2015 ANNUAL SCHOLARSHIP PROGRAM We believe in Good Education

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1 January, ANNUAL SCHOLARSHIP PROGRAM We believe in Good Education $1,000 and $2,000 scholarships will be awarded to students: Graduating in 2015 from: First Coast High School Andrew Jackson High School William M. Raines High School Jean Ribault High School Stanton College Preparatory A. Phillip Randolph Academy Safe Harbor Maritime Academy Interested parties may call Northside Business Leaders, Inc ask for Mark Kaleel. Completed applications should be postmarked by May 1, 2014 and mailed to: Northside Business Leaders, Inc. P.O. Box Jacksonville, Fl

2 Northside Business Leaders, Inc. ANNUAL SCHOLARSHIP PROGRAM $1,000 and $2,000 Scholarships for Tuition, Books, and other Educational Needs Scholarship Criteria: *The applicant must plan to attend an accredited College or University in the State of Florida for the academic year and have submitted a completed application to attend either part-time or fulltime. *The applicant is required to provide evidence of outstanding leadership abilities exhibited at school, church, or in the community. *The applicant is required to have a cumulative grade point average of at least 2.5 (of a possible 4.0) at the end of the third quarter of the senior year, for grades nine through twelve. *Although financial need is not a requirement for this scholarship, recipients will be required to complete a FAFSA prior to receiving the scholarship. Completed applications should be postmarked by May 1, 2015 and sent to: Northside Business Leaders, Inc. P.O. Box Jacksonville, Fl

3 Scholarship Application Personal Data Last Name First Name Initial Address City, State, and Zip Code Home Phone Cell Phone Mother s Name Father s Name Guardian s Name Education School Grade Point Average Current Class Standing Guidance Counselor Counselor Telephone Applicants, please enclose an official transcript of your high school record for grades nine through eleven, as well as a copy of your first semester report card. Test Scores (list any taken) S.A.T Total Math Verbal A.C.T Composite Math Verbal C.P.T English Reading Math T.A.B.E English Reading Math Page 1

4 Associate of Arts degree To transfer to a four-year institution Associate of Science degree program in Certificate program in In what school activities have you been involved? Please list extracurricular activities (such as sports, clubs, student government, music etc.) What academic honors have you received? (Please list academic activities such as special honors or other recognition) What are your hobbies? (Please list hobbies such as chess, tennis, swimming, collecting, camping, scouting etc.) Note: You may attach additional information on a separate sheet if necessary. What is your work experience? Dates Company Duties Salary Supervisor Phone Personal References Please provide three letters of reference from (1) a teacher, (2) a member of the community unrelated to you, and (3) an additional person unrelated to you e.g. employer, counselor, minister etc. Essay Describe why you feel you are a worthy recipient of a scholarship from the Northside Business Leaders, Inc. (This is very important and is to be composed by the student applicant.) Any Questions If you have any questions about any part of this application / questionnaire, please call Mark Kaleel at or him at markkaleel@comcast.net. Page 2

5 Northside Business Leaders, Inc. Scholarship Application Check-off list (Please use this to help you submit a complete application.) Answer accurately, and thoroughly all-applicable questions. 1. SCHOOL DATA / TRANSCRIPT INFO 2. PERSONAL DATA 3. EDUCATION 4. TEST SCORES 5. ANTICIPATED MAJOR 6. SCHOOL ACTIVITIES 7. ACADEMIC HONORS 8. HOBBIES 9. WORK EXPERIENCE 10.THREE LETTERS OF REFERENCE 11. ESSAY