Scholarship Application

SCDC Black Caucus
Scholarship
Form

 

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Complete the form below to apply for the scholarship OR download a PDF copy here and submit to SCDCBC by the deadline.

A. General Information

Home Address

School Address (If known)

Citizenship

B. Education Information

Class you will attend:
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Schools Previously Attended

Current and Past School Activities and Honors

Current and Past Community Activities and Honors

OPTIONAL: Hometown Newspaper 

C. Employment Information

Please list your employment history, including dates, starting with your most recent job.  Place an asterisk (*) before any company where your involvement was in the political arena.

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D. Volunteer Information

Please list your volunteer history, including dates, starting with your most recent assignment. Place an asterisk (*) before any company where your involvement was in the political arena.

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E. Application Documents 

Student Statement

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Please describe (in 500 or < words) why you are applying for the scholarship, your qualifications, and your career aspirations.  Attach your student statement using the upload feature below.

Application Attachments

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Please use the upload file feature below to attach all required application documents.  This includes the following:  transcripts, and your student statement. Otherwise, attachments must be emailed to the email address provided or sent via mail postmarked by the deadline.  Letters of recommendation should come directly from the letter writer. ***See application instructions for sending attachments separately from this application.

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Upload File

F. Application Statement

The information provided in my application is, to the best of my knowledge, complete and accurate, and I understand that false statements on this application will disqualify me from the scholarship.

I, (please print name) ___________________________________ , give permission for any college or school to release to the SCDCBC Scholarship Program any information necessary to process my application to the Program.