NABA Jacksonville SCHOLARSHIP PROGRAM

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National Association of Black Accountants, Inc. Jacksonville Professional Chapter PO Box 40645, Jacksonville, Florida 32203 Local Phone: (904) 355-1111 Toll Free: 1-866-400-NABA nabajax@nabajax.org www.nabajax.org NABA Jacksonville SCHOLARSHIP PROGRAM Scholarship Application and Instructions

NABA Jacksonville Local Scholarship Application (LSA) Page 2 of 7 NABA Jacksonville is proud to continue with its tradition of supporting education in our community. We encourage you to apply for the 2014 NABA Jacksonville Scholarships. This packet contains scholarship requirements and the application form. NABA Jacksonville is granting scholarships (up to $1,000) to students meeting the requirements below. Applications must be postmarked no later than February 28, 2014. The scholarships will be presented at the Spring Awards Banquet in Jacksonville, Florida on April 25, 2014. Recipients are required to attend the banquet in order to receive their scholarship payment. CPA review course scholarships will be presented at the awards banquet, but cash awards will be distributed after NABA Jacksonville receives proof of enrollment for the period(s) covered by the award. Applicants Must: 1. Be currently enrolled at a four-year United States college or university as a full-time (12 semester hours or equivalent), undergraduate freshman, sophomore, junior, or first-year senior accounting, finance, or business major or be a full-time graduate student (9 semester hours or equivalent) enrolled or accepted into a master s-level business program. Current high school students are not eligible. 2. Meet the minimum grade point average of 3.0. Please provide a conversion of your grades to the "4.0 grading scale" if your college or university does not use this scale. 3. Be an ACTIVE NABA member, whose membership dues have been received by NABA's National Office before the scholarship acceptance period. Dues are $20 for undergraduate or graduate students. Special Note: Regardless of the circumstances, once becoming a professional member, you are not permitted to return to student status. Graduate students must have entered graduate school immediately after receiving their undergraduate degree. Please submit the following: A completed Local Scholarship Application (LSA). Please type or clearly print your responses, including "N/A" for items that are not applicable to you. The application MUST be completed in its entirety, submitted with the items listed below, and is accepted ONLY from January 13 February 28, 2014 (postmark deadline). A current Academic Transcript (through the Fall 2013 semester). An unofficial transcript can be submitted with the application. If selected as a scholarship recipient, an official transcript must be received before funds are released. A clear copy of Student/Permanent Resident Visa (only if applicant IS NOT a United States citizen). A Current Resume. One Letter of Recommendation. From either a member of the accounting/business faculty at your college/university or from a non-relative who is familiar with your academic and/or professional performance (i.e. employer, advisor, etc.).

NABA Jacksonville Local Scholarship Application (LSA) Page 3 of 7 Essay. Submit a written essay (minimum of 500 words; maximum 750) addressing the following: Where do you think the accounting profession is headed in the next 5 years? How do you plan on adapting to these changes and making a difference in your career? How do you feel your involvement with NABA will be beneficial? Personal Introduction & Professional Photo: If awarded a scholarship, your personal introduction will be included in the NABA Jacksonville Awards Banquet Program book. Prepare your biography in the following format with a maximum of 75 words. Suggested format: Mr./Ms. XXX is a senior management major at The University of NABA. He/she has a 4.0 GPA in his/her major and a 3.8 GPA overall. He/she is the Financial Director of his/her school's NABA student chapter. His/her academic achievements include the Presidential Award and the XYZ Scholarship. Email jpg format photo to nabajax@nabajax.org. Awards are made for the following academic year. Applicants in 2014 should be pursuing scholarships for the 2014 2015 school years. Awards will be announced in April 2014. Scholarship disbursements will take place prior to each academic semester (fall 2014 and spring 2015). Awards will be sent either to the student or directly to the school based on the recipient s preference. Awardees may qualify for renewals as long as the student continues to make satisfactory progress toward completion of their degree requirements, but he/she must re-apply each year. Submit application and all accompanying materials to: *Email to: nabajax@nabajax.org *Note: Preferred Method - Emailed applications will be sent a reply confirmation; it is the student s responsibility to ensure confirmation is received. -OR- National Association of Black Accountants, Inc. Jacksonville Professional Chapter PO Box 40645 Jacksonville, Florida 32203 Local Phone: (904) 355-1111 Toll Free: 1-866-400-NABA NABA JACKSONVILLE SCHOLARSHIP APPLICATION

NABA Jacksonville Local Scholarship Application (LSA) Page 4 of 7 Personal Information Name: E-Mail: Last First Middle Initial Permanent Address Street Permanent Phone: City State Zip Code Campus or Temporary Address Street City State Zip Code Campus or Temporary Phone: Preferred Mailing Address (circle one): Permanent Campus or Temporary Academic Profile College/University Name: Fall 2014 Classification: Expected Graduation Date: Major: Expected Degree: Grade Point Average (as of December 31, 2013) Major: Overall: Scale: Name of other Colleges/Universities attended School City/State Years attended Certificate/Degree NABA Student Chapter Affiliation:

NABA Jacksonville Local Scholarship Application (LSA) Page 5 of 7 Date of Birth: Are you a United States Citizen (circle one)? Y N If not, do you have a Student/Permanent Resident Visa (circle one)? Y N Visa Number: (Attach a clear copy of Student/Permanent Resident Visa) Are you a former Accounting Career Awareness Program (ACAP) participant (circle one)? Y N If yes, what year? What Program? Have you been awarded a CPA Review Course? (circle one)? Y N If yes, what year? What Program? Ethnic Minority Group (check one) Gender (check one) African American Native American African Asian Hispanic Other (explain) Male Female List any honors, distinctions, and scholarships that you have received Description Date List your extracurricular activities and organizational involvement Description Date Internships/Job Status Complete all that apply.

NABA Jacksonville Local Scholarship Application (LSA) Page 6 of 7 I have applied for a fall internship. Y N I have accepted an internship for the fall of 2014. Y N I have accepted a permanent job offer. Y N If you answered YES to any of the above, please complete the following: Company Name: Duration of Internship (month/year):

NABA Jacksonville Local Scholarship Application (LSA) Page 7 of 7 APPLICANT'S STATEMENT In submitting this application, I hereby certify that: 1. I have met ALL requirements as outlined and acknowledge that misrepresentation of the information presented may be grounds to rescind the scholarship award. I also agree to inform the scholarship committee of any significant changes to that information. 2. I will use the proceeds of any scholarship aid received for the payment of tuition, required fees, room and board, and/or required materials only. 3. I agree to the release of official transcripts of my grades to the National Association of Black Accountants, Inc. 4. If I am awarded a scholarship, I will provide satisfactory evidence, as required by NABA, of my full-time enrollment during the period(s) for which the scholarship is awarded. 5. I will attend NABA Jacksonville s Spring Awards Banquet to accept the scholarship award. (NABA Jacksonville will award reasonable gas stipends for awardees traveling from out of town) 6. I understand that if completion of my studies is planned for the middle of the academic year (i.e. a December graduate), I will receive 50% of the scholarship award. 7. I understand that submission of this application constitutes permission to use my name and/or photograph for promotional purposes in all NABA publications. Print Name Signature Date