DELPHINE MABEL LEE SCHOLARSHIP

DELPHINE MABEL LEE SCHOLARSHIP

UMES ALUMNI ASSOCIATION - BALTIMORE ALUMNI CHAPTER Make sure all required information is submitted. If not the application will not be considered.
SECTION A - APPLICANT INFORMATION
Name*

First NameLast Name
M. I*
Last 4 of your SSN*
Birthdate*

MonthDayYear
Date
Race (optional)
Gender*

MF
Student's Permanent Mailing Address*
Email*
example@example.com
Address*

Home Address

Street Address Line 2

CityState

Postal / Zip Code
Home Phone No.*
Do you live in Baltimore City*

YesNo
No If no, which county?*
Is/Are your parent(s) or legal guardian(s) Maryland resident(s)?*

YesNo
Have you been accepted into UMES?

YesNo
If the answer is yes. Upload letter below.
Acceptance Letter upload*

Cancelof
Intended Major*
School Name*
Address*

School Address

Street Address Line 2

City or County NameState / Province

Postal / Zip Code
Code No.*
Write a 500 word essay or submit a 2 minute video answering the following question.

"How will not having DEI (Diversity, Equity and Inclusion) effect HBCU's in the future?"
500 word essay upload

Cancelof
2 minute video upload

Cancelof
Authorization for Release of Educational Records:

In accordance with the Federal Privacy Rights of the Parents and Students Act, the following signed consent is necessary for the UMES Alumni Scholarship Board to receive student information for use in conjunction with the scholarship application. The undersigned, therefore, consents to the release of the applicant's educational records, including recommendations and other information as needed.
Recommendation Letter #1*

Cancelof
Recommendation Letter #2*

Cancelof
Date*

MonthDayYear
Date
Student Signature*

Clear
Parent/Guardian Signature*

Clear
SECTION B - COUNSELOR VERIFICATION
I verify that the above student meets the minimum requirement of a 2.5 grade point average, based on a 4.0 scale for academic studies. The student's overall GPA for grades 9, 10, and 11 combined Standardized Test score is ACT In addition, I am attaching a copy of the applicant's official transcript.
Signature of Counselor*

Clear
Transcript upload *

Cancelof
Office Phone*
Date*

MonthDayYear
Date
Should be Empty:

DELPHINE MABEL LEE SCHOLARSHIP

SECTION A - APPLICANT INFORMATION

SECTION B - COUNSELOR VERIFICATION