Scholarship Application Form - Seattle Alliance of Black School

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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
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(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 __________________________________________________________________________________
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SCHOOL ACTIVITIES __________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
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COMMUNITY INVOLVEMENT __________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
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HOBBIES/INTERESTS _________________________________________________________________________________
__________________________________________________________________________________________________
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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:
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3.0+ GPA
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Community Service
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Leadership Skills
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Financial Need
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Written Communication Skills
Applicants must submit the following information no later than May 20, 2015:
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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