APPLICATION INSTRUCTIONS

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APPLICATION INSTRUCTIONS

Application forms and required documents must be

postmarked on or before the last Friday in the month of March.

GENERAL INSTRUCTIONS:

Please read the following information before completing this application.

1. You must fully complete a separate typed application for each scholarship for which you are applying. If you need more than one application, you must photocopy the enclosed application.

2. Complete and attach the title page and all supporting documents to each complete application.

FOR EXAMPLE: IF YOU ARE APPLYING FOR THE HBCU SCHOLARSHIP FUND AND THE ROY WILKINS SCHOLARSHIP, TWO APPLICATIONS MUST BE SUBMITTED

WITH THE HBCU SCHOLARSHIP FUND YOU SHOULD ATTACH:

A. Title page for the HBCU Scholarship Fund B. Three recommendation letters

C. An official transcript

D. Financial verification information E. Evidence of full-time enrollment F. One page essay

THEN, A SEPARATE TYPED APPLICATION MUST BE SUBMITTED FOR THE ROY WILKINS SCHOLARSHIP; WITH IT YOU SHOULD ATTACH:

A. Title page for the Roy Wilkins Scholarship B. Two recommendation letters

C. An official transcript

D. Financial verification information E. College/University Acceptance Letter F. Verification of NAACP membership G. One page essay

All applications must include the required materials. The UNCF/NAACP will not be responsible for making duplicate copies of applications and/or required materials. If required materials are not included

with each separate application, your application will be considered incomplete.

All incomplete applications will be disqualified.

Send to:

The United Negro College Fund Scholarships & Grants Administration

8260 Willow Oaks Corporate Drive Fairfax, VA 22031

ATTN: Kimberly Hall Phone: 703.205.3400

www.uncf.org

Scholarship recipients will be listed on the NAACP web page (www.naacp.org) by

Mid-July of each year. Only scholarship recipients will receive official notification.

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TITLE PAGE

THE EARL G. GRAVES SCHOLARSHIP

Please sign and attach this page to completed typed application

ELIGIBILTY CRITERIA

• Applicant must be a junior or senior Business major enrolled in an accredited college or university in the United States; or a graduate student enrolled or accepted to a master’s or doctoral program within a Business school at an accredited college or university in the United States (Applicant may apply during their sophomore year).

• Applicant must currently be in good academic standing and making satisfactory progress toward an undergraduate or graduate degree.

• Applicant must be a full-time student.

• Applicant must be in the top 20% of his/her class • Applicant need not demonstrate a financial need.

Members of the National NAACP Board of Directors, SCF Trustees, National Youth Work Committee, the NAACP Scholarship Selection Committee, employees and their spouses or families to the first degree of consanguinity are not eligible to apply for or receive this scholarship.

AWARD: $5,000

REQUIRED MATERIAL

Please submit the following with your completed TYPED application:

• Three letters of recommendation (other than relatives): One personal reference, two academic references from the business school of the accredited college (academic letters must be on official letterhead).

• Recent official college transcript.

• Evidence of full-time enrollment. If selected, verification of enrollment must be furnished. • One page essay (see section H of the “Applicant Personal Information Form”)

Have you included?

One Page Essay ___ Three Recommendations ___

Transcript ___ Verification of Enrollment ___

Student Signature: ______________________________________________ Date: __________________

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THE AGNES JONES JACKSON SCHOLARSHIP

• Applicant must be a current member of the NAACP. Applicant must submit a copy of their NAACP membership card or membership application to verify membership.

• Applicant must be a citizen of the United States and be enrolled in an accredited college or university in the United States.

• Undergraduate applicant must be a full-time student. If a student drops below the required full-time status, the Scholarship Selection Committee will adjust the grant received to 50% of the award allocated for that semester. Graduate applicant may be a full- or part-time student.

