Members of the National NAACP Board of Directors, SCF Trustees, National Youth Work Committee, the NAACP Scholarship Selection Committee, employees and their spouses or families to the first degree of consanguinity are not eligible to apply for or receive this scholarship. AWARD: $1,000 REQUIRED MATERIALS Please submit the following with your completed TYPED application: Two letters of recommendation (other than relatives): One personal reference and one academic reference. Current official transcript of grades (high school). Copy of application for admission or letter of acceptance from college or university. Copy of NAACP membership card or receipt of membership. Financial Verification Information -College Scholarship Service, Princeton, New Jersey 08540 or -Student Aid Report (SAR) or -Free Application for Federal Student Aid (FAFSA) or -Complete copy of parents most recent Income Tax Forms NOTE: Student Aid Report (SAR) After the Department of Education processes your FAFSA application, you will be sent a Student Aid Report (SAR). The SAR outlines the information you provided on the FAFSA and reports your Expected Family Contribution (EFC). One page essay (see section H of the Applicant Personal Information Form ) - 9 -
Have you included? Transcript Verification of NAACP Membership CollegeUniversity Acceptance Letter Two Recommendations Financial Information One Page Essay Student Signature: Date: - 10
THE HUBERTUS W.V. WILLEMS SCHOLARSHIP FOR MALE STUDENTS Please sign and attach this page to completed typed application ELIGIBILITY CRITERIA Applicant must be a male majoring in one of the following fields: Engineering, Chemistry, Physics or Mathematical Sciences. Applicant must be a citizen of the United States and be applying to or accepted at an accredited college (excluding proprietary schools) in the United States. NAACP membership and participation is highly desirable. Undergraduate applicant must be a full-time student. If a student drops below the required full-time status, the Scholarship Selection Committee will adjust the grant received to 50% of the award allocated for that semester. Graduate applicant may be a full or part-time student. Graduating high school seniors and undergraduate students must possess a grade point average of 2.5 (C+) on a 4.0 system. Graduate student must possess a 3.0 (B) average on a 4.0 system Applicant must demonstrate financial need based on the following scale: Persons in Family Income Limits Persons in Family Income Limits 1 $ 14,355 5 $ 33,915 2 $ 19,245 6 $ 38,805 3 $ 24,135 7 $ 43,695 4 $ 29,025 8 $ 48,585 Members of the National NAACP Board of Directors, SCF Trustees, National Youth Work Committee, the NAACP Scholarship Selection Committee, employees and their spouses or families to the first degree of consanguinity are not eligible to apply for or receive this scholarship. AWARD: Undergraduate: $2,000 Graduate: $3,000 REQUIRED MATERIALS Please submit the following with your completed TYPED application: Two letters of recommendation from a teachers or professors in the major field of specialization. Letters must be typed on appropriate letterhead. Recent official transcript of grades. - 11
Financial Verification Information -College Scholarship Service, Princeton, New Jersey 08540 or -Student Aid Report (SAR) or -Free Application for Federal Student Aid (FAFSA) or -Complete copy of parents most recent Income Tax Forms NOTE: Student Aid Report (SAR) After the Department of Education processes your FAFSA application, you will be sent a Student Aid Report (SAR). The SAR outlines the information you provided on the FAFSA and reports your Expected Family Contribution (EFC). Evidence of full-time enrollment or application for full-time enrollment. If selected, verification of enrollment must be furnished. One page essay (see section H of the Applicant Personal Information Form ) Have you included? Transcript Two Recommendations Financial Information Verification of Enrollment Verification of NAACP Membership One Page Essay Student Signature: Date: - 12 -
