October, 2016 Dear Scholarship Applicant, The Xi Eta Lambda Education and Economic Development (XELEED) Foundation would like to offer financial assistance, in the form of a one-time scholarship to a deserving high school male senior in celebration of their academic excellence and contributions to their school and community. Over the past ten years, the funds have been awarded to over fifty deserving students. Attached you will find a scholarship application which includes eligibility criteria and detailed instructions for completing the application package. Please note that testaments of character, financial need, and participation in extracurricular activities along with the completion of the essay question on page three of this application will all be considered as part of the applicant s academic performance. Please complete and submit the attached application by December 16 th, 2016. Incomplete and late applications will not be accepted. Please do not hesitate to contact us for further information or with any questions or concerns to we will try to get back to you in 24 hours. We look forward to working with you as we invest in our future leaders. Sincerely, Mr. Welborn Williams Director of Education XELEED Foundation
David Keaton Seven Jewels Scholarship Program The mission of the Xi Eta Lambda Education and Economic Development Foundation has always been to uphold "manly deeds, scholarship, and love for all mankind." The foundation seeks to make an impact on the community by providing programs for young men that instill character and integrity into their lives. The goal of the foundation is to support for these young men as they advance their education to become productive members of society. This year we are sponsoring seniors from Houston area high schools. To receive the scholarship, the students must attend a rigorous educational program, adhere to strict academic guidelines and show document evidence of their involvement in the community. The Xi Eta Lambda Educational Foundation has given scholarships over the past six years in excess of over $45,000.00.
APPLICATION INSTRUCTIONS Please read all instructions carefully before completing this application. Provide answers to all requests for information. Do not leave any request space blank. If the request does not apply to you, please indicate by filling the space with NA. Failure to complete instructions could result in an unfavorable rating. I. Eligibility This scholarship award is open to any male graduating high school seniors that: 1. Lives within the Greater Houston area 2. Possesses a minimum cumulative Grade Point Average (GPA) of 3.0 on 4.0 scale 3. Demonstrate strong leadership skills 4. Has compiled a record of Community Service and Volunteer Activities 5. Graduating in Spring 2017 6. Enrolled in a four year undergraduate program, for upcoming fall semester II. Official Transcript and Current Resume Please provide an official transcript from your high school counselor or principal. Make sure it indicates the most current GPA and class ranking. Your high school counselor or principal must certify documentation in the appropriate space. III. Biography Please provide a 100 word (max) biography about yourself that includes your high school, GPA, extracurricular activities, high school accomplishments, community service, college you plan to attend, major and why you picked this major. At the end of your biography, provide your favorite quote from a person you admire. IV. Recommendation Form Please provide two (2) recommendations. Give the attached recommendation forms to one Teacher and one Faculty Member (i.e. Counselor, Principal, etc ). Family members are ineligible. V. Essay Topic: Alpha Phi Alpha Fraternity, Inc. is the world s oldest historically African American male intercollegiate fraternity, and as such we are concerned with the low academic achievement amongst African American male students and the I, ME AND MY attitude amongst young men. Please prepare a concise, wellwritten essay (not over 500 words double-spaced) addressing the following topic: Lifting as We Climb Note: This should be one essay. It should be creative in point of view, style and writing technique. Essays will also be judged on grammatical structure. People take this to mean various things, what is your take on the motto and what would you do to ensure you exemplify the motto. VI. Deadline All application packets must be postmarked by Friday, December 16th, 2016. Applicants must submit completed application packets. Incomplete application packets will NOT be reviewed and will therefore eliminate you from the selection process.
