SCHOLARSHIP APPLICATION

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1 2018 Newton County National Association for the Advancement of Colored People Education Committee and the Freedom Fund Scholarship Committee SCHOLARSHIP APPLICATION

2 NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE SCHOLARSHIP APPLICATION 4109 Ponderosa Dr SW Covington, Georgia NAACP Scholarship: A nonrenewable scholarship will be awarded on the basis of merit, financial need and available funding to graduating high school students in the Newton County School System. One scholarship will be awarded to a deserving student at each of the area high schools; Alcovy, Eastside, and Newton. In addition, the Newton County NAACP Youth Council will recognize one active and deserving graduating high school senior from its membership. Each award will be for $500. Scholarship winners will be recognized at the Newton NAACP Gala in the Fall of Recipients will not be able to receive the award until they provide the Scholarship Committee with proof that he/she is enrolled at an institution of higher learning (e.g. technical college or a fouryear college or university). The questions in this application are designed to collect information about your background, interests, and your college and career plans. Your answers to these questions will be used only in evaluating your application for this scholarship competition and will only be seen by the Scholarship Selection Committee. Please read all information before you start to complete the application.

3 Important: The completeness, neatness, and legibility of your replies will make the review of your credentials easier. Please type the responses to your application. Attach Photo Here Eligibility Requirements. All applicants must: 1. Be a law abiding citizen 2. Be a graduating senior currently enrolled in a Newton County High School 3. Must be accepted or anticipate on being accepted to an accredited full-time program of studies at a technical college or four-year college or university. 4. Have a minimum Grade Point Average of a 2.7 on a 4.0 scale. Submit a sharp and high-glossy photograph of yourself with your name written on the back of the photo. The photo must be a head and shoulder shot of you only and measure a minimum of 2 ½ by 3 and a maximum of 3 ½ by 5. The photo will be used for publicity and as part of the annual celebration program. A. You The Applicant Legal Name in full Last First M.I. Permanent Home Address Number and Street City State Zip Code Home Telephone: ( ) Cell Phone Number: ( ) Area Code Telephone Number Area Code Telephone Number Address Date of Birth Month Day Year Age Gender: Male Female

4 B. Your Education 1. Enter the name, telephone number, and address of your high school. ( ) Name of High School Area Code Telephone Number Number and Street City State Zip Code 2. Enter your expected or actual date of graduation from high school. Month/Day/Year 3. Enter the name and address of the college or university you are planning to attend. College/University Address: Number and Street City State Zip Code 4. Planned College Major: 5. What are your career goals? 6. Have you been accepted for admission to the college or university? Yes No 7. Have you received any other scholarships for college? Yes No 8. Please include with your application package, a copy of the college/university application or a letter of acceptance from the technical college or four-year college or university.

5 C. School Activities List school activities in which you have participated (i.e. publications, debating, music, student government, sport, etc.). Include any honorary awards (i.e. National Honor Society, etc.) received. D. Extracurricular Activities List all community and work activities during your high school years. List all community activities in which you have participated as a volunteer during your high school years.

6 List jobs (including summer employment) you have held in the past three years. List other extracurricular activities not previously covered in this section that you were involved in during your high school years. E. Your Family 1. Enter complete information about your parents/guardian below. Mother s Name Father s Name 2. If you do not live with both parents, enter the name of the parent or guardian with whom you live. 3. Brother (s) Number Age (s) Sister (s) Number Age (s)

7 F. Essay Write a one page essay on the following topic: Upon graduation from college, how do you plan on contributing to your community. (Attach to the one page essay to your application.) G. Recommendations All applicants must submit two letters of recommendation from teachers, counselors, principals, coaches, your pastor, and/or community leaders. These persons should be able to provide insight into the applicant s personal character, potential, work and motivation. (NOTE: You must have the following recommendations (other than relatives): (1) academic recommendation must be from a teacher who is familiar with the applicant s work and can make reference to the applicant s ability to successfully complete a college program of study (2) personal character reference, or community service reference from an advisor or coordinator.) Letters of recommendation must accompany the application and must be provided in separate, sealed envelopes signed across the sealed flap by the person providing the reference. H. Transcripts All applicants must submit official transcripts of their grades. Student must provide a complete transcript of their grades. The transcript must show all test result and scores (including SAT and/or ACT scores). Transcripts must accompany the application and must be provided in separate, sealed envelopes signed across the sealed flap by the school providing the documentation. I. Additional Information Applicants are solely responsible for ensuring that all application materials: the application form, the essay, three letters of recommendation, copies of official transcripts, and any other pertinent data/information are submitted to: NAACP Scholarship Selection Committee 4109 Ponderosa Dr. SW Covington, Georgia Your application package must be postmarked on or before March 31, If you have any questions prior to submitting your application, please contact us at and place SCHOLARSHIP INQUIRY on the subject line.

8 Signature of Applicant Date: Signature of Parent / Guardian (required if applicant is under 18 years of age) Date: Your signature attests to the accuracy of this application and gives permission to the Newton County NAACP to share all of the information you have provided in support of this application with only members of the Scholarship Selection Committee. Scholarship Application Checklist Application Form Two Letters of Recommendation Official Transcript One page Essay Verification of Acceptance at a Technical College or Four-Year College/University Verification of NAACP Membership (For Newton County NAACP Youth Council Applicants)

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