Clone of Local Scholarship Application Form

2026 Scholarship Application
The AKA Foundation of Central Pennsylvania, Inc. offers scholarships to 2026 graduating high school students who exemplify high scholastic standards as well as financial need.

Additionally, the AKA Foundation of Central Pennsylvania, Inc. offers scholarships to sophomore, junior and senior undergraduate students who exemplify high scholastic standards and financial need.

The Grateful Scholar Scholarship, Pearl B. Nichols HBCU Academic Scholarship and Hettie Simmons Love HBCU Academic Scholarship are offered to high school students and the Grateful Scholar Continuing Education Scholarship is offered to undergraduate students.
Eligibility Requirements
GRATEFUL SCHOLAR SCHOLARSHIP

·         Applicants must have verifiable proof of permanent residence status in Dauphin County, Pennsylvania.

·         Applicants must be a 2026 graduating high school student.

·         Applicants must attend high school located in Dauphin County.

·         Applicants must be completing high school successfully with a minimum GPA of 3.0 on a 4.0 scale.

·         Applicants must demonstrate financial need.

·         Applicants must be accepted as a full-time student at a college or university for the upcoming 2026 – 2027 academic year. If scholarship money is awarded, this is the only program that will receive the funds on behalf of the applicant. Proof of enrollment will be required from the recipient.

·         Show evidence of academic and personal motivation, good character, and potential for successful matriculation at an accredited four-year college or university

·         Applicants must be a citizen or legal permanent resident of the United States.

·         Applicants must complete and submit a Scholarship Application.

· Be willing to participate in a 30-minute interview.

HETTIE SIMMONS LOVE HBCU ACADEMIC SCHOLARSHIP

·         Applicants must have verifiable proof of permanent residence status in Dauphin County, Pennsylvania.

·         Applicants must be a 2026 graduating high school student.

·         Applicants must attend high school located in Dauphin County.

·         Applicants must be completing high school successfully with a minimum GPA of 3.0 on a 4.0 scale.

·         Applicants must demonstrate financial need.

·         Applicants must be accepted and subsequently enroll as a full-time student at a Historically Black College or University (HBCU) for the upcoming 2026 – 2027 academic year. If scholarship money is awarded, this is the only program that will receive the funds on behalf of the applicant. Proof of enrollment will be required from the recipient.

·         Show evidence of academic and personal motivation, good character, and potential for successful matriculation at an accredited four-year HBCU.

·         Applicants must be a citizen or legal permanent resident of the United States.

·         Applicants must complete and submit a Scholarship Application.

· Be willing to participate in a 30-minute interview.

PEARL B. NICHOLS HBCU ACADEMIC SCHOLARSHIP

·         Applicants must have verifiable proof of permanent residence status in Dauphin County, Pennsylvania.

·         Applicants must be a 2026 graduating high school student.

·         Applicants must attend high school located in Dauphin County.

·         Applicants must be completing high school successfully with a minimum GPA of 3.0 on a 4.0 scale.

·         Applicants must demonstrate financial need.

·         Applicants must be accepted and subsequently enroll as a full-time student at a Historically Black College or University (HBCU) for the upcoming 2026 – 2027 academic year. If scholarship money is awarded, this is the only program that will receive the funds on behalf of the applicant. Proof of enrollment will be required from the recipient.

·         Show evidence of academic and personal motivation, good character, and potential for successful matriculation at an accredited four-year HBCU.

·         Applicants must be a citizen or legal permanent resident of the United States.

·         Applicants must complete and submit a Scholarship Application.

· Be willing to participate in a 30-minute interview.

UNDERGRADUATE STUDENT SCHOLARSHIP
GRATEFUL SCHOLAR CONTINUING EDUCATION SCHOLARSHIP

·         Applicants must be a full-time rising sophomore, junior or senior undergraduate student at an accredited college or university.

·         Applicants must have verifiable proof of permanent residence status in Dauphin County, Pennsylvania.

·         Applicants must have a 2.5 GPA or higher or a letter grade point average of B or higher as calculated by your college or university.

·         Applicants must demonstrate financial need.

·         Show evidence of academic and personal motivation, good character, and potential for continued matriculation at an accredited college or university.

·         Applicants must be a citizen or legal permanent resident of the United States.

