ALABAMA HOUSING AUTHORITIES EDUCATION and ENRICHMENT FUND, INC. APPLICATION FOR SCHOLARSHIP HIGH SCHOOL

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ALABAMA HOUSING AUTHORITIES EDUCATION and ENRICHMENT FUND, INC. APPLICATION FOR SCHOLARSHIP HIGH SCHOOL PLEASE FILL IN YOUR APPLICATION ON LINE, PRINT FOR SIGNATURES, SCAN AND SUBMIT ALL ACCOMPANYING DOCUMENTATION ELECTRONICALLY (EMAIL). TO: STEVEN SIDES AT cullmanha@bellsouth.net NO LATER THAN 12:00 NOON, MARCH 20, 2017. TRANSMISSIONS NOT SUBMITTED ELECTRONICALLY WILL NOT BE ACCEPTED. If you have questions please call 256-734-6171 or 334-614-9963. CHECKLIST FOR ALL REQUIRED MATERIALS: Item # Required Materials Completed 1. Name of Applicant 2. Sponsoring Housing Authority 3. Housing Authority Executive Director letter included 4. ALL Application questions answered 5. ALL Quick Reference questions answered 6. Verification of GPA included 7. Typed essay completed and included 8. Two (2) letters of recommendation included 9. Professional resume included 10. All requested supporting documentation included: a. College transcripts (if required) b. Letter(s) verifying extracurricular activities c. Letter(s) verifying 25 or more working hours d. Letter(s) verifying any community service activities e. Verification of ACT score 11. Document signed where required

ALABAMA HOUSING AUTHORITIES EDUCATION and ENRICHMENT FUND, INC. APPLICATION FOR SCHOLARSHIP HIGH SCHOOL PLEASE FILL IN YOUR APPLICATION ON LINE, PRINT FOR SIGNATURES, SCAN AND SUBMIT ALL ACCOMPANYING DOCUMENTATION ELECTRONICALLY (EMAIL). TO: STEVEN SIDES AT cullmanha@bellsouth.net NO LATER THAN 5:00PM CENTRAL TIME, MARCH 23, 2018. TRANSMISSIONS NOT SUBMITTED ELECTRONICALLY WILL NOT BE ACCEPTED. If you have questions please call 256-734-6171 or 334-614-9963. Select Application Category Public Housing/Section8 Resident (includes RAD PBV/PBRA) Child of Housing Authority Employee (Must be current PHA employee and have been employed for 2 consecutive years) Name: First Middle Last Are you a previous scholarship recipient yes No, If yes, the date scholarship awarded Sponsorship Housing Authority: Executive Director: Person of Contact when questions arise concerning your application Contact Phone Number: Please provide a letter of sponsorship from the Executive Director of the Sponsoring Housing Authority. Applicants Current Address: Street or P.O. Box City State Zip Phone Number: Email: Name and Address of high schools attended: (Please indicate which school to receive diploma) Expected Date of Graduation (please have academic counselor verify) Latest GPA (Please provide transcripts and have academic counselor verify) Latest ACT Score: (Please provide a copy of latest score)

List any school where you have applied for admission. If already accepted please provide the letter of acceptance from the school. School Address Status of Application QUICK REFERENCE QUESTIONS: 1. Are you employed after school? yes no. If yes, at least 10 hrs. per week? yes no. If yes, list employer (Remember verification will be required for any applicant that works at least 10 hrs. per week see below). 2. Please list any school extra-curricular activity: (Remember verification for extra-curricular activity must be verified see below). 3. Please list any community (including church related activities) organization you may have been involved in: (Remember verification for community involvement must be verified see below). 4. Did you take any Advance Placement (AP), Honors Classes, or any College Equivalent Courses? yes no. If yes, please list. Course Grade/Year Taken

