High School Student Scholarship Application Form

High School Student Scholarship Application Form

Please complete the following application form with accurate and up-to-date information.
Eligibility Criteria for the Dr. Mary McLeod Bethune Black Rose Scholarship:

The applicant must be a current graduating high school senior:

v Minimum GPA of 2.75 on a 4.0 scale.

v Submission of an essay (250-350 words) on the importance of continuing education today and the applicant’s connection to the chosen institution.

v Demonstrated financial need (verified through FAFSA or similar documentation).

v Copy of academic transcript (official or unofficial)

v Two letters of recommendation from teachers, mentors, or community leaders.

v Active involvement in extracurricular activities or community service.

v Acceptance letter from the college or trade school/career path school the student will be attending

v Deadline for application submission: March 31, 2026

The scholarship award amount is $500.The scholarship recipient will be selected based on academic achievement, essay content, financial need, and extracurricular involvement.

The scholarship will be disbursed directly to the chosen recipient to be used towards tuition, fees, books, or other educational expenses.

* The recipient must be able to attend the Central Florida Section of NCNW Dr. Mary McLeod Luncheon on May 2, 2026, from 11 am to 2 pm.

APPLICATION DEADLINE IS March 31, 2026, AT 11:59 PM EST

All documents and application if downloaded, must be emailed to scholarship.cfsncnw@gmail.com for review and consideration for the scholarship.
Student Information

Please provide your personal details below.
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.
Email Address
example@example.com
Date of Birth

MonthDayYear
Date
High School GPA
High School
Academic Intentions

Let us know about your future academic plans.
Extracurricular Activities, Community Service, or Leadership Roles
250-word essay: Submit an essay on the importance of continuing education today and your connection to the chosen institution or career path. Include any personal experiences, achievements, or goals that demonstrate your commitment to academic excellence and community involvement.
High School Transcript

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Recommendation Letter 1

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Recommendation Letter 2

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Signatures and Confirmation

Please sign below to confirm the accuracy of the information provided.
Student Signature

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Parent/Guardian Signature required under 18 years of age

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Date

MonthDayYear
Date
Intended Major

High School Student Scholarship Application Form

Student Information

Academic Intentions

Signatures and Confirmation

Parent/Guardian Information