APPLICATION DEADLINE EXTENDED: Thursday, June 4, 2015 Luther Vandross was one of the most successful R&B artists of the 1980s and 90s. He is well known for his distinctive interpretations of classical pop and R&B songs, and his smooth, versatile tenor voice has been captivating audiences for decades. His mother, Mary Ida, was a noteworthy advocate of healthy living and preventive testing for diabetes and other chronic diseases. The Luther and Mary Ida Vandross Fund was established to honor the memory of Luther Vandross and his devoted mother Mary Ida. Scholarships from this fund will be awarded to assist students in their pursuit to graduate from a historically black college or university. SELECTION CRITERIA Enrolled in a 4-year Historically Black College or University (HBCU) Be in their 3 rd, 4 th or 5 th year of study leading to an undergraduate degree Demonstrate financial need Have a 2.5GPA or better Must be a resident of Pennsylvania, Delaware, or Southern New Jersey. AWARD AMOUNT Five (5) $10,000 scholarships will be awarded. Scholarship awards may be applied to primarily tuition, books and fees. APPLICATION SUBMISSION INSTRUCTIONS INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED. Please answer all questions, attach requested documents and make sure the application is signed by applicant and/or parent/guardian. If a question does not apply to you, please mark N/A. A Completed Application Includes: (Please check the boxes to indicate the attachments you have submitted. If an attachment is not applicable to you, please mark N/A next to the check box) Attachment A Attachment B Attachment C Attachment D Attachment E Copy of your College transcript. Copy of your financial award letter from the college/university you attend Copy of your final SAR or FAFSA Report returned from the U. S. Department of Education. Copy of your college/university s estimated cost of attendance. (This information can be obtained from the college s financial aid office, college brochure, or college website). Résumé listing your experience. Attachment F Essays (Guidelines for the essay are listed on page 6) Attachment G Recommendation Form (provided with the application) must be completed and placed in a sealed envelope by the person who completed the form and submitted with this application. Please mail your application and all required attachments in ONE envelope to: The Philadelphia Foundation 1234 Market Street, Suite 1800 Philadelphia, PA 19107 Page 1 of 7
Applicants MUST be attending one of the Historically Black Colleges and Univeristies on this list to be considered for the Luther and Mary Ida Vandross Scholarship Award. ALABAMA A & M UNIVERSITY ALABAMA STATE UNIVERSITY ALBANY STATE UNIVERSITY ALCORN STATE UNIVERSITY ALLEN UNIVERSITY ARKANSAS BAPTIST COLLEGE BENEDICT COLLEGE BENNETT COLLEGE FOR WOMEN BETHUNE-COOKMAN UNIVERSITY BLUEFIELD STATE COLLEGE BOWIE STATE UNIVERSITY CENTRAL STATE UNIVERSITY CHEYNEY UNIVERSITY OF PENNSYLVANIA CLAFLIN UNIVERSITY CLARK ATLANTA UNIVERSITY CONCORDIA COLLEGE-SELMA COPPIN STATE UNIVERSITY DELAWARE STATE UNIVERSITY DILLARD UNIVERSITY EDWARD WATERS COLLEGE ELIZABETH CITY STATE UNIVERSITY FAYETTEVILLE STATE UNIVERSITY FISK UNIVERSITY FLORIDA A&M UNIVERSITY FLORIDA MEMORIAL UNIVERSITY FORT VALLEY STATE UNIVERSITY GRAMBLING STATE UNIVERSITY HAMPTON UNIVERSITY HARRIS-STOWE STATE UNIVERSITY HOWARD UNIVERSITY HUSTON-TILLOTSON UNIVERSITY INTERDENOMINATIONAL THEOLOGICAL CENTER JACKSON STATE UNIVERSITY JARVIS CHRISTIAN COLLEGE JOHNSON C SMITH UNIVERSITY KENTUCKY STATE UNIVERSITY LANE COLLEGE LANGSTON UNIVERSITY LE MOYNE-OWEN COLLEGE LINCOLN UNIVERSITY LINCOLN UNIVERSITY OF PENNSYLVANIA LIVINGSTONE COLLEGE MEHARRY MEDICAL COLLEGE MILES COLLEGE MISSISSIPPI VALLEY STATE UNIVERSITY MOREHOUSE COLLEGE MOREHOUSE SCHOOL OF MEDICINE MORGAN STATE UNIVERSITY MORRIS COLLEGE NORFOLK STATE UNIVERSITY NORTH CAROLINA A&T STATE UNIVERSITY NORTH CAROLINA CENTRAL UNIVERSITY OAKWOOD UNIVERSITY PAINE COLLEGE PAUL QUINN COLLEGE PHILANDER SMITH COLLEGE PRAIRIE VIEW A & M UNIVERSITY RUST COLLEGE SAINT AUGUSTINES COLLEGE SAINT PAULS COLLEGE SAVANNAH STATE UNIVERSITY SELMA UNIVERSITY SHAW UNIVERSITY SOUTH CAROLINA STATE UNIVERSITY SOUTHERN UNIVERSITY AND A & M COLLEGE SOUTHERN UNIVERSITY AT NEW ORLEANS SOUTHWESTERN CHRISTIAN COLLEGE SPELMAN COLLEGE STILLMAN COLLEGE TALLADEGA COLLEGE TENNESSEE STATE UNIVERSITY TEXAS COLLEGE TEXAS SOUTHERN UNIVERSITY TOUGALOO COLLEGE TUSKEGEE UNIVERSITY UNIVERSITY OF ARKANSAS AT PINE BLUFF UNIVERSITY OF MARYLAND EASTERN SHORE UNIVERSITY OF THE DISTRICT OF COLUMBIA UNIVERSITY OF THE VIRGIN ISLANDS UNIVERSITY OF THE VIRGIN ISLANDS-KINGSHILL VIRGINIA STATE UNIVERSITY VIRGINIA UNION UNIVERSITY VIRGINIA UNIVERSITY OF LYNCHBURG VOORHEES COLLEGE WEST VIRGINIA STATE UNIVERSITY WILBERFORCE UNIVERSITY WILEY COLLEGE WINSTON-SALEM STATE UNIVERSITY XAVIER UNIVERSITY OF LOUISIANA Page 2 of 7
