Urban league guild ora taylor scholarship application



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Date28.01.2017
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Urban League Guild of Hampton Roads, Inc.

3225 High Street, Portsmouth, VA 23707 Telephone: (757) 627-0864 Fax: (757) 966-




URBAN LEAGUE GUILD ORA TAYLOR SCHOLARSHIP APPLICATION

(Please Type)


Date:

Name:


Mailing Address:

(Street or Post Office Box) (State) (Zip Code)

Telephone Number:

High School:

Mailing Address:

(Street or Post Office Box) (State) (Zip Code)

Telephone Number:

Are you a graduating senior? Yes No



PART I: EDUCATIONAL COSTS

A. Anticipated cost for the first academic year: $

B. Enter amount of anticipated financial assistance for the first academic year:

1. $ Family Contribution

2. Student’s Personal Savings

3. Employment

4. Scholarship

5. Grant

6. Other

Total Assistance: $

Please attach a copy of your Student Aid Report (SAR).

PART II: COMMUNITY SERVICE

A. How long have you been involved with community service? (years/months)

B. Describe your community services (e.g. faith-based and/or civic)

C. Please name extracurricular activities in which you have been a participant (e.g. school activities and organizations, prizes, honors, offices, etc.):

PART III: ACADEMIC PERFORMANCE

A. What is your cumulative Grade Point Average (GPA)?

B. Please attach a copy of your high school transcript.

PART IV: POST SECONDARY INSTITUTION ADMISSION

A. Please name the post secondary institutions to which you have applied for admission:

B. Please name the post secondary institutions to which you have been accepted for admission:

PART V: ESSAY AND LETTERS OF RECOMMENDATION

Along with the information requested in this application form, please provide the following items:



A. Written essay (1 to 2 pages, typed and double‐spaced). Describe why you are applying for this scholarship; and why you think you qualify? Also, describe why and how mother-daughter relationship has prepared you to become a leader. You may include how community service has changed your life ( Give examples)
B. Two (2) written letters of recommendation concerning the applicant’s completion of the program requirements, academic performance, and potential. (i.e.: 2 letters from a school

counselor, faith leader, or community leader.)


For applicants to be considered for this scholarship, ALL OF THE REQUESTED INFORMATION MUST BE SIGNED AND RECEIVED BY THE APPLICATION DEADLINE. ( 4pm April 28th)
I certify that all of the information submitted in this application form, and all other information submitted as part of the application process for consideration of this scholarship, is true and accurate to the best of my knowledge.

Applicant signature Parent/Guardian signature



__________________ ___________________

     


Timeline

1. Application package and instructions to outreach facilitators by March 21



  1. Deadline for application to *Scholarship Committee (submit via email only) by 4 p.m. on April 28th

Application and all other requested information must be received by April 28th, 4pm. Please email to Seneca.mdt10@aol.com

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