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Home
Programs
Programs
Mission
Board
Gallery
Scholarship
Scholarship Overview
High School Application
Undergraduate Application
Members
Donate
Contact
High School Application
Check All That Apply
*
I am currently graduating from a Houston area high school
I am currently graduating from Jack Yates H.S
I am African American
I am female
I am male
Accepted to Texas Southern University
Accepted to Southern University A&M
Accepted to HBCU
Accepted to 4-year college
Applicant Information
First Name
*
Middle Name
Last Name
*
Street Address
*
Address Line 2
City
State
Country
Zip Code
Email
*
Date of Birth
*
Age
*
Phone
*
Family Information
Guardian First Name
*
Guardian Last Name
*
Guardian Email
*
Relationship To Student
*
Parent
Grandparent
Legal Guardian
Address Line 1
*
Address Line 2
City
State / Province / Region
Country
Postal Code
Phone Number
*
Occupation
*
High School Information
High School Name
*
Cumulative GPA
*
Grade Scale
*
4.0
5.0
6.0
COLLEGES/UNIVERSITIES YOU'VE APPLIED FOR ADMISSION
Colleges/Universities
*
OUTSTANDING HONORS AND AWARDS EARNED IN HIGH SCHOOL AND COMMUNITY ORGANIZATIONS
Honors/Awards |
Please include all honors and awards.
LEADERSHIP OFFICES HELD IN HIGH SCHOOL ORGANIZATIONS
Leadership Offices Held |
Include Clubs, Social Activities, Community Organizations; Number of Years; Office Held
COMMUNITY SERVICES
Community Services |
Include the Project Name, Participation Date, and Number of Hours for each.
EXTRACURRICULAR ACTIVITY PARTICIPATION
Extracurricular Activity |
Include the Activity Name and Number of Years.
File Uploads
Recent Photo
*
No selfies. Headshot or graduation picture preferred
Upload Transcript
*
Upload only .pdf format
Documentation of acceptance to institutions of higher education
*
Original Essay
Upload your original essay (300- 500 words) typed, double-spaced 12pt Arial or Times New Roman font) in Word or Pdf format in which you state:
(a) State why you expect to be successful in college;
(b) Indicate how this scholarship will help you achieve your success;
(c) Describe your resilience in overcoming educational challenges
Scholarship Resume
SAT Scores
ACT Scores
DISCLAIMER & SIGNATURE
I hereby certify that the information provided in this application is true, accurate, and complete to the best of my knowledge. I understand that any false or misleading information may result in disqualification.
First Name
Last Name
OFFICE USE ONLY
Scholarship Match
IEACF General Scholarship
IEACF HBCU Scholarship
JoAnn Brown
Hazel Hainsworth Young
Odessa Davis
Submit Application
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