2023-100 Black Men of Mobile Scholarship Application

100 BLACK MEN SCHOLARSHIP APPLICATION
DEADLINE: Friday, March 31, 2023, at 11:59 PM CST

Requirements
- Applicant must be a 2023 graduate of the Mobile County Public School System.
- A copy of your unofficial transcript through 1st semester of the current school year must be submitted. (Upload in PDF format at the appropriate point in the application).
- An acceptance letter from an accredited 2-year or 4-year college/university must be included.
- A letter of recommendation from a teacher, community leader, or employer must provide with the submission.
- A letter from your school counselor that includes verification of your unweighted GPA and ACT/SAT score.
- An acceptable GPA of 3.0 on a 4.0 scale (unweighted).
- A minimum score of 19 on the ACT or 1300 on the SAT. To be considered for the Tyus-Wilson scholarship a 23 on the ACT is required.
- Submit a paragraph, answering the following: "Who has been the most influential mentor in my life? And why? Also include, I am in need of funding for college because..."
Finalists
- Finalists will be interviewed by a committee of the 100 Black Men of Greater Mobile, Inc. to determine recipients.
- Business attire is required.
Recipients
- Must attend the Gala or Scholarship Reveal with one parent.
- Must dress in business attire for the Gala.
- Must enter college during the summer or fall/spring semester.
- Must submit an official copy of grades at the end of each semester, for the duration of the scholarship, to the 100 Black Men of Greater Mobile, Inc.
- Must complete 24 academic hours at the end of the freshman year (before the fall semester).
- Must participate in 2 approved organizations on campus
Student's Name*

First NameMiddle NameLast NameSuffix
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*

Confirmation EmailConfirm email address
Date of Birth

MonthDayYear
Date
Sex:
Cell Phone Number*
Other Phone Number

Parent/Guardian Information
Parent/Guardian Name*

First NameMiddle NameLast NameSuffix
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Cell Phone Number*
Other Phone Number
Email*

Confirmation EmailConfirm email address
Relationship to student*

Current Education
High School*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Counselor's Name*

First NameLast Name
Contact Number*
Email*

Confirmation EmailConfirm email address
Overall unweighted GPA*
Enter the GPA based on a 4.0 scale
Admission Test

SATACT
Date of Exam

MonthDayYear
Date
Admission Test Score
If applicable, enter your score from the exam selected in the previous question.
Critical Reading Score
If applicable, enter your score from the exam selected in the previous question.
Math Score
If applicable, enter your score from the exam selected in the previous question.
Writing Score
If applicable, enter your score from the exam selected in the previous question.
Expected Date of Graduation

MonthDayYear
Date
Extracurricular School Activities *

In which you are currently involved 0/750
Community Activities *

In which you are currently involved 0/750
Offices held and Awards, Honors, Trophies received*

0/750

College Information
College(s) to which you have applied*

0/750
College(s) to which you have been accepted*

0/750
Intended major(s)*

0/750
Expected Date of Enrollment

MonthDayYear
Date
PLEASE EXPLAIN: "WHO HAS BEEN THE MOST INFLUENTIAL MENTOR IN MY LIFE? WHY? Also include, I am in need of funding for college because..."*
Identify and describe a mentor in your school and\or community who has had an impact on your life and why.
ADDITIONAL INFORMATION
Please comment on any additional information that may assist the selection committee.
References

Please give the names, addresses and telephone numbers of two references other than members of your family:
Reference Name*

First NameMiddle NameLast NameSuffix
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Contact Number*
Relationship to applicant*
Reference Name*

First NameMiddle NameLast NameSuffix
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Contact Number*
Relationship to applicant*
Signatures and Certifications

As an applicant and parent\guardian, I hereby acknowledge that the information contained in this application is true and correct to the best of my knowledge. As a parent\guardian, I grant permission for my child to apply for a scholarship provided through the 100 Black Men of Greater Mobile, Inc.
Signature of Applicant

Clear
Date

MonthDayYear
Date

Documents

Upload unofficial transcript, acceptance letter(s) and letter(s) of recommendation
Copy of your unofficial transcript through 1st semester of the current school year*
Upload in PDF format, your most recent unofficial transcript. We will accept a scanned copy of an unofficial transcript. The committee will NOT accept audit reports, mid-term/progress reports, or other document that is not an unofficial transcript. The unofficial transcript should at least include your most recent cumulative GPA.
Acceptance letter #1*
Letter of Recommendation #1*
Upload a letter of recommendation, which must come from a community leader or employer.
Letter of Recommendation #2*
Upload a letter of recommendation, which must come from a counselor or core teacher.
INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED
100 Black Men of Greater Mobile, Inc., please visit our website:

100 Black Men of Mobile

Should be Empty:

Parent/Guardian Information

Current Education

College Information

References

Signatures and Certifications

Documents