2015/2016 Scholarship

1. ScholarshipApplication

100BlackMen of San Antonio’sFuture Leader ScholarshipApplicationwill be availableafter November 1standmaybe acquiredfromourwebsite encouragedandpreferredthatthe applicationsbe typed.

2. Essay

Applicants arerequiredtosubmita 600wordminimum, double-spacedessayusingoneofthe followingtopics.Itis also encouragedand preferredthatthe essays betyped.

1.Describehowyouhavedemonstratedleadershipabilitybothinandoutofschool,andtell howyour leadershipimpacted positive change.