READ ALL OF THESE INSTRUCTIONS SCHOLARSHIP APPLICATIONS GENERAL INFORMATION HIGH SCHOOL All scholarship applications must be submitted electronically and received by Steven Sides at cullmanha@bellsouth.net on or before 5:00PM CENTRAIL TIME, MARCH 23, 2018. Scan application and documentation into one single PDF file attachment. Do not send as a JPG file. 1. All Questions outlined in the application must be completed. If a question is not applicable indicate by clearly marking N/A. 2. All answers on the application must be clearly legible (TYPED). 3. Any essays submitted MUST BE TYPED. No hand written essays will be scored. If you are a HIGH SCHOOL SENIOR, the following is required: 1. Your most recent High School Transcript and ACT score and the date of the test. 2. Proof of completion of the State of Alabama high school exam. 3. If you took and successfully completed any Advanced Placement Classes, Honor Classes or College Equivalent Courses, THEY MUST BE INDIVIDUALLY LISTED AND CLEARLY VERIFIED IN A LETTER FROM THE HIGH SCHOOL ACADEMIC COUNSELOR ON THE SCHOOL S LETTER HEAD. 4. IF you participated in any extracurricular school activity please provide a typed list with the years you participated in these activities. This list must be verified by your high school academic counselor. 5. IF you received awards of achievement please list and provide evidence of their receipt. 6. If you participated in community activities (i.e. church activities, local blood drive, big brother/big sister etc.) please provide a letter of involvement from the appropriate official on the organization s letterhead indicating the dates of involvement 7. If you are employed, please list the employer, dates of employment, and an estimated number of hours worked per week. For those that work in excess of 10 hours per week, verification from the employer must be submitted. 8. In order to complete the application, each applicant must submit the following: A. A short essay outlining each applicant s accomplishments, goals and aspirations. The essay must be TYPED (HANDWRITTEN SUBMISSIONS WILL NOT BE ACCEPTED). B. At Least TWO letters of recommendations. All recommendations must be typed, on proper letterhead, and signed by the person submitting the recommendation. One letter of recommendation must come from a high

school teacher or principal (not from the academic counselor). The other letter will come from whomever the applicant wishes. It is recommended that the recommendation not come from friends, church acquaintances or relatives but from someone that can more clearly objectively provide the recommendation. 9. All applicants entering college, trade, or technical school for the first time must expect to receive a Diploma or General Education Development (GED) Certificate by July 9, 2018. Applicants continuing their college careers, regardless of age, are eligible to apply for the scholarships. Prior year applicants and recipients are eligible to apply again for the scholarship. Scholarships may only be awarded a maximum of four (4) years to the same recipients. 10. The Executive Director Memorial Scholarship will be made to a current employee or an immediate family member of a current employee of a public housing authority in the State of Alabama. The employee must have been employed by a public housing authority for at least two (2) consecutive years, and the recipient must have been living with the employee for the period and be a graduating high school senior or continuing their college career. 11. Funds are to be utilized by July 6, 2019. Funds may be used at accredited universities and colleges, community colleges, and trade/technical schools. If awardee needs an extension due to unforeseen circumstances, a request must be sent in writing to the AHAEEF, Inc. Board, which has the discretion to approve or deny the extension. The grantee s failure to continue the required course of study will cause the unused portion of funds to revert to AHAEEF for award to another applicant. 12. The AHAEEF Board will convene for the purpose of selecting the finalists after reviewing all applications received. The applications from high school students will be judged primarily on academic achievements; however, extracurricular school and community activities and achievements will also be considered. Success in core curriculum courses will have a bearing on the weight given to academic achievements. The applications from adult applicants will be judged primarily on grades/volunteer services, resume, personal essays, and recommendations. 13. The sponsoring housing authority shall provide travel and/or lodging for the applicant s interview, if needed, and to the scholarship award ceremony for winners. 14. The scholarship awards will be presented during the AAHRA Annual Conference Scholarship dinner to be held at the Bay Point Resort, Panama City, Florida, Tuesday, August 28, 2018.

READ CAREFULLY BEFORE SIGNING: By submitting this application, I authorize my high school to make available to AHAEEF, Inc., information concerning my academic record and rank. It is understood that award of any Scholarship shall be governed by any and all conditions established by the Board. I agree, if selected to receive a scholarship, to sign a Records Release Form from the educational institution I plan to attend the fall of 2018. The Release Form must clearly show that AHAEEF has the right to request and receive a copy of my transcript/academic record at AHAEEF s discretion. I understand and agree that no funding will be released by AHAEEF to any educational institution until the Release Form is signed by me, accepted by the educational institution, and written notice of its acceptance is received by AHAEEF. The applicant, by submitting an application, fully agrees and unconditionally releases and authorizes AHAEEF to publicize the award of the scholarship to the recipient in any way deemed appropriate by AHAEEF or its agent(s). This authorization includes, but is not limited to, the recipient s grade point average, college entrance exam score, essay submitted with scholarship application, letter of recommendation, and name of selected college. The applicant also agrees by submitting an application to allow his/her photograph to be taken and used for publicity of the scholarship in any way deemed appropriate by AHAEEF or its agent(s). If applicant is under 19 years of age, parent or legal guardian s signature is required. Applicant s Signature: Date: Parent or Legal guardian s Signature: Printed Name of Legal guardian: Date: