2024-2025 ASALH Scholarship Application

ASALH Scholarship Application

Applications are being accepted until 2/15/25.
Founders of Black History Month

ASALH: Association for the Study of African American Life and History

ASALH Manasota Branch, Ernestine Harris, Chartering President

asalh-manasotafl.org

The Manasota ASALH Scholarship Program was initiated in 1997. One of the goals of the organization is to support Black youth in the pursuit of their educational aspirations. The awarding of this scholarship is a step in that direction.

ELIGIBILITY: Before you proceed with this application please determine if you qualify to apply and if you have all of the following proper documentation.
The application process may be saved, but you will not be able to submit without all required fields completed. (*)

• Must be a graduating Black high school student who has been admitted to and enrolled in an accredited four (4) year college or university upon receiving the award.

• Must possess a cumulative grade point average of 3.0 or higher on a 4.0 scale.

• Must include a recent photo, copy of high school transcript, FAFSA Form.

REFERENCES
• Must provide three (3) letters of recommendation from non-family members with at least one current from your school. Letters must include addresses and telephone numbers of persons providing the reference.

INTERVIEW
• Must meet with the Scholarship Committee at agreed interview time prior to final award.

Begin ASALH Scholarship Application
1. Name*

First NameLast Name
2. Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
3. Cell Phone Number*

Area CodePhone Number
Home Phone Number*

Area CodePhone Number
4. Email*
example@example.com
5. Date of Birth*

MonthDayYear
Date
Place of Birth*
City, State. Country
6. List First and Last Names of Parents/Guardians*
7. Current School Attending*
Current School Phone Number*

Area CodePhone Number
Current School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
8. List the Colleges to which you have applied. *
9. List the Colleges to which you have been accepted. *
What is your planned major? *
10. Explain your personal/family financial situation and why you may need financial assistance. *
11. How would you describe your leadership abilities with any involvement in clubs, activities, sports, honors, and or awards? *
12. Describe your work experiences if any. *
13. Describe your extracurricular activities & community service and include # of hours *
14. Write “YOUR BIO” in 300 words or less including and describing any additional club and sports activities, awards, honors as well as your intended major and career aspirations. *

0/300
15. Recent Photo*

Browse Files

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16. Copy of HS Transcript*

Browse Files

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17. Entire FAFSA Form

Browse Files
If you don't have this yet, you will be required to submit separately at a later time. Cancelof
18. Two (2) Non-Family Letter of References *

Browse Files
Both letters must include addresses and telephone numbers of persons providing the reference. Cancelof
19. At least one (1) School Current Letter of Reference*

Browse Files
Letter must include addresses and telephone numbers of persons providing the reference. Cancelof
20. Media Disclosure: Submitting this application and if successful in receiving a scholarship, I agree that my information including photo may be sent to news outlets to showcase the achievements of local students.
21. Student Signature*

Clear
Use mouse or keypad to sign (for smart devices use your finger).
22. Parent/Guardian Signature*

Clear
Use mouse or keypad to sign (for smart devices use your finger).
CHECKLIST Before Submitting Application*

Application Form Fully CompletedReferences(3)PhotoCopyof HS TranscriptFAFSA Form
Please note in order to submit your application all required fields (*) must be completed first.

If you have any questions please contact

Mrs. Harriet A. Cowan, Scholarship Chair, Manasota ASALH, Inc.
hcowan4521@aol.com
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ASALH Scholarship Application

Begin ASALH Scholarship Application