OSBA Black Caucus

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OSBA Black Caucus The OSBA Black Caucus is committed to making sure high-quality, equal educational opportunities are available to all Ohio students. To that end, we encourage you to join with your colleagues from around the state by active participation in the programs and services of the Ohio School Boards Association. We strive to: provide a statewide forum on the practical issues facing African-American school board members; promote, support and build public awareness of issues relating to racial diversity in schools and equity in education; support initiatives to enhance the academic achievement of all students, especially African- American students. One of the major activities of the caucus is awarding scholarships to African-American students around the state. The Leo Lucas Scholarship, named for the late Leo Lucas, a Dayton City school board member and educator who founded the caucus, provides graduating African-American high school seniors funds for college. To learn more, visit www.ohioschoolboards.org/osba-black-caucus.

The Ohio Black Caucus of School Board Members Leo Lucas Scholarship Application Ohio Black Caucus Scholarship Committee Ohio School Boards Association 8050 North High Street, Suite 100 Columbus, Ohio 43235-6481 (614) 540-4000 www.ohioschoolboards.org/ohio-black-caucus 2016 Application Instructions How to Get the Application You may download all application materials in PDF format from the Ohio Black Caucus of School Board Members website at www.ohioschoolboards.org/ohioblack-caucus. Calendar January 11, 2016 March 16, 2016 April 29, 2016 Applications are available at www.ohioschoolboards.org/ohioblack-caucus. Application Deadline Award Letters Issued Eligibility Requirements To be eligible for a scholarship: Student must be African-American; Student must be eligible to graduate from a public high school in 2016; Student must provide proof of acceptance to an accredited post-secondary institution of higher learning with the intention of completing a twoyear or four-year degree prior to award conferral; and Student must have a grade point average of 2.5 or higher on a 4.0 scale. Selection Criteria Applicants will be evaluated on the following elements: Academic record Demonstrated financial need Extracurricular activities Personal qualities Application Preparation 1. Application (5 pages) We encourage all students to use a computer or typewriter to complete this application. Handwritten applications must be written in blue or black ink. Please check your essays for correct grammar, spelling and punctuation. 2. Transcript(s) Please provide an official transcript initialed and dated by a guidance counselor in a sealed envelope. This transcript should include a cumulative GPA. 3. Recommendations Please provide two letters of recommendation from non-relatives. A good letter of recommendation can speak to your academic record, plans and/or goals, your personal strengths, and your extracurricular activities. 4. Three copies (3) of the completed packet (all the above items). Application Deadline All materials must be received on or before March 16, 2016. Mail to: Ohio Black Caucus Scholarship Committee Ohio School Boards Association 8050 N. High Street, Suite 100 Columbus, Ohio 43235-6481

The Ohio Black Caucus of School Board Members Leo Lucas Scholarship Application 2016 Due: March 8, 2016 Personal Information First Name MI Last Name State/Province Zip/Postal Code City ( ) Home Phone Date of Birth (mm/dd/yyyy) E-mail Address / / Social Security Number Educational Information Name of High School City ( State/Province ) Telephone Number High School G.P.A. Post Secondary School(s) Applied to: Major: Zip/Postal Code Minor:

Additional Information 1. High school extracurricular activities (sports, clubs, part-time job, etc.): 2. Special recognition (offices held, organization memberships, awards, etc.): 3. Other scholarship awards you anticipate this year (include title and award amount): 4. Have you applied for college/university financial aid? Yes No 5. Letters of Recommendation - Please ask two individuals (non-relatives) to provide a letter of recommendation on your behalf. We suggest that comments include the following: length of acquaintance; your relationship, general and special abilities; and present and potential leadership qualities. 6. Letter(s) of Acceptance The student will be required to provide a letter of acceptance to an accredited post-secondary institution of higher learning prior to award conferral. 7. Official Transcript - An official transcript initialed and dated by a guidance counselor must be attached in a sealed envelope. This transcript should include a cumulative GPA.

Parent or Guardian Information Mother/Guardian s Information First Name MI Last Name City State/Province Zip/Postal Code ( ) Home Phone Place of Employment/Occupation Father/Guardian s Information First Name MI Last Name City State/Province Zip/Postal Code ( ) Home Phone Place of Employment/Occupation Did either of your parents attend college? Yes No Mother/Guardian s Signature Father/Guardian s Signature

Autobiographical Statement In the space below, please write an autobiographical statement of approximately 600 words that includes a paragraph about your demonstrated financial need. This essay may address such topics as how your African-American heritage has influenced your personal or academic goals; how you have overcome personal or academic challenges; or how you have contributed to your community and what you have learned. Applicant s Signature Date

Applicant Checklist All of the items listed below must be completed for an application packet to be considered. Any incomplete applications will be disqualified. Please initial that you have enclosed the following: Completed personal information Parental/Guardian(s) information sheet Autobiographical statement Two letters of recommendation Copy of transcripts initialed and dated by a guidance counselor in a sealed envelope Last name and four digits of social security number on each page Completed application (all the above items) stapled together Two extra copies of completed application (all above items) stapled together All the above information enclosed and mailed in one envelope Applicant Authorization Release I authorize the Ohio Black Caucus of School Board Members to release transcripts, letters of recommendation, scholarship applications, and accompanying documents to scholarship donors and to publicize my scholarship award should I be a recipient. Applicant s Signature Date Application packets must be received by March 16, 2016. Applications received after this date will not be considered. Please return the completed application packets to the address below: Ohio Black Caucus Scholarship Committee Ohio School Boards Association 8050 North High Street, Suite 100 Columbus, Ohio 43235 If you have any questions, please call (614) 540-4000 and ask for Van Keating or Damon Asbury or email at vkeating@ohioschoolboards.org or dasbury @ ohioschoolbopards.org