Minority Empowerment Program Scholarship Application

MEP Scholarship Application Form

Application Deadline - April 27, 2022
Preferred Language
Read and follow the instructions carefully prior to submitting your application. All winners will be notified on or before the 30th of May 2022.
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.
I. Personal Data:

Tell us about yourself
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
Optional Informations : Information regarding gender, ethnic origin and race are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for college scholarship awards. However, providing this information may increase your opportunities for scholarships where donors have asked that priority consideration be given to students meeting certain demographic criteria (such as minority status, parent's place of employment, area of study, etc.)
Gender:

Male Female
Are you a US citizen?

Yes No
Ethnic Origin:

Hispanic Non-Hispanic Not Indicated
Preferred Language

Spanish English Other
Race? (Choose one or more):

White Black or African American Asian American Indian or Alaskan Native Hawaiian or Other Pacific Islander Non-Resident Alien
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 will have my company formed as LLC, or Corporation by May 2022 I will have my EIN for my business from the IRS I have been in business for over 3 years I have a CPA for my personal and business taxes I am Certified Practitioner
Are you a first generation business owner?

Yes, I am the first among my parents or grandparents have a business. No, either my parents or grandparents have a business
What is your Career Objective:

0/300
Are you interested in one of the following Minority Empower Program (MEP) Scholarships? If yes, you will need to audition or present a business pitch to meet eligibility requirements. Please call the Palmetto Leadership Institute at (864) 704-2311 to schedule an appointment.
Business Interest:

Business Coaching Financial Management Access to Capital Minority Certifications E-Commerce Real Estate Online Marketing Legal Structure Taxation Professional Development Business Association Membership Social Impact
Have you submitted an application for admission?

Yes No
II. Education:

Educational and Training History
Are you a high school graduate?

Yes No
May 2022 high school graduates are eligible for consideration for Palmetto Leadership Institute YOUTH ENTREPRENEURSHIP ADVANCED PROGRAM scholarships for Fall 2022 awards.

*All Palmetto Leadership Institute Entrepreneurship Program Graduates will receive automatic scholarship awards for the 120-Day Plan Program.
Would you like to be considered for Youth Leadership Institute Entrepreneurship award?

Yes No
High School Attended
Year of High School Graduation or GED:
What is your over objective for your business?
III. BUSINESS INFORMATION

(If you have already established your business)
Name of Business
Year Incorporated or Started
Date of State Incorporation
The 120-Day Plan program is designed for new businesses established in the last three years or businesses that plan or have converted from Limited Liability Companies to Corporations.
All scholarship applicants must maintain 100% participation at all times to remain eligible for the scholarship award provided by Palmetto Leadership Institute. Failure to maintain communication, assignment, and progression requirements will result in loss of award.
Note: The Palmetto Leadership Institute MEP Scholarship is valued at the total cost of $12,500 for the 120-Day Plan provided by EWTECHNERD LLC.

The 120-Day Plan program is designed for new businesses established in the last three years or businesses that plan or have converted from Limited Liability Companies to Corporations.

SBA Approved Formatted Business Plan

Business SWOT Analysis

Quickbooks On-Board Training

Business Website -1 Year Hosting -Provided by GIGWEBHOSTING.COM

1 Year Business Coaching Membership - Provided by EWTECHNERD LLC

Quickbooks Pro Advisor Referral and CPA Referral

UBCC Membership (Any U.S. Minorities and Veterans)

Membership in South Carolina African American Chamber of Commerce (South Carolina Minority Applicants)

Mastercard Digital Doors Assessment

and more
IV. For Corporations Only

LLC Conversations or Not-For Profit Corporation
Primary Reason for Incorporating
Date of Incorporation

Month Day Year
Date
V. For EWTECHNERD LLC Coaching Members Currently

Current Active Coaching Clients
How Long have you been an coaching client with EWTECHNERD LLC
What have your learned to grow your business from EWTECHNERD LLC?
Are you current in your membership?

Yes No
VI. Extras:
Palmetto Leadership Institute administers many scholarships designed to offer to empower Entrepreneurship students that represent unique characteristics. Please check each of the qualifiers below that apply to you. This data may increase your likelihood of qualifying for selected scholarships. Please note, that if you are awarded a scholarship based on any of these qualifiers, you will be asked to produce documentation verifying your unique eligibility.
Have you ever received a scholarship at Palmetto Leadership Institute?

Yes No
Do you plan to become a certified minority business : DBE, MBE, WBNEC, SBA 8(A) when you complete this program?

Yes No
Do you need assist with Professional Development to perform your desired business service?

Yes No
Are you considered a senior citizens?

Yes No
Do you have a disability?

Yes No
Do you have a business bank account?

Yes No
Do you reside (or have you ever resided) in South Carolina?

Yes No
Do you have any outstanding balances with EWTECHNERD LLC, E-Vision Project Development Corporation or E-Vision Business Center Inc?

Yes No
Are you interested in developing a social impact strategy for your business?

Yes No
Do you have business labtop computer, table or smart phone?

Yes No
In addition to a scholarship, would you like to be considered for co-op opportunities (volunteering part-time for tuition support with Palmetto Leadership Institute and its partners.

Yes No
If so, will you volunteer:

Full-time Part-time
Are you a graduate of any of the Palmetto Leadership Institute Programs?

Yes No
If yes, Name and Year of their graduation:
VII. Essay
Your essay should be 300-500 words. You should address in your essay: your business goals and choice of products and services, what you intend to do with your business, and why a scholarship is important to you. Include any business and non-business accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration.
Essay:

0/500
VIII. Applicant's E-Signature
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: *
Palmetto Leadership Institute is committed to equal opportunity in employment and entrepreneurship education. PLI does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
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MEP Scholarship Application Form

I. Personal Data:

II. Education:

III. BUSINESS INFORMATION

IV. For Corporations Only

V. For EWTECHNERD LLC Coaching Members Currently

VI. Extras:

VII. Essay

VIII. Applicant's E-Signature