VIII. Scholarship Recipients Applicants selected to receive this scholarship will be notified no later than January 31, 2017. Each recipient is expected to attend three seminars that are given by business leaders throughout the Greater Houston Area. Missing seminars without prior communication with Mr. Welborn Williams could result in forfeiting of any scholarship awards. IX. Questions or Concerns Please address all questions or concerns to the Director of Education Welborn Williams at kskcike@aol.com or 281-686-3927. Application Packet Checklist Please take your time and complete all forms necessary. This checklist is to help students and parents organize the forms needed to apply to the David Keaton Seven Jewel Scholarship. Please submit completed forms below. Check off the following forms when completed. 1. Application. (Be sure it is complete and signed) 2. Official Transcript and Current Resume 3. Essay. (500 words (Maximum), double spaced, 12 point font) 4. (1) Teacher and (1) Counselor Recommendation Form 5. 2X2 Photo (be sure applicant is alone in photo and wearing professional attire) 6. Biography. (100 words (Maximum), double spaced, 12 point font)
General Information (Applicant Name) First, MI, Last Mailing Address Apt # City/State/Zip Telephone # E-mail Date of Birth (Parent(s)/Guardian(s) Name) First, Last Mailing Address (If Different) Apt # City/State/Zip Telephone # E-mail High School County Cumulative GPA Class Rank Graduation Date Financial Information Please place a check on the line that best indicates your family s gross household income: $0 - $19,999 $20,000 - $39,999 $40,000 - $59,999 $60,000 - $79,999 $80,000 - $99,999 $100,000 + Please list any additional information that may impact your family s financial situation: (For example: medical expenses, single parent, unemployed parent, etc.) Resources Which do you own? Select all that apply. Laptop Tablet I own neither Do you own a Suit? Yes No Suit Jacket Size:
Standardized Test Information Have you taken the ACT or SAT? Yes No If so, what was your score? SAT ACT If not, what date do you plan to take either? College Admission Information List colleges or universities where you have been accepted or applied for admission. College/University City State College/University City State College/University City State College/University City State School and Community Clubs/Organizations List the student clubs or organizations you have been involved with over the last four years. Club or Organization Years of Participation Office Held Club or Organization Years of Participation Office Held Club or Organization Years of Participation Office Held Club or Organization Years of Participation Office Held Club or Organization Years of Participation Office Held
Community Service and Volunteer Activities Activity Roles and Responsibilities 1. 2. 3. Honors and Awards List any honors or awards you have received within the last four years. Honor/Award Honor/Award Honor/Award Honor/Award Date Received Date Received Date Received Date Received
School and Community Athletics List any sports you have participated in within the last four years. Sport Years Participated Awards Received Sport Years Participated Awards Received Sport Years Participated Awards Received Sport Years Participated Awards Received Employment List any jobs you have held within the last four years. Employer Position Employer Position Employer Position Additional Information Below please indicate any additional information you would like the selection committee to consider while reviewing your application.
Certification I herby certify that the information in my submission is truthful and correct. I authorize the scholarship committee to contact my current high school administrators and other individuals to verify the supplied information as needed. If selected to receive a David Keaton Seven Jewels Scholarship, I understand that the actual scholarship award is contingent upon attending three mentoring sessions with leading businessmen and clergy in the Houston community as set forth by the scholarship committee. Missing seminars without prior communication with Mr. Welborn Williams could result in forfeiting of any scholarship awards. Any pictures taken may be used on social media and/or promotional material for future growth of the foundation. In addition, Xi Eta Lambda Education and Economic Development Foundation (XELEED) is a 501c3 recognized organization. Therefore, your scholarship will be written to the university you will attend. As evidence of your enrolment, a bill from the university must be submitted to XELEED verifying the attendance. This information may be submitted any time before the start of the Fall Semester. Parent/Guardian Signature: Applicant s Signature: Date Application Submitted:
FACULTY S RECOMMENDATION Xi Eta Lambda Education and Economic Development Foundation David Keaton Seven Jewels Scholarship Application Deadline: December 16, 2016. Please return to student in sealed envelope with your signature on the back. Please write a letter evaluating the applicant s academic, employment, or volunteer record and your judgment of the applicant s ability to reach his academic goals. Discuss your relationship to the student, your observations, and your evaluation of the student s career potential for success. Note any skills, student commitment, values, special circumstances or personal situations of which you are aware and any other information that would assist the Scholarship Committee. Student s Name (please print) Counselor s Name Phone (please print) Please complete the following information about the above named student who is applying for the David Keaton Seven Jewels Scholarship Evaluation Checklist Outstanding Good Average Below Average Not Able to Rate 1. Academic Ability 2. Initiative 3. Ability to work independently 4. Ability to work with others 5. Self-Confidence 6. Originality and Creativity 7. Leadership 8. Respect of classmates 9. Respect of faculty 10. Other (Specify) How long have you known the applicant? Applicant s greatest strengths / Comments: Recommendation (Please Circle one): Strongly Recommend Recommend Not Recommended Faculty s Signature: Date:
TEACHER S RECOMMENDATION Xi Eta Lambda Education and Economic Development Foundation David Keaton Seven Jewels Scholarship Application Deadline: December 16, 2016. Please return to student in sealed envelope with your signature on the back. Please write a letter evaluating the applicant s academic, employment, or volunteer record and your judgment of the applicant s ability to reach his academic goals. Discuss your relationship to the student, your observations, and your evaluation of the student s career potential for success. Note any skills, student commitment, values, special circumstances or personal situations of which you are aware and any other information that would assist the Scholarship Committee. Student s Name (please print) Teacher s Name Phone (please print) Please complete the following information about the above named student who is applying for the David Keaton Seven Jewels Scholarship Evaluation Checklist Outstanding Good Average Below Average Not Able to Rate 1. Academic Ability 2. Initiative 3. Ability to work independently 4. Ability to work with others 5. Self-Confidence 6. Originality and Creativity 7. Leadership 8. Respect of classmates 9. Respect of faculty 10. Other (Specify) How long have you known the applicant? Applicant s greatest strengths / Comments: Recommendation (Please Circle one): Strongly Recommend Recommend Not Recommended Teacher s Signature: Date: