Scholarship Application

Scholarship Application
Application and all supporting documentation must reach the Black Business Expo Scholarship Program no later than November 23, 2019, at 11.59 p.m.
Name of Parent/Guardian

First Name Last Name

Mailing Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

Area Code Phone Number
Email
example@example.com
Student To Complete
Name of Student *

First Name Middle Name Last Name
High School *
High School Telephone Number

Area Code Phone Number
Grade Point Average As Of Your Senior Year *
College, University or Vocational/Technical School You Plan to Attend *
College, University or Vocational/Technical School Admissions Office Telephone Number *

Area Code Phone Number
Have You Been Accepted? *

Yes No
Anticipated Degree Major or Area of Study:

Advertising Hospitality Marketing Business Journalism Merchandising Entrepreneurship Public Relations Technology

Work Experience: List your work experience over the last four years, in chronological order, with your most recent job listed first. Enter addition information in the blank area below if necessary.

	Company	Position/Job Description	Employed From	Employed To	Average Hours Per Week
1
2
3
4

Provide Additional Work Experience (if applicable)

SCHOOL ACTIVITIES: List all school activities in which you have participated in the last four years (i.e., athletics, student government or clubs). Enter additional school activity information in the blank area below if necessary.

	Activity	Years (1,2,3,4)	Average Hours Per Month	Position Held	Comments
1
2
3

Provide Additional School Activity Information (if applicable)

COMMUNITY AND VOLUNTEER ACTIVITIES: List non-paid community activities in which you have participated in the last four years (i.e., volunteer efforts, church work, non-profits). Attach one additional page if necessary. Enter additional community and volunteer activities in the blank area below if necessary.

	Activity	Years (1,2,3,4)	Average Hours Per Month	Position Held	Comments
1
2
3

Provide Additional Community and Volunteer Activity Information (if applicable)

AWARDS and HONORS: List all awards and honors received in the last four years (including academic or community awards and honors). Enter additional honors and awards in the blank area below if necessary.

	Year	Award or Honor	What caused you to receive the award or be honored?
1
2
3

List Additional Honors and Awards (if applicable)
Short Essay

SUBMIT ESSAY as an ATTACHMENT: Essay should be approximately 500 to 1000 words, typed (preferred) or printed, 12-point font (Times New Roman), doubled-spaced with one-inch margins. Please address the following statements:
1. Describe how this scholarship can help you overall or personally?
2. Describe the business venture or entrepreneur you are pursuing.
3. Describe what have you done thus far to continue your business venture or entrepreneur idea. Provide documentation.
4. Base on your education path you have chosen, how will the scholarship help you accomplish your business venture or entrepreneur idea.
Attach Your Essay

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Letters of Recommendations
Submit one letter of recommendation from an Educator to complete the Educator’s Form and return with your application. The Educator’s recommendation letter cannot be from a family member or the person completing the Community Leader letter. Ask the Educator to please provide information about the student that shows their leadership, academic, and personal characteristic, and entrepreneurship. We are particularly interested in
the student’s commitment to community service, integrity, unique talents, and motivation, ability to execute on projects, teamwork, and collaboration. We welcome any information that will help to distinguish this student from others. There is a separate section for the Educator to complete
Educator’s Recommendation Letter

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Submit one letter of recommendation from a local community leader. The community leader recommendation letter cannot be from a family member or the person completing the Educator’s Statement Form. Consider asking a faith-based leader, organization personnel in the area of your college major, a business venture, or a local business leader. Be sure to share the information below with the person you choose so they can prepare the recommendation letter accordingly. You may cut and paste the information in an email to them.
Local Community Leader Letter

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Thank you for agreeing to prepare a community reference letter to submit with my scholarship application.

Please provide information about the student that shows their leadership, academic, and personal characteristic, and entrepreneurship. We are particularly interested in the student’s commitment to community service, integrity, unique talents, and motivation, ability to execute on projects, teamwork, and collaboration.

We welcome any information that will help to distinguish this student from others. Return the recommendation letter to the student so they can submit it with the scholarship application packet.
Application Certification:

I certify that the information provided in this application is complete and accurate to the best of my knowledge.I grant permission to Black Business Expo to contact my references and school if necessary and to use my name and picture in promotional materials if I am selected to receive a scholarship award.
Parent/Guardian Name:

First Name Last Name
Parent/Guardian Signature: *

Clear
Student Name:

First Name Last Name
Student Signature: *

Clear
Should be Empty:

Scholarship Application

Student To Complete

Short Essay

Letters of Recommendations

Application Certification: