Urban league guild ora taylor scholarship application

Urban League Guild of Hampton Roads, Inc.

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

(Please Type)

Name:

(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

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:

counselor, faith leader, or community leader.)

Applicant signature Parent/Guardian signature

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

2. 
   Deadline for application to *Scholarship Committee (submit via email only) by 4 p.m. on April 28th