PENNSYLVANIA BLACK CONFERENCE ON HIGHER EDUCATION (PBCOHE)

HIGH SCHOOL SCHOLARSHIP APPLICATION

The application should be accompanied by an ESSAY (from the applicant or his/her sponsor/counselor) not to exceed three typewritten, double-spaced pages on “Why I Should Receive the Dr. Judith A. W. Thomas PBCOHE Scholarship Award”, an OFFICIAL High School Transcript and contact information for THREE References.

The essay should emphasize the following characteristics of the candidate: leadership, community service, personal strengths, career goals, special talents, honors and awards. The information on the references should include a telephone number and e-mail address.

Personal Background Information:

Name: ______________________________________________________________________________________

(First) (Middle) (Last)

Home Address: _______________________________________________________________________________________

Number and Street City State Zip Code

Home Telephone: ____- ____ - ______ Cell Telephone: ____-____-______ E-Mail Address: ____________________

Please check: U.S. Citizen £ Yes £ No

Education Information:

Full Name of your High School: _________________________________________________________________________

Address: ____________________________________________________________________________________________

Number and Street City State Zip Code

County of your High School: _____________________________________________________________________________

Pennsylvania College you plan to attend: __________________________________________________________________

Major Course of Study: ________________________________________________________________________________

Signature: ___________________________________________________________________________________________

Applications should be submitted on/or before Friday, February 13, 2015 to:

Mrs. Barbara A. Thompson

Penn State Harrisburg

132 Swatara Building

777 W. Harrisburg Pike

Middletown, PA 17057

T 717-948-6297 F 717-948-6248

NO APPLICATION WILL BE CONSIDERED COMPLETE UNLESS AN OFFICIAL TRANSCRIPT, ESSAY AND THREE REFERENCES ARE ENCLOSED

SCHOLARSHIP WINNER MUST BE PRESENT AT THE CONFERENCE LUNCHEON ON FRIDAY, MARCH 6, 2015

AT 12 NOON TO RECEIVE THE SCHOLARSHIP AWARD.