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Harlem YMCA Black Achievers in Industry Youth Achiever Scholarship Application Guidelines Eligibility All African-American NYC college bound high school seniors that participate in NYC YMCA teen programs. Award Scholarship awarded in the amount of $5,000. This is a one time award. Recipients must re-apply annually to be eligible for future awards. Award will be sent to the recipient s school of choice, to be credited to the recipient s tuition, and/or room and board fees. The Award will be officially announced on March 20, 2014, at the 44th Annual National Salute to Black Achievers in Industry Awards Dinner. Scholarship Guidelines Candidates must submit: 1. Completed application 2. Two essays 3. Letter of recommendation 4. Official transcript 5. Photograph 6. SAT Score 7. Resume 1. Application (10 pts) The application must be legible and must be completely typed. Provide all requested information. Do not leave any areas blank. (put n/a if it does not apply to you) 2. The Essays (50 pts) Write two essays, totaling a minimum of 500 words. The essays must be typed, doubled spaced with one inch margins in 12 pt Times New Roman font. Each essay must have a heading. The essays must be original, not previously published. The two essays combined, must total a minimum of 500 words. The essays will be rated on: development of topic, creative content, readability, grammar, spelling and punctuation. 3. Recommendation Letter (10 pts) Letter of recommendation from a school official preferred (Principal, Guidance Counselor or Teacher). 4. Official Transcript (10 pts) It must be submitted in a sealed envelope. 5. Photograph (10 pts) Email a 300 dpi image in.jpg or.tiff file format to gdavis@ymcanyc.org. Business casual wear required for photograph. 6. SAT Score (10 pts) 7. Resume Bonus (5 pts) Requirements (if selected) Scholarship recipients must agree to communicate with his or her sponsor company at least once per semester in a given award year to provide a general update on progress and/or overall performance. Selection Scholarship applications will be reviewed and rated by the Black Achievers in Industry Scholarship Committee. Return completed application postmarked by January 31, 2014 to: Harlem YMCA Attn: bai Scholarship Committee 180 West 135th Street New York, NY 10030 Late applications will not be considered. Please direct any questions to: Gigi Davis-Booth at 212.912.2113, or gdavis@ymcanyc.org Essay Theme: Developing Leaders The Black Achiever s in Industry Youth Achiever award was created in honor of Carrie Terrell, who focused on nurturing young people, teaching them to dream and helping them towards their dream. How has the YMCA prepared and nurtured you to work hard toward your dream? What do you consider to be the most pressing societal issue we face today? Why?

Harlem YMCA bai Youth Achiever Scholarship Application Return completed application by January 31, 2014 to: Harlem YMCA Attn: bai Scholarship Committee 180 West 135th Street New York, NY 10030 Personal Information Applicant Full Legal Name Date of Birth Social Security No. Permanent Home Mailing Address City State Zip Code Home Phone Mobile Phone Email Parent/Guardian s Name Mobile Phone Email Parent/Guardian s Name Mobile Phone Email Are you a Y Teen member? Yes No At which YMCA are you a teen member? In which teen programs do you participate? How did you hear about the scholarship? Educational Information High School Name School Address City State Zip Code Principal s Name Phone Email Counselor s Name Phone Email Overall Grade Point Average Intended College Major Please indicate your future career focus by checking one of the choices indicated below: Accounting Architecture Business Broadcasting Communications Drama Engineering Entrepreneur Finance Human Resources Information Technology Journalism Legal Management Information Systems Marketing Medicine Public Relations Social Work Teacher Other

Applicant Name: List any School Activities & Honors (Specify leadership roles, if any) List any Community/Volunteer Activities Briefly state your career goals/aspirations. Describe what personal characteristics, qualities, triumphs and/or accomplishments make you a good scholarship recipient, and why we should choose you as our 2014 Youth Achiever of the Year? The information provided on this application is accurate to the best of my knowledge. Student s Signature: Date: Parent s Signature: Date: (if applicant is under 18 years of age)

Harlem YMCA Black Achievers in Industry Youth Achiever Scholarship Application Checklist Before submitting your application, please confirm that you have the following items: Typed application Two (2) recommendation letters Two (2) essays Official transcript SAT Scores Letter Professional Photo emailed to gdavis@ymcanyc.org Resume Explain any missing documents: www.ymcanyc.org/harlem