Ellis Jerome Shaw Day of Opportunities Scholarship Application

COLLEGE SCHOLARSHIP APPLICATION
ELIGIBILITY CRITERIA:

The Ellis Jerome Shaw Day of Opportunities offers seven (7) $1,000 scholarships. Eligible recipients will either be a high school senior with plans to pursue postsecondary education or a high school graduate who is currently pursuing postsecondary education. The application packet must demonstrate the applicant’s potential for success in their chosen field of study. If the applicant’s GPA on their final transcript is significantly lower, as determined by EJSDO Board of Directors, the scholarship may be forfeited.

A COMPLETED application packet must include the following:
- Completed application with all required fields
- A 400-500 word essay on the following topic: “My Postsecondary Aspirations.” Talk about yourself and your goals after high school.
- A minimum of 2 letters of recommendation from adults who know you well. This may be a school counselor, teacher, administrator, community service sponsor, or pastor. Applicants can either collect the recommendation and then submit with the application or the Recommendors can submit directly through the following link: Scholarship Recommendation Form.
- A statement explaining the financial need for assistance. The statement should be a minimum of one paragraph and between 250-500 words.
- Application certification signatures.
Completed applications with ALL supporting documents should be received by the deadline, Sunday, November 24, 2025. Send to: ejshawday@gmail.com.

Finalists MUST be available to interview.

*Previous scholarship winners are not eligible.

Personal Information
Applicant's Name:*
Enter full legal name as it appears on school records.
Grade Level:*
Select the level you'll be in during the upcoming fall term.
Applicant Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant Phone Number*
Please enter a valid phone number.
Applicant Email:*
example@example.com
Current GPA:*
Report on a 4.0 scale.
Annual Family Income:*
Round to nearest whole dollar.
# of individuals in the Home:*
Count everyone living at this address
High School Name:*
Full official school name
High School Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Intended Postsecondary Institution:*
Where you plan to enroll in Fall 2026
Postsecondary Institution Address: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Intended Major:*
List planned field of study.
Intended Enrollment Date:*
Month and year you expect to start.
Professional / Vocational Goal:*
Briefly describe your career aspirations.
My Postsecondary Aspirations (400-500 words)
In your essay, talk about yourself, your goals after high school, and how this scholarship could support those goals.
0/500
Financial Need Statement (250-500 words)
Please explain your financial need and how this scholarship will support your goals.
0/500

Activities and Honors
Sports: *
List sports, teams, years played, and roles.
Clubs/Organizations:*
Include offices held or notable contributions.
Community Service:*
Give organization names, dates, and duties.
Leadership Positions:*
Example: Student Council President.
Awards and Citations:*
Include year and awarding body.
Other:*
Any additional activities not listed above.

Parent/Guardian Information
Name of Parent or Guardian:*
Parent/Guardian Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parental Phone Number*
Please enter a valid phone number.
Parental Email*
example@example.com

Certification
If I am a recipient of the Ellis Jerome Shaw Day of Opportunities Scholarship, I certify that I will use the proceeds of the scholarship for payment of college expenses such as tuition, required fees/fines, room/board, books or any other educational expenses. I understand that the scholarship award will be mailed directly to me; and that the information submitted on this application is correct to the best of my knowledge. Further, I agree to allow the Ellis Jerome Shaw Day of Opportunities to use my name and pictures in their publications.
Signature of Applicant*

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Sign with mouse, trackpad, or finger.
Signature of Parent/Guardian*

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Parental certification is for high school students only. Sign with mouse, trackpad, or finger.
Date*

MonthDayYear
Select today's date.
HOW TO RECEIVE THE AWARD:

The scholarship is awarded to the awardee after the receipt of:
⮚ the awardee’s final high school transcript or most recent college transcript,
⮚ verification of higher education enrollment by the registrar of the college or university, and
⮚ a copy of the student’s higher education course schedule, once enrolled.
Form Revised October 2025
Should be Empty:

COLLEGE SCHOLARSHIP APPLICATION

My Postsecondary Aspirations (400-500 words)

Financial Need Statement (250-500 words)

Recommendation #1

Recommendation #2