Dr. May Hope Wilkins Legacy Scholarship, Inc.

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1 Dr. May Hope Wilkins Legacy Scholarship, Inc. Scholarship Guidelines Dr. May Hope Wilkins Legacy Scholarship, Inc. has been created to honor the legacy of Dr. May Hope Wilkins. She was a graduate of Winston Salem State University; starting her path to being a great educator and displaying great pride in becoming a Ram. She also was an educator for over 35 years and took pride in giving educational support to her community, focusing on Eastern North Carolina. The scholarships will award financial support for educational expenses to undergraduate and graduate students pursuing a major in the field of education. Scholarships will be awarded to graduating high school seniors attending Winston Salem State University, Winston-Salem, NC and/or Elizabeth City State University, Elizabeth City, NC. Additional scholarships will be awarded to graduate students living in specific counties in Eastern North Carolina. Graduate students living in Washington County, Martin County, Pitt County, Tyrrell County, Bertie County, and Hyde County, majoring in the educational field, will receive scholarship funds to pay for educational expenses. Graduate students must already have an affiliation within the educational field. Available Scholarships: Scholarships will be available based on funding on a year to year basis. Yearly scholarships will be provided to students in the minimum amount of $500 and maximum amount of $5,000. The goal is to give between 1 to 5, scholarships in this financial range, each year. Every four years, the goal is to provide a scholarship up to $30,000 to one individual entering Winston Salem State University or Elizabeth City State University. Additional Guidelines & Priorities: * Seeking graduating high school seniors pursuing a major in the educational field. * High School senior applicants must have a minimum GPA of 3.0 with minimum test scores of: SAT 900 or ACT 18 to qualify for general scholarship. * Applicants must express a financial need within the area specified on the application. * Scholarship funds will be paid directly to the college and not to the student. It will be the student s responsibility to submit to the proper information to the foundation in order for tuition and fees to be paid on time. Specific information will be requested upon receipt of the scholarship (i.e. school name, address, student ID number, contact information, invoice number, etc.) * Applicants must have the endorsement of their Guidance Counselor/School Official on their application attesting they are a qualified fit for this scholarship. Dr. May Hope Wilkins Legacy Scholarship, Inc. strongly suggests that each high school present this opportunity to the strongest applicants that match this program s guidelines. Application deadline is April 14, Mail your completed application package to: Dr. May Hope Wilkins LS, Inc. c/o Hope Sloan (INCLUDES: application, essay, resume/activity sheet, official transcript, P.O. Box 1241 student and counselor/official signatures, and SAT/ACT scores) Powder Springs, GA The applications will be reviewed and recipients will be selected by a committee consisting of volunteers from the community. The scholarships will be awarded in May Please additional questions to: drmayhopelegacy@yahoo.com Please provide specific information so your questions are answered clearly and in a timely fashion.

2 HIGH SCHOOL SENIOR: SCHOLARSHIP APPLICATION Please type or print all information. Last Name: Application Date: First Name: Mailing Address Street: City: State: Zip: 3. Daytime Telephone Number: Address: 4. Date of Birth Month: Day: Year: Gender: 5. Name and address of high school: 6. Cumulative Weighted Grade Point Average (GPA): (On a 4.0 scale) Attach proof of GPA. Your most recent school transcript is required. 7. Are you the first person in your family to go to college: YES NO 8. (If your resume or activities sheet answers question 8, please attach and skip to Question 9.) List any academic honors, awards and membership activities, volunteer activities, hobbies, interests, and extracurricular activities, while in high school. 9. What school are you applying to attend? Winston Salem State University Elizabeth City State University

3 10. List Family Gross Annual Income from your 2017 Income Tax Form 1040 Line #22: $ (If selected, recipients may be asked to verify annual household income by supplying pg. 1 of their 2017 IRS Income Tax Form) 11. Name & address of parent(s) or legal guardian(s): Name(s) : Street: City: Home phone of parent/legal guardian: State: Zip: Address:

4 12. In your own words, express how this financial support will be beneficial to you personally. 13. Please type a short, detailed essay ( words) addressing the prompt below: Describe the reason you have chosen to be a part of the educational field. What specific educational career path will you take? Explain how you will impact education and contribute to the field as a whole. STATEMENT OF ACCURACY FOR STUDENTS I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I also consent that if chosen as a scholarship winner, my picture may be taken and used to promote the Dr. May Hope Wilkins Legacy Scholarship (Winner may waive photo due to unusual or compelling circumstances). I hereby understand that if chosen as a scholarship winner, I must be present at any potential awards ceremony or reception in June of the scholarship year, to receive my scholarship award. I hereby understand that if chosen as a scholarship winner, according to the Dr. May Hope Wilkins Legacy Scholarship, Inc. policy, it is my responsibility to remit the appropriate information for my scholarship to be paid directly to my educational institution. I hereby understand I will not submit this application without all required attachments and supporting information. Incomplete applications or applications that do not meet eligibility criteria will not be considered for this scholarship. Signature of scholarship applicant: Date:

5 STATEMENT OF SUPPORT BY GUIDANCE COUNSELOR/SCHOOL OFFICIAL I hereby affirm that this application meets the criteria set forth by this scholarship program and that I support this application to the Dr. May Hope Wilkins Legacy Scholarship. Name of Guidance Counselor/School Official submitting the application: High School: Contact information: Phone Number: Signature of Guidance Counselor/School Official: Date: Checklist Application (complete) Essay Resume/Activity Sheet Student Signature Guidance Counselor/School Official Signature School Transcript (Official-sealed) SAT/ACT Scores (Official or Unofficial) MAIL COMPLETE APPLICATION PACKAGE TO THE FOUNDATION AT: Dr. May Hope Wilkins LS, Inc. c/o Hope Sloan P.O. Box 1241 Powder Springs, GA, REMINDER: The application must be postmarked by: April 14, 2018 LATE APPLICATIONS WILL NOT BE ACCEPTED!