2016-2017Urban League of Nebraska Scholarship
FOR STUDENTS WANTING TO ATTEND A 2-YEAR OR 4-YEAR IN-STATE OR
OUT-OF-STATE COLLEGE/UNIVERSITY
The Urban League of Nebraska Scholarship is awarded to assist graduating high school seniors in pursuit of post-secondary education and can be used to attend any 2-year or 4-year college/university.
To be eligible for this scholarship, you must meet the following criteria:
- Be a current resident of Nebraska.
- Have a current cumulative G.P.A. of 2.5 or higher.
- Have completed at least 10 hours of documented community involvement.
- Have taken the A.C.T. or S.A.T.
Students must submit the following materials bound in a clear plastic report cover (stapled packets will not be accepted):
- Typed application.
- Cover page with color picture attached.
- Official copy of high school transcripts or G.E.D. (General Education Diploma).
- Two (2) letters of recommendations from persons attesting to your qualifications and motivation for attending college. Family members and relatives cannot submit letters of recommendation on the student’s behalf.
- Typed essay stating your goals, ambitions and the reasonsyou should receive a scholarship. (Essays must be no less than 250 words and no more than 500 words in length.)
- Resume
- Additional information may be requested by the selection committee.
The completed scholarship application packet (including all requested materials) must be received by 5:00 p.m., Wednesday, March 1, 2017 and submitted to:
Urban League of Nebraska, Inc.
Attn: Tyrone Marshall
3040 Lake Street
Omaha, NE 68111
Application deadline is 5 p.m. on Wednesday, March 1, 2017
2016-2017Urban League of Nebraska Scholarship
PART I. COVER PAGE
Applicant’s First & Last Name:2016-2017Urban League of Nebraska Scholarship
PART II. APPLICATION
Application must be typed.
- CONTACT INFORMATION
Last Name / First Name
Middle Name / Preferred Name / Birth Date (MM/DD/YYYY)
Street Address
City / State / Zip Code
Phone 1 / Phone 2
EmailYou will occasionally receive information about ULN activities, events and volunteer opportunities.
- What is your race and/or ethnicity? Please check all that apply.
☐African-American/Black
☐Hispanic/Latino
☐Caucasian/White
☐Asian/Pacific Islander
☐Native American/Indian
☐Other:
- Please list any Urban League of Nebraska programs in which you are currently or have you ever been involved.
Name of Program(s) / Dates Involved
Applicant’s First & Last Name:
- What is your annual household income?
A / B
STUDENT’S INCOME / FAMILY’S INCOME
Savings / $ / $
+ / +
Work / $ / $
+ / +
Social Security /
TANF /
Veterans Benefits / $ / $ / COLUMN A TOTAL
+
COLUMN B TOTAL
= / =
TOTAL / $ / + / $ / = / $
- How many dependents live in your household (including yourself)?
- Have other members of your family attended college?
☐Yes
☐No
If yes, please list their names below:
IMPORTANT NOTICE
The Urban League of Nebraska will award two different types of scholarships:
- ULN Scholarships can be used to attend any in-state or out-of-state college or university.
- ULN-MCC Scholarships can only be used to attend Metropolitan Community College.
Applicant’s First & Last Name:
- To what colleges and/or universities have you applied for admission?
NOTE:If you only plan to attend Metropolitan Community College, you only need to submit the ULN-MCC Scholarship application.
Name / Location
City & State / Accepted?
Yes or No
- What degree or area of study do you plan to pursue (i.e. engineering, business administration, education)?
- Will you liveon campus?
☐Yes
☐No
- Have you taken the S.A.T.?
☐Yes
☐No
If yes, what was your score?
- Have you taken the A.C.T.?
☐Yes
☐No
If yes, what was your score?
- From what sources will you seek financial support?
☐Family
☐Work
☐Other Scholarships
☐Pell Grant
☐Other:
Applicant’s First & Last Name:
- What high school do you currently attend?
Name of High School
Street Address
City / State / Zip Code
- List your high school involvement. Attach additional sheets if necessary.
Organization/Activity / Position
(if applicable) / Years Involved
- List your current off-campus involvement. Attach additional sheets if necessary.
Organization/Activity / Position
(if applicable) / Years Involved
I attest that the above information is true to the best of my knowledge. My signature authorizes the Urban League of Nebraska to release information to the members of the scholarship selection committee and to prospective donors.
Applicant’s Signature / DateApplicant’s First & Last Name:
2016-2017 Urban League of Nebraska Scholarship
PART III. PERSONAL ESSAY
Please use the space below to provide a personal essay, stating your education and career goals, ambitions and the reasons you should receive a scholarship. Essay must be typed and between 250 and 500 words in length. You may also attach an essay.
Applicant’s First & Last Name:2016-2017 Urban League of Nebraska Scholarship
PART IV. COMMUNITY SERVICE HOURS LOG
This form may be copied if additional space is needed.
Organization / Activity / # of Hours / Supervisor’s Signature / Date Signed2016-2017 Urban League of Nebraska Scholarship
Scholarship Application Checklist
☐Cover Sheet with a current photo attached.
☐Typed Scholarship Application
☐Copy of Official Transcript
☐Copy of A.C.T. and/or S.A.T. Student Report
☐Two Letters of Recommendation
☐Resume
☐Personal Essay
☐All of the materials above have been placed – unstapled – in a clear plastic report cover.
The completed scholarship application packet (including all requested materials) must be received by 5:00 p.m., Wednesday, March 1, 2017 and submitted to:
Urban League of Nebraska, Inc.
Attn: Tyrone Marshall
3040 Lake Street
Omaha, NE 68111
Application deadline is 5 p.m. on Wednesday, March 1, 2017.