IMPACT SCHOLARSHIP SUBMISSION
The YBLA Impact Scholarship is designed to give students an opportunity to showcase their impact on the community. There will be 1st, 2nd, and 3rd place prizes awarded to the best video submission!
Deadline: May 31st at 6PM
Student Name
*
First Name
Last Name
Email
*
example@example.com
Gender
*
Young Black Man
Young Black Woman
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Name:
*
First Name
Last Name
Parent Email Address:
*
example@example.com
High School Name:
*
*Please spell out full name of high school*
Grade:
*
10th Grade
11th Grade
Weighted GPA:
*
ex: 3.8
How Did You Hear About the Scholarship?
*
Team ELITE
Team The Truth
Team Shuri
Team Breonna
Team Angela Davis
Team Chisholm
Team Osaka
Team Harris
Team Obama
Team Carter
Team Nike
The Brothers in Black
The Sensational Sisters
Team Dream
Other
Upload Transcript Here:
*
Browse Files
*Transcript must show your name, year, and cumulative GPA*
Cancel
of
Upload Video Here:
*
Browse Files
*Maximum of 2 minutes*
Cancel
of
Submit
Should be Empty: