3 0f 3 Post Office Box 22035 Seattle, WA 98122 (An Affiliate of NABSE) FINANCIAL NEED: (Finalists will be required to provide documented proof of income) ____________________________________________________________________________________________ Father’s/Guardian’s Name Occupation Yearly Salary ____________________________________________________________________________________________ Mother’s/Guardian’s Name Occupation Yearly Salary Number of dependents in the family ______________ Ages ________________________ Estimated College Expenses for 2015-2016: Tuition/Fees Books and Supplies Room and Board Transportation Other ______________________ TOTAL $_________________________ $_________________________ $_________________________ $_________________________ $_________________________ $_________________________ Anticipated Financial Assistance: Employment earnings for summer and 2015-2016 school year Scholarships, loans and grants Contributions from family members $_________________________ $_________________________ $_________________________ Special Considerations __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ ESSAY: Tell us about yourself in an essay describing your educational goals and career plans. Discuss how you plan to make a contribution to the African American community through your chosen field(s) of study. LETTERS OF RECOMMENDATION: Request two (2) letters of recommendation. One academic reference from a school counselor, administrator or teacher One personal reference from an individual who is not a family member OFFICIAL SCHOOL TRANSCRIPT: Submit an official (sealed) transcript of your grades Completed application must be postmarked by May 20, 2015. If you have additional concerns, please contact: Yvonne Ervin Carr, SABSE Scholarship Chairperson 4916 48th Ave South – Seattle, WA 98118 (206) 723-6593 – yervincarr@aol.com Page 2 of 2 (An Affiliate of NABSE) Seattle Alliance of Black School Educators (SABSE) Post Office Box 22035 Seattle, WA 98122-0035 SABSE SCHOLARSHIP APPLICATION NAME ____________________________________________ DATE OF BIRTH _________________________________ ADDRESS __________________________________________ CITY __________________ ZIP ___________________ PHONE NUMBER ____________________________________ EMAIL _______________________________________ SCHOOL ___________________________________________ GPA _________________________________________ HONORS/AWARDS __________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ SCHOOL ACTIVITIES __________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ COMMUNITY INVOLVEMENT __________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ HOBBIES/INTERESTS _________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ WORK EXPERIENCE: List employer, duties performed and dates of employment, if applicable __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ POST-SECONDARY EDUCATIONAL PLANS: List school and city Schools to which you have been accepted ________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ School you plan to attend in the fall _____________________________________________________________________ Post Office Box 22035 Seattle, WA 98122 2015 SABSE SCHOLARSHIPS The Seattle Alliance of Black School Educators (SABSE) is committed to the academic and cultural development of African American youth. In keeping with its mission, SABSE will grant at least two scholarships to graduating seniors who have been accepted to a two-year or four-year accredited institution of higher learning. The Award will be in the amount of $1,000.* Scholarship recipients will be announced on June 9, 2015 at 5:30 p.m. during SABSE’s Annual Student Recognition and Staff Retirement Reception at Mount Zion Baptist Church, 1634 Rev. Samuel B. Mckinney Street (19 th Avenue) Seattle, WA 98122. *Note: Financial awards will be sent to recipients upon completion of their first quarter/semester of college. Applicants will be considered based on the following criteria: ▪ 3.0+ GPA ▪ Community Service ▪ Leadership Skills ▪ Financial Need ▪ Written Communication Skills Applicants must submit the following information no later than May 20, 2015: ▪ ▪ ▪ ▪ Application Form with Personal Essay Official Grade Transcript (sealed) Academic Recommendation from a teacher, counselor or administrator Personal Recommendation from an individual other than a family member Ina G. Howell, SABSE President Sabse.09alliance.17@gmail.com For more information, contact Yvonne Ervin Carr, SABSE Scholarship Chairperson (206) 723-6593 ~ yervincarr@aol.com
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