The J. Emanual Fellowship Application

J Emanual Fellowship Application

Application Deadline - April 1, 2022
The candidates must be enrolled as graduate student during the 2022-23 Academic year.
- Be a U.S. Citizen or legal permanent resident
- Cumulative GPA of 3.0 on a 4.0 scale.
- Only Candidates in disciplines (science, technology, math or science).
- 25 years of age or above by October 1, 2022
Read and follow the instructions carefully prior to submitting your application. All winners will be notified on or before the 30th of December 2022 and the 30th of April 2023.
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 NameLast Name
Birth date:*

MonthDayYear
Mobile No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be send to
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
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.
Gender:*

MaleFemale
Are you at least 25 years of age ?*

YesNo
Are you a mother?*

YesNo
Upload copy of dependent birth certificate*

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Copy of Child's Birth Certificate to Verify Status Cancelof
Are you a US citizen?

YesNo
Are you a resident of AL, GA or FL?*

YesNo
Ethnic Origin:

HispanicNon-HispanicNot Indicated
Race? (Choose one or more):

WhiteBlack or African AmericanAsianAmerican Indian or Alaskan Native Hawaiian or Other Pacific IslanderNon-Resident Alien
Please check veteran status (Check all that apply)

VeteranChild of a VeteranGrandchild of a VeteranSpouse of a VeteranNone of the Above
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.
Major Area of Study:*
Please indicate what is your major are of study
What is your Career Objective:

0/300
II. College/Institution/University Information:
College Name:*
Year of Anticipated Graduation:*
Most recent cumulative GPA:*
College or extracurricular activities, community activities, volunteer work, honors, offices held:
Upload a copy of your unofficial transcript*

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Unofficial Transcript Cancelof
VI. Extras:
Please check each of the qualifiers below that apply to you. This data may increase your likelihood of qualifying for selected scholarships. 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.
Are you a GED recipient?

YesNo
In addition to a scholarship, would you like to be considered for other opportunities (volunteering, mobile food banks, clothing drives, etc.)

YesNo
Are you working while attending college?*

YesNo
If so, where are you working?:

Full-timePart-time
Do you have a relationship with anyone affiliated with Young College Mothers, Corp.?

YesNo
VII. Tell Us About Your Career Goals
A brief summary of your career goals, aspiration to continue your education and why the fellowship is important to you, special circumstances or any information that the scholarship committee should consider selecting you as the award recipient. Include any academic and non-academic accomplishments and personal characteristics.
Summary:*

0/500
VIII. Applicant's E-Signature
Upload a recent headshot or family photo

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Photo Upload Cancelof
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:*
Young College Mothers, Corp. is committed to equal opportunity in employment and education. We do 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.
Should be Empty:

J Emanual Fellowship Application

I. Personal Data:

II. College/Institution/University Information:

VI. Extras:

VII. Tell Us About Your Career Goals

VIII. Applicant's E-Signature