Application APPLICANT INFORMATION Please print or type Name _ Last First Middle Permanent Address Street City County State Zip Telephone ( ) Date of birth Email: Please print clearly Gender: Student ID:_ FAMILY INFORMATION Please circle relationship Father/stepfather/guardian Address Street City State Zip Mother/stepmother/guardian Address Street City State Zip Number of siblings financially dependent on parent(s)/guardian Total number of family members If you are an independent student: Marital Status: Single Married Divorced Number of dependents: Annual Family Income: (Adjusted Gross Income) Under $25,000 $25,000 - $35,000 $35,000- $45,000 $45,000 - $55,000 $55,000 - $75,000 Over $75,000 POST SECONDARY EDUCATION INFORMATION Please attach: A copy of College transcript (Attachment A ) Institution for which aid is requested Street City County State Zip Major: Degree Sought GPA: Expected graduation date: Page 3 of 7
FINANCIAL AID INFORMATION Please attach: Financial award letter from your college/university if applicable (Attachment B ) Copy of your final SAR or FAFSA Report returned from the U. S. Department of Education (Attachment C ) Cost of Education per year: Please attach: Copy of your college/university s estimated cost of attendance (Attachment D ) EXPENSES Amount Total Tuition and Fees Room and Board Books and Supplies Transportation $ $ $ $ TOTAL EXPENSES $ (A) INCOME NAME OF GRANT OR SCHOLARSHIP Federal, State & Other Awards $ (List loans and work study in Loan section below) $ $ $ $ College Grants & Scholarships $ applied received (List loans and work study in (Loan section below) $ applied received TOTAL GRANTS & SCHOLARSHIPS Estimated Family Contribution from Student Air Report (SAR) TOTAL INCOME (Item B plus Item C) FINANICAL NEED (Item A minus Item D) $ applied received $ applied received $ applied received $ (B) $ (C) $ (D) $ (E) LOANS AND EMPLOYMENT NAME OF SOURCE TOTAL LOANS & EMPLOYMENT Financial information is confidential for review only by the members of the Advisory Committee and The Philadelphia Foundation. Page 4 of 7
Resume (Attachment E ) Your resume should include the following: COLLEGE EXTRA-CURRICULAR ACTIVITIES: Please note and give a brief description of any and all activities in which you currently participate. (ie. Sports, Student Government, Clubs, Special Projects, etc.) ACTIVITIES OUTSIDE OF SCHOOL: Please give a brief description of all activities outside of school that you participate in (e.g. Social Clubs, Religious Activities, Hobbies) WORK ACTIVITIES: If you have done any volunteer work and/or held a paid position during college, list and briefly describe your involvement(s). Include: title, responsibilities, starting/ending dates, and number of hours per week.*please distinguish between paid and volunteer positions. Essay (Attachment F ) This essay should be no longer than 3 typewritten double-spaced pages and must include information that will answer the following questions: 1. What makes you stand out from other students? Are there any talents, skills, or hobbies that you have that you are particularly proud of? Submit picture if necessary 2. What is your favorite novel, movie, *song, or work of art? Why does it resonate with you? (*You do NOT receive extra points for a Luther Vandross song). CERTIFICATION AND SIGNATURES I, (we) certify that the information on this form is true and compete to the best of my (our) knowledge. If asked by any authorized official of The Philadelphia Foundation, I (we) agree to give the documentation for information given on this form. I (we) realize that failure to comply with a request for additional information may prevent the applicant from receiving any aid. I also grant The Philadelphia Foundation permission to use my photograph and/or selected quotes on their website and in future publications. Applicant signature Date Parent signature Date Send completed application and all required attachments together in ONE envelope to: The Philadelphia Foundation 1234 Market Street, Suite 1800 Philadelphia, PA 19107 Please E-mail any questions to scholarships@philafound.org APPLICATIONS MUST BE RECEIVED BY THE FOUNDATION BY JUNE 4, 2015. LATE APPLICATIONS WILL NOT BE CONSIDERED. Page 5 of 7
Attachment G Scholarship Recommendation Form Recommendation form must be completed and placed in a sealed envelope by the person who completed the form. Please answer all of the questions listed on form. The sealed envelope should be submitted along with the application. Recommendations must be someone not related to you. (Ex. Professor, Counselor, Spiritual Leader, Employer ) Please contact Sylvia Spivey at (215) 863-8121 if you have any questions. Applicant s Name: Print Date: Applicant s Signature: Note: Signature grants permission to send information 1. In what context and for how long have you known the applicant? 2. Please share what you know about the applicant's circumstances and adversity by providing as much detail as possible. 3. Please share information about the applicant s accomplishments and future goals that would demonstrate the characteristics on which this scholarship is based. Page 6 of 7
4. Please share any other information you deem relevant. Name: Title: Signature: _ Date: Telephone: _ May we contact you if we have any further questions? Yes No Recommendations must be postmarked by June 4, 2015. Please mail to: The Philadelphia Foundation Attn: Sylvia T. Spivey 1234 Market Street, Suite 1800 Philadelphia, PA 19107 Contact: Sylvia T. Spivey, Development and Scholarship Manager sspivey@philafound.org (215) 863-8121 Page 7 of 7