• Graduating high school seniors and undergraduate students must possess a grade point average of 2.5 (C+) on a 4.0 system. Graduate students must possess a 3.0 (B) average on a 4.0 system. • Applicant must demonstrate financial need based on the following scale:

Persons in Family Income Limits Persons in Family Income Limits

1 $ 14,355 5 $ 33,915

2 $ 19,245 6 $ 38,805

3 $ 24,135 7 $ 43,695

4 $ 29,025 8 $ 48,585

• Applicants who exceed the income limitations may apply and compete for a certain amount set aside for those students.

• Renewals will not be automatic. Recipients will have to compete for the renewal of their scholarships. Additional information, such as the most recent cumulative grade point average, NAACP activities, as well as other civil rights activities, and academic awards will be considered. The renewal award may be reduced or denied based on insufficient NAACP activities.

• Applicants for the Agnes Jones Scholarship must not have reached the age of 25 by the application deadline.

AWARD:

Undergraduate: $1,500

Graduate: $2,500

REQUIRED MATERIALS

Please submit the following with you completed TYPED application:

• Three letters of recommendation (other than relatives): One personal reference, one academic reference and one NAACP reference.

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TITLE PAGE

The NAACP letter of recommendation should be from the Advisor of the Youth Council or College Chapter; member of the Executive Committee of the Branch, Youth or College Chapter; member of the National Board; SCF Trustees; member of the National Youth Work Committee; or NAACP employee, except for those persons who are current members of the Scholarship Committee. Persons submitting letters must specify title and use NAACP letterhead.

• Recent official transcript of grades (high school or college). • Financial Verification Information

-College Scholarship Service, Princeton, New Jersey 08540 or -Student Aid Report (SAR) or

-Free Application for Federal Student Aid (FAFSA) or -Complete copy of parents’ most recent Income Tax Forms

NOTE: Student Aid Report (SAR) – After the Department of Education processes your FAFSA application, you will be sent a Student Aid Report (SAR). The SAR outlines the information you provided on the FAFSA and reports your Expected Family Contribution (EFC).

• Evidence of full-time enrollment or application for full-time enrollment for undergraduate applicants (verified by a copy of the application for enrollment; acceptance letter, or letter from the university verifying status). If selected, verification of enrollment must be furnished.

• Evidence of NAACP membership, verified by a copy of membership card or receipt of membership. • One page essay (see section H of the “Applicant Personal Information Form”)

Have you included?

Transcript ___ Verification of NAACP Membership ___ Financial Information ____ Three Recommendations ___ Verification of Enrollment

___

One Page Essay ____

Student Signature: ____________________________________________ Date: ___________________

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THE HBCU SCHOLARSHIP FUND

ELIGIBILITY CRITERIA

• Applicant must be a current student or incoming freshman at a Historically Black College or University.

• Applicant must be a citizen of the United States and apply to be accepted at an accredited college (excluding proprietary schools) in the United States.

• Applicant must be a full-time student. If a student drops below the required full-time status, the Scholarship Selection Committee will adjust the grant received to 50% of the award allocated for that semester.

• Applicants must possess a cumulative grade point average of 2.5 (C+) on a 4.0 system. • NAACP membership and participation is highly desirable.

• Applicant must demonstrate financial need based on the following scale:

1 $ 14,355 5 $ 33,915

2 $ 19,245 6 $ 38,805

3 $ 24,135 7 $ 43,695

4 $ 29,025 8 $ 48,585

AWARD: $2,000

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TITLE PAGE

• Three letters of recommendation (other than relatives): One personal, one academic reference and one NAACP reference.

The NAACP letter of recommendation should be from the Advisor of the Youth Council or College Chapter; member of the Executive Committee of the Branch, Youth or College Chapter; member or the National Board; SCF Trustees; member of the National Youth Work Committee; or NAACP employee, except for those persons who are current members of the Scholarship Committee. Persons submitting letters must specify title and use NAACP letterhead.

• Recent official transcript of grades.