·         Applicants must complete and submit a Scholarship Application.

· Be willing to participate in a 30-minute interview.
CHECKLIST
·         Completed Scholarship Application must be submitted by
March 31, 2026, 11:59 p.m. (EST)

· Do not leave any fields blank. If the information does not apply, enter N/A.

·         Write an essay that describes your community service experience and explain how you plan to use your future career to give back to your community. The essay response submitted should be a minimum of 500 words with a max of 700.

·         Transcript

·         Two letters of recommendation (can be completed by an academic teacher or professor, counselor, school administrator, employer, or community leader)

·         Questions should be directed to the following:
akafoundationofcentralpa@gmail.com
Applicant Information
Select one:

High School StudentUndergraduate/ College Student
Select Scholarship Applying For: (Select One)

Grateful Scholar ScholarshipHettie Simmons Love HBCU Academic ScholarshipPearl B. Nichols HBCU Academic ScholarshipGrateful Scholar Continuing Education Scholarship
Applicant's Full / Legal Name*

First NameMiddle NameLast Name
High School or College Name:*
Applicant Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone*

Area CodePhone Number
Mobile Phone (Applicant)*

Area CodePhone Number
Mobile Phone (Parent/ Guardian)*

Area CodePhone Number
Applicant E-mail*
Cumulative Grade Point Average*
Parent/Guardian Information
Mother's Name:

First NameLast Name
Occupation:
Annual Salary::
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Father's Name:

First NameLast Name
Occupation:
Annual Salary::
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Guardian Name:

First NameLast Name
Occupation:
Annual Salary::
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Have you completed the 2026-2027 Free Application for Federal Student AID (FAFSA)?

YesNo
The dollar amount of approved Scholarships and Financial Aid:
Number of dependent children in household:
Number of dependent children in college:
High School Students
Graduation Date

MonthDayYear
Date
Current GPA*
List the accredited Colleges/Universities you have been accepted to and include the City and State where they are located.
The College/University you plan to attend:
List any scholarships received or pending:
Intended Major(s):
Career Interest:
College Students
Major(s):
Career Interest:
Graduation Date

MonthDayYear
Date
Current GPA*
List any scholarships received or pending:
Required Documentation
A.) Please provide your transcript
*Attach documents (.pdf only)

B.) Please provide 2 (maximum) college acceptance letters
*Attach documents (.pdf only)

C.) Please provide a list, by year, of extracurricular and community activities.
Specifically include information on any leadership roles.
*Attach documents (please use Word or .pdf)

D.) Provide a list by year, of Awards and Honors.
*Attach documents (please use Word or .pdf)

E.) Please respond to the essay statement below. Your response must be between 500-700 words, double-spaced and attached as a separate document.
Write an essay that describes a time in your life where you demonstrated leadership to overcome an obstacle either through your school, social, or family life.
*Attach document (please use Word or .pdf)

F.) Provide two (2) Letters of Recommendation from (Counselor, Academic Advisor, Professor/Teacher, or Employer, etc.
*Attach documents (please use Word or .pdf)

Please limit your recommendation to one page, describing the applicant's strengths, character and why he/she deserves this scholarship. Please return the completed recommendation to the applicant for submission with the scholarship application.

Include your name in the document file name, for each document submitted. Your last name should appear first.
(i.e., Taylor_John Scholarship Application)
Upload all documents here

Browse Files

Cancelof
I certify that I meet the eligibility requirements and the information provided is complete and accurate to the best of my knowledge. Falsification of information may result in the revocation of any scholarship I am granted.

I also authorize my school to release to the AKA Foundation of Central Pennsylvania, Inc. information on my enrollment status.
This is required for the above statement*

I Agree
To be eligible for the scholarship, all information must be received by the due date of March 31, 2026, 11:59 p.m. (EST)
Date

MonthDayYear
Date
Applicant Signature
Print Name
Date

MonthDayYear
Date
Parent/Guardian Signature
Print Name
Date

MonthDayYear
Date
Should be Empty:

2026 Scholarship Application

Eligibility Requirements

CHECKLIST

Applicant Information

Parent/Guardian Information

High School Students

College Students

Required Documentation

A.) Please provide your transcript*Attach documents (.pdf only)

A.) Please provide your transcript
*Attach documents (.pdf only)