Association of Black Business and Professionals: Internship Stipend Application

Read and follow the instructions carefully prior to submitting your application. Instructions

Awardees will be notified for Round 1 on or before the 3rd of May 2021.

Read and Understand the instructions. *

Yes, I have

If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.

Full Name *

First Name Last Name

Birthdate: *

Month Day Year

Mobile No. : *

E-mail : *

Where the confirmation will be send to

Home Address : *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Demographic Information:

This funding opportunity is designed to provide relief to Black and Latino/a/x students in the target communities.

Information regarding gender is optional. The information is requested for post-award report generation only and in no way affects your selection for this program.

Ethnic Origin: *

Hispanic Non-Hispanic Not Indicated

Race? (Choose one or more): *

Black or African American Latino/a/x or Hispanic Asian American Indian or Alaskan Native Hawaiian or Other Pacific Islander White Other

Gender:

Male Female Non-Binary Trans-Gender Prefer not to say

Are you a US citizen?

Yes No

Please check veteran status (Check all that apply)

Veteran Child of a Veteran Grandchild of a Veteran Spouse of a Veteran None of the Above

Status at the time of application:

I am currently enrolled in high school I am currently enrolled in College/University I will graduate in May 2021 (Either high school or college) I will be an incoming freshman, graduating high school prior to September 2021 I graduated College/University on or after May, 2019 I am a GED graduate with no college credit hours

Are you a first generation college student ?

Yes, I am the first among my parents or grandparents to attend college. No, either my parents or grandparents have attended college.

What is your Career Objective:

0/300

Are you or will you be a May 2021 high school or college graduate? *

Yes No

Name of School: *

Major Area of Study:

Please indicate what is your major are of study

Degree:

Year of Graduation or GED: *

Most recent cumulative GPA:

School activities, community activities, volunteer work, honors, offices held: *

Resume

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This opportunity is designed to offer aid to students of color that represent unique characteristics and backgrounds. Please check each of the qualifiers below that apply to you. This data will not decrease your likelihood of qualifying for the internship stipend. Please note, if you are awarded a scholarship based on any of these qualifiers, you may be asked to produce documentation verifying your unique eligibility.

Do you plan to transfer to another college and complete a 4-year degree?

Yes No

Will you be working another job while also completing your internship? *

Yes No

If so, will you work:

Full-time Part-time

Where will you work?

Are you a GED recipient?

Yes No

Were you born outside the USA?

Yes No

If so, what country?

Were your parents born outside the USA?

Yes No

If so, what country?

Do you have a relationship with anyone affiliated with the Association of Black Business and Professionals? *

Yes No

If yes, Name and Relationship:

Your essay should be 300-500 words. You should address in your essay: your college goals and choice of major, what you intend to do with your education, and why this stipend is important to you. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration.

Essay:

0/500

You may also upload a pdf document of your response to the question above.

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Reference Contact Information: *

First Name Last Name

Phone Number *

Please enter a valid phone number.

Email *

example@example.com

Relationship to you? *

File Upload *

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Second Reference Contact Information:

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Phone Number

Please enter a valid phone number.

Email

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Relationship to you?

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By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.

E-Signature: *

Internship Stipend Application

I. Personal Data:

II. School Information:

VI. Additional Background:

VII. Essay

VIII. Letters of Recommendation

IX. Applicant's E-Signature