• One page essay (see section H of the “Applicant Personal Information Form”) • Financial Verification Information

• Evidence of full-time enrollment or application for full-time enrollment. If selected, verification of enrollment must be furnished.

Have you included?

Transcript____ Verification of NAACP Membership ____ Financial Information ___

Three Recommendations____ Verification of Enrollment ____ One Page Essay ___

Student Signature: ____________________________________________ Date: ____________________

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THE LILLIAN & SAMUEL SUTTON

EDUCATION SCHOLARSHIP

• Applicant must be an Education major and a United States citizen enrolled in an accredited college in the United States.

• NAACP membership and participation is highly desirable.

• Undergraduate applicant must be a full-time student. If a student drops below the required full-time status, the Scholarship Selection Committee will adjust the grant received to 50% of the award allocated for that semester. Graduate students may be full or part-time students.

• Graduating high school seniors and undergraduate students must possess a grade point average of 2.5 (C+) on a 4.0 system. Graduate students must possess a 3.0 (B) average on a 4.0 system. • Renewals will not be automatic. Recipients will have to compete for the renewal of their

scholarship and must maintain a 2.5 GPA for undergraduates and a 3.0 for graduates to qualify for renewal. Additional information such as recent GPA, and verification of education major will be considered.

AWARD:

Undergraduate: $1,000

Graduate: $2,000

• Two letters of recommendation from a teacher or professor in the major field of specialization. Letters must be typed on appropriate letterhead.

• Evidence of full-time enrollment or application for full-time enrollment for undergraduate applicants (verified by a copy of the enrollment application; acceptance letter; or letter from the university verifying status). If selected, verification of enrollment must be submitted.

• Recent official college transcript. • Financial Verification Information

• One page essay (see section H of the “Applicant Personal Information Form”)

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TITLE PAGE

Have you included?

Transcript____ Verification of Employment ____ Two Recommendations ___

Financial Information____ Verification of NAACP Membership ____ One Page Essay

___

For High School Seniors Only:

College/University Acceptance Letter ____

Student Signature: ____________________________________ Date: ____________________________

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THE ROY WILKINS SCHOLARSHIP

• Applicant must be an entering college freshman.

• Applicant must be a citizen of the United States and seeking enrollment in an accredited college in the United States.

• Undergraduate applicants must be full-time students. If a student drops below the required full-time status, the Scholarship Selection Committee will adjust the grant received to 50% of the award allocated for that semester.

• Applicant must possess a grade point average of at least 2.5 (C+) on a 4.0 system. • The Roy Wilkins Scholarship is not renewable.

AWARD: $1,000

• Two letters of recommendation (other than relatives): One personal reference and one academic reference.

• Current official transcript of grades (high school).

• Copy of application for admission or letter of acceptance from college or university. • Copy of NAACP membership card or receipt of membership.

• Financial Verification Information

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TITLE PAGE

Have you included?

Transcript ____ Verification of NAACP Membership ____ College/University Acceptance Letter ___

Two Recommendations ____ Financial Information ____ One Page Essay

___

Student Signature: ____________________________________________ Date: ____________________

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THE HUBERTUS W.V. WILLEMS

SCHOLARSHIP FOR MALE STUDENTS

ELIGIBILITY CRITERIA

• Applicant must be a male majoring in one of the following fields: Engineering, Chemistry, Physics or Mathematical Sciences.

• Applicant must be a citizen of the United States and be applying to or accepted at an accredited college (excluding proprietary schools) in the United States.

• Undergraduate applicant must be a full-time student. If a student drops below the required full-time status, the Scholarship Selection Committee will adjust the grant received to 50% of the award allocated for that semester. Graduate applicant may be a full or part-time student.

• Graduating high school seniors and undergraduate students must possess a grade point average of 2.5 (C+) on a 4.0 system.

• Graduate student must possess a 3.0 (B) average on a 4.0 system • Applicant must demonstrate financial need based on the following scale:

1 $ 14,355 5 $ 33,915

2 $ 19,245 6 $ 38,805

3 $ 24,135 7 $ 43,695

4 $ 29,025 8 $ 48,585

AWARD:

Undergraduate: $2,000

Graduate: $3,000

• Two letters of recommendation from a teachers or professors in the major field of specialization. Letters must be typed on appropriate letterhead.

• Recent official transcript of grades.

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TITLE PAGE

• Financial Verification Information

• Evidence of full-time enrollment or application for full-time enrollment. If selected, verification of enrollment must be furnished.

Have you included?

Transcript ____ Two Recommendations ____ Financial Information ____

Verification of Enrollment ____ Verification of NAACP Membership ____ One Page Essay

___

Student Signature: _________________________________________ Date: ______________________

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Page 1 of 8

APPLICANT PERSONAL INFORMATION FORM

APPLICANT'S FULL LEGAL NAME

1.

6.

COUNTRY (if other than U.S.)

A. Applicant's Personal Information

NAACP Scholarship

2.

Page 1 of 8 FIRST LAST MIDDLE E-MAIL ADDRESS MALE FEMALE GENDER

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-7.

-

-4.

SOCIAL SECURITY NUMBER

-

-5.

CURRENT SCHOOL PHONE NUMBER

PERMANENT HOME MAILING ADDRESS (Do not submit a PO Box address) NO. &

STREET ADDRESS

CITY STATE ZIP CODE

-APT. NUMBER

-

-PERMANENT HOME PHONE

To submit this application, please print in black or dark blue ink. For each multiple choice question, fill in the appropriate circle; for the essay question, you must type your response.

RACE / ETHNICITY (You may check only one, even if you identify with more than one of these groups.)

8.

African American American Indian/Alaska Native Hispanic American Asian Pacific Islander American

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Page 2 of 8

Applicant's Social Security Number

Legal Status

B. Educational Status

9.

A. Applicant's Personal Information (continued)

College / University Attending or have been accepted

-ADDRESS CITY ZIP CUMULATIVE GPA (4.00 SCALE)

.

/

ANTICIPATED GRADUATION DATE (MM/YYYY) MAJOR

U.S. Citizen Yes No

12. APPLICANT PERSONAL INFORMATION FORM

SCHOOL ATTENDING

STATE

CLASSIFICATION

Are you a member of the NAACP?

10.

Yes No

Indicate the NAACP Scholarship for which you are applying (mark only one per application).

11.

If Yes, to what Branch, Youth Council, or College Chapter do you belong?

The NAACP Agnes Jones Jackson Scholarship The NAACP Earl G. Graves Scholarship The NAACP HBCU Scholarship

The NAACP Lillian & Samuel Sutton Education Scholarship The NAACP Roy Wilkins Scholarship

The NAACP Hubertus W.V. Willems Scholarship

/

CLASS RANK PERCENTILE

_%

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Page 3 of 8

C. Honors and Awards; Leadership

APPLICANT PERSONAL INFORMATION FORM

HONORS AND AWARDS

13.

TYPE OF HONOR/AWARD NAME OF AWARD

ACADEMIC ATHLETIC ARTISTIC COMMUNITY SERVICE EMPLOYMENT EXTRACURRICULAR

NAME OF AWARD

TYPE OF HONOR/AWARD ACADEMIC ATHLETIC ARTISTIC COMMUNITY SERVICE EMPLOYMENT EXTRACURRICULAR

NAME OF AWARD

DATE RECEIVED (MM/YYYY)

/

Student Classification When Awarded High School Undergraduate Graduate Student Classification When Awarded Student Classification When Awarded Student Classification When Awarded Student Classification When Awarded Student Classification When Awarded Student Classification When Awarded Student Classification When Awarded High School Undergraduate Graduate High School Undergraduate Graduate High School Undergraduate Graduate High School Undergraduate Graduate High School Undergraduate Graduate High School Undergraduate Graduate High School Undergraduate Graduate

(List and indicate the type of honors and awards you have received.)