Applicant's Social Security Number NAACP Scholarship APPLICANT PERSONAL INFORMATION FORM 2006-2007 3909 To submit this application, please print in black or dark blue ink. For each multiple choice question, fill in the appropriate circle; for the essay question, you must type your response. A. Applicant's Personal Information 1. APPLICANT'S FULL LEGAL NAME FIRST MIDDLE LAST 2. GENDER MALE FEMALE 3. DATE OF BIRTH 4. SOCIAL SECURITY NUMBER 5. CURRENT SCHOOL PHONE NUMBER 6. E-MAIL ADDRESS 7. NO. & STREET ADDRESS CITY PERMANENT HOME MAILING ADDRESS (Do not submit a PO Box address) APT. NUMBER STATE ZIP CODE - COUNTRY (if other than U.S.) 8. PERMANENT HOME PHONE RACE ETHNICITY (You may check only one, even if you identify with more than one of these groups.) African American American IndianAlaska Native Other Hispanic American Asian Pacific Islander American Page 1 of 8
APPLICANT PERSONAL INFORMATION FORM Applicant's Social Security Number A. Applicant's Personal Information (continued) 3909 9. Legal Status U.S. Citizen Yes No 10. Are you a member of the NAACP? Yes No If Yes, to what Branch, Youth Council, or College Chapter do you belong? 11. Indicate the NAACP Scholarship for which you are applying (mark only one per application). The NAACP Agnes Jones Jackson Scholarship The NAACP Earl G. Graves Scholarship The NAACP HBCU Scholarship The NAACP Lillian & Samuel Sutton Education Scholarship The NAACP Roy Wilkins Scholarship The NAACP Hubertus W.V. Willems Scholarship B. Educational Status 12. College University Attending or have been accepted SCHOOL ATTENDING ADDRESS CITY STATE ZIP - MAJOR CLASSIFICATION CUMULATIVE GPA (4.00 SCALE). ANTICIPATED GRADUATION DATE (MMYYYY) CLASS RANK PERCENTILE % Page 2 of 8
APPLICANT PERSONAL INFORMATION FORM Applicant's Social Security Number C. Honors and Awards; Leadership 3909 13. HONORS AND AWARDS (List and indicate the type of honors and awards you have received.) TYPE OF HONORAWARD NAME OF AWARD ACADEMIC ATHLETIC ARTISTIC COMMUNITY SERVICE EMPLOYMENT EXTRACURRICULAR DATE RECEIVED (MMYYYY) Student Classification When Awarded High School Undergraduate Graduate TYPE OF HONORAWARD ACADEMIC ATHLETIC ARTISTIC COMMUNITY SERVICE EMPLOYMENT EXTRACURRICULAR NAME OF AWARD Student High School DATE RECEIVED Classification Undergraduate (MMYYYY) When Awarded Graduate TYPE OF HONORAWARD ACADEMIC ATHLETIC ARTISTIC COMMUNITY SERVICE EMPLOYMENT EXTRACURRICULAR NAME OF AWARD DATE RECEIVED (MMYYYY) Student Classification When Awarded High School Undergraduate Graduate TYPE OF HONORAWARD NAME OF AWARD TYPE OF HONORAWARD NAME OF AWARD ACADEMIC ATHLETIC ARTISTIC COMMUNITY SERVICE EMPLOYMENT EXTRACURRICULAR DATE RECEIVED (MMYYYY) ACADEMIC ATHLETIC ARTISTIC COMMUNITY SERVICE EMPLOYMENT EXTRACURRICULAR DATE RECEIVED (MMYYYY) Student Classification When Awarded Student Classification When Awarded High School Undergraduate Graduate High School Undergraduate Graduate TYPE OF HONORAWARD ACADEMIC ATHLETIC ARTISTIC COMMUNITY SERVICE EMPLOYMENT EXTRACURRICULAR NAME OF AWARD Student High School DATE RECEIVED Classification Undergraduate (MMYYYY) When Awarded Graduate TYPE OF HONORAWARD ACADEMIC ATHLETIC ARTISTIC COMMUNITY SERVICE EMPLOYMENT EXTRACURRICULAR NAME OF AWARD TYPE OF HONORAWARD ACADEMIC ATHLETIC ARTISTIC COMMUNITY SERVICE EMPLOYMENT EXTRACURRICULAR NAME OF AWARD DATE RECEIVED (MMYYYY) DATE RECEIVED (MMYYYY) Student Classification When Awarded Student Classification When Awarded High School Undergraduate Graduate High School Undergraduate Graduate Page 3 of 8
APPLICANT PERSONAL INFORMATION FORM Applicant's Social Security Number C. Honors and Awards; Leadership (continued) 3909 14. NAACP Leadership Roles (Please describe the leadership roles you have held within the NAACP.) NAME OF ORGANIZATION FROM MMYYYY POSITION HELDROLE TO Student Classification When Activity Performed High School Undergraduate Graduate NAME OF ORGANIZATION FROM POSITION HELDROLE Student Classification When Activity Performed High School Undergraduate Graduate TO NAME OF ORGANIZATION FROM POSITION HELDROLE Student Classification When Activity Performed High School Undergraduate Graduate TO NAME OF ORGANIZATION FROM POSITION HELDROLE Student Classification When Activity Performed High School Undergraduate Graduate TO NAME OF ORGANIZATION FROM POSITION HELDROLE TO Student Classification When Activity Performed High School Undergraduate Graduate Page 4 of 8
