2026 HBCU Tour Application
Application Deadline: FEBRUARY 28, 2026 Non- Refundable Registration Deposit of $200 must be submitted with application. Applications missing the registration deposit will not be reserved until deposit is received. The cost of the 2026 Black College Tour is $1000.00 Per Student. All payments are non-refundable. Payment plans are available. Payments can be made at 106 Wilbraham Road Springfield, MA 01109. Cash or Money Order only. For payment arrangements or questions, please contact Patricia Bernard at pbernard@mlkjrfs.org or at (413) 746-3655.
Student Name
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First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student E-mail
*
example@example.com
Mobile Number
*
Format: (000) 000-0000.
Gender:
*
Race/ Ethnicity
*
T-Shirt Size:
*
High School:
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Grade:
*
G.P.A:
*
Do you have a family member who attended the Black College Tour? If yes, please list name and year attended.
*
Parent/Guardian and Emergency Contact Information
Please be advised the Primary Contact will be noted in our system as such. The person listed as Primary contact will receive all email correspondences on your behalf, related to the Tour.
Primary Contact First and Last Name
*
Relationship:
*
Address:
*
Telephone Number:
*
Email:
*
Secondary Contact
*
Relationship:
*
Address:
*
Telephone Number:
*
Can this person be contacted in an emergency?
*
Yes
No
Emergency Contact 1:(Please select someone other than the Primary and Secondary Contact listed above)
*
Relationship:
*
Emergency Contact 1 Telephone Number
*
Relationship:
*
Emergency Contact 2 (Please select someone other than the Primary and Secondary Contact listed above)
*
Relationship:
*
Emergency Contact 3(Please select someone other than the Primary and Secondary Contact listed above)
*
Emergency Contact 2 Telephone Number:
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Emergency Contact 3 Telephone Number:
*
Personal Statement Essay
Personal Statement Essay must be 250 typed words demonstrating your ability to develop and communicate your thoughts. Choose one of the questions below.
1.Student Personal Statement Prompt: Historically Black Colleges and Universities (HBCUs) have played a vital role in advancing education, leadership, and cultural pride in Black communities. Why do you want to participate in this HBCU tour, and how do you see this experience influencing your educational journey, career goals, and role in your community? In your response, share how your personal background, challenges, or achievements have shaped your interest in higher education and what you hope to gain from visiting HBCUs.
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