HACC Scholarship Application Form

Hugh-Alpha College Chapter (HACC) Scholarship Application Form

Application Deadline - April 1, 2025
HACC Summary

A Scholarship to Support Underserved Seniors in their First Year Experience of College
Description:

The Hugh-Alpha College Chapter (HACC) scholarship began as a passion project to not only "pay it forward" but to also honor and recognize the service of my parents, Hugh and Alpha Fleming. Through their dedication to teaching and coaching, my parents, Hugh and Alpha served high school students at Elbert County Comprehensive High School in Elberton, Georgia for a combined 40+ years. Their belief in education and support of our family are the examples that lead my 4 siblings and I to continue their legacy. This scholarship is dedicated to their vision and will reward and assist high school students as they transition into their collegiate careers.

Details:

The HACC scholarship is awarded to two graduating seniors residing in Elbert County who have been accepted and are enrolling in an accredited institution of higher education. Each scholarship recipient will be awarded $500.

Eligibility Requirements:
- Open to Elbert County Comprehensive High School seniors who are attending college
- Must have proof of acceptance letter from a U.S. Department of Education accredited College or University
- Must have satisfactory academic progress (Satisfactory Academic Progress is the successful completion of coursework toward an eligible High School diploma)
- Must complete essay portion of application
- Must complete application in its entirety
Read and follow the instructions carefully prior to submitting your application. All recipients will be notified on or before the 1st of May 2025.
Read and Understand HACC Summary.*

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.
I. Personal Data:

Tell us about yourself
HACC scholarships are designed to offer aid to 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, if you are awarded a scholarship based on any of these qualifiers, you will be asked to produce documentation verifying your unique eligibility.
First Name*
Last Name*
Mobile No. :*

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Gender:

MaleFemale
Are you a US citizen?

YesNoI'm applying for citizenship
Ethnic Origin:

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

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

VeteranChild of a VeteranGrandchild of a VeteranSpouse of a VeteranNone of the Above
Do you have a disability? (Having a disability will not disqualify you from consideration.)

YesNo
II. High School Information:
Status at the time of application:

I will graduate in May 2025I will not graduate in May 2025
Are you a GED recipient? (Award of a GED does not disqualify you from consideration.)

YesNo
Most recent cumulative GPA:
High School activities, community activities, volunteer work, honors, offices held:
Have you ever received a scholarship at Elbert County Comprehensive High School?

YesNo
III. College Information:
Have you submitted an application for admission to a College or University?*

YesNoWaiting on acceptance letter
If you answered "Yes" to the question above, please list the school in which you have submitted your college application.
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.
Do you plan to complete a 2 or 4 year degree?

2 Year4 Year
Are you interested in a major of Science, Technology, Engineering or Math?

YesNo
Are you a member of Maple Spring Baptist Church of Dewy Rose?

YesNo
Will you be working while attending college?*

YesNo
If so, will you work:

Full-timePart-time
Intended College Program Area of Study:
What is your Career Objective:

0/300
IV. Essay
Your essay should be 300-800 words. You should address the following in your essay:
- choose one historical figure that has inspired you and discuss why you chose this person
- why do you deserve this scholarship
Essay:*

0/1000
V. 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:*
Please Note:

There is an educational gap for first generation, low income, and minority high school students who are transitioning to college. Because of this, students are not afforded the same opportunities as those students who do not fall in those specific categories (first generation, low income and/or minorities). While our ultimate goal is to assist those students who have traditionally lacked the support and financial, educational or community resources to attend college, this scholarship is also open to all ECCHS students desiring to further their education post high school. HACC is committed to equal opportunity in education.
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Hugh-Alpha College Chapter (HACC) Scholarship Application Form

HACC Summary

I. Personal Data:

II. High School Information:

III. College Information:

IV. Essay

V. Applicant's E-Signature