APPLICANT PERSONAL INFORMATION FORM Applicant's Social Security Number C. Honors and Awards; Leadership (continued) 3909 15. Other Leadership Roles (Please describe the civil social activities you have participated in outside of the NAACP.) NAME OF ORGANIZATION FROM MMYYYY POSITION HELDROLE TO Student Classification When Activity Performed High School Undergraduate Graduate NAME OF ORGANIZATION FROM POSITION HELDROLE Student Classification When Activity Performed High School Undergraduate Graduate TO NAME OF ORGANIZATION FROM POSITION HELDROLE Student Classification When Activity Performed High School Undergraduate Graduate TO NAME OF ORGANIZATION FROM POSITION HELDROLE Student Classification When Activity Performed High School Undergraduate Graduate TO NAME OF ORGANIZATION FROM POSITION HELDROLE TO Student Classification When Activity Performed High School Undergraduate Graduate Page 5 of 8
D. Recommender's Information: Academic Reference FIRST NAME (Required for all applications) LAST NAME Applicant's Social Security Number 3909 RECOMMENDER'S TITLE OCCUPATION MAILING ADDRESS APT. NUMBER CITY> STATE > ZIP CODE > - Recommender's Business Phone Number Recommender's Fax Number Recommender's Cell Phone Number Recommender's E-mail Address E. Recommender's Information: 2nd Academic Reference (Required for Earl Graves and Agnes Jones Jackson Scholarship Applications) FIRST NAME LAST NAME RECOMMENDER'S TITLE OCCUPATION MAILING ADDRESS APT. NUMBER CITY> STATE > ZIP CODE > - Recommender's Business Phone Number Recommender's Fax Number Recommender's Cell Phone Number Recommender's E-mail Address Page 6 of 8
F. Recommender's Information: Personal Reference FIRST NAME (Required for all applications) LAST NAME Applicant's Social Security Number 3909 RECOMMENDER'S TITLE OCCUPATION MAILING ADDRESS APT. NUMBER CITY> STATE > ZIP CODE > - Recommender's Business Phone Number Recommender's Fax Number Recommender's Cell Phone Number Recommender's E-mail Address G. Recommender's Information: NAACP Reference (Required for Hubertus Willems, Louis Stokes, and Agnes Jones Jackson Scholarship Applications) FIRST NAME LAST NAME RECOMMENDER'S TITLE OCCUPATION MAILING ADDRESS APT. NUMBER CITY> STATE > ZIP CODE > - Recommender's Business Phone Number Recommender's Fax Number Recommender's Cell Phone Number Recommender's E-mail Address Page 7 of 8
APPLICANT PERSONAL INFORMATION FORM Applicant's Social Security Number H. Essay (Your name and Social Security Number MUST be present at the top of your Essay.) 3909 Please attach a typed or legibly printed one page essay explaining what led to your interest in your particular major and what career you ultimately wish to pursue. Include a description of your life's ambition, what you hope to accomplish or achieve in your lifetime, and what position you hope to attain. What do you consider to be your most significant contribution to your community? Explain in what three ways you consider your contribution to be significant. I. Income Verification (For completion by Agnes Jones Jackson, HBCU, and Hubertus Willems applicants only.) Per the financial need limits, please indicate which household income level you meet. Persons in Family Income Limit Persons in Family Income Limit 1 $ 14,355.00 5 $ 33,91500 2 $ 19,245.00 6 $ 38,805.00 3 $ 24,135.00 7 $ 43,695.00 4 $ 29,025.00 8 $ 48,585.00 J. Signature Your signature is required below. Without it, your application is not complete and cannot be processed. I hereby certify that the information provided in this application is, to the best of my knowledge, true and correct. I have not knowingly withheld any facts or circumstances that would jeopardize consideration of this application, and can provide documentation to prove I am legally authorized to work in the United States. In addition, NAACP and UNCF may use all information obtained from this application for marketing purposes. Dependents of employees or officers of NAACP and UNCF are not eligible to participate in this program. APPLICANT'S SIGNATURE DATE We will use the information you supply on this form solely to evaluate you as a candidate for a scholarship. This information will not be available to third parties for any other purpose. Page 8 of 8