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Page 4 of 8

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14.

NAACP Leadership Roles

APPLICANT PERSONAL INFORMATION FORM

C. Honors and Awards; Leadership (continued)

/

NAME OF ORGANIZATION POSITION HELD/ROLE NAME OF ORGANIZATION POSITION HELD/ROLE NAME OF ORGANIZATION POSITION HELD/ROLE NAME OF ORGANIZATION POSITION HELD/ROLE NAME OF ORGANIZATION POSITION HELD/ROLE TO FROM TO FROM Student Classification When Activity Performed

Student Classification When Activity Performed

High School Undergraduate Graduate

High School Undergraduate Graduate (Please describe the leadership roles you have held within the NAACP.)

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Page 5 of 8

/

15.

Other Leadership Roles

APPLICANT PERSONAL INFORMATION FORM

C. Honors and Awards; Leadership (continued)

/

NAME OF ORGANIZATION POSITION HELD/ROLE NAME OF ORGANIZATION POSITION HELD/ROLE NAME OF ORGANIZATION POSITION HELD/ROLE NAME OF ORGANIZATION POSITION HELD/ROLE NAME OF ORGANIZATION POSITION HELD/ROLE TO FROM TO FROM Student Classification When Activity Performed

Student Classification When Activity Performed

High School Undergraduate Graduate

High School Undergraduate Graduate (Please describe the civil / social activities you have participated in outside of the NAACP.)

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E. Recommender's Information: 2nd Academic Reference (Required for Earl Graves and Agnes Jones Jackson Scholarship Applications)

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-FIRST NAME LAST NAME

MAILING ADDRESS APT. NUMBER

Recommender's E-mail Address RECOMMENDER'S TITLE / OCCUPATION

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-Recommender's Business Phone Number Recommender's Fax Number Recommender's Cell Phone Number

CITY> STATE > ZIP CODE >

-D. Recommender's Information: Academic Reference

-

-(Required for all applications)

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G. Recommender's Information: NAACP Reference (Required for Hubertus Willems, Louis Stokes, and Agnes Jones Jackson Scholarship Applications)

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-F. Recommender's Information: Personal Reference

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-(Required for all applications)

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Page 8 of 8

Your signature is required below. Without it, your application is not complete and cannot be processed.

I hereby certify that the information provided in this application is, to the best of my knowledge, true and correct. I have not knowingly withheld any facts or circumstances that would jeopardize consideration of this application, and can provide documentation to prove I am legally authorized to work in the United States. In addition, NAACP and UNCF may use all information obtained from this application for marketing purposes. Dependents of employees or officers of NAACP and UNCF are not eligible to participate in this program.

APPLICANT'S SIGNATURE DATE

J. Signature

H. Essay (Your name and Social Security Number MUST be present at the top of your Essay.)

Please attach a typed or legibly printed one page essay explaining what led to your interest in your particular major and what career you ultimately wish to pursue. Include a description of your life's ambition, what you hope to accomplish or achieve in your lifetime, and what position you hope to attain.

We will use the information you supply on this form solely to evaluate you as a candidate for a scholarship. This information will not be available to third parties for any other purpose.

APPLICANT PERSONAL INFORMATION FORM

What do you consider to be your most significant contribution to your community? Explain in what three ways you consider your contribution to be significant.

I. Income Verification

Per the financial need limits, please indicate which household income level you meet.

(For completion by Agnes Jones Jackson, HBCU, and Hubertus Willems applicants only.)

1 2 3 4 5 6 7 8 $ 14,355.00 $ 19,245.00 $ 24,135.00 $ 29,025.00 $ 33,91500 $ 38,805.00 $ 43,695.00 $ 48,585.00 Persons in Family Income Limit Persons in Family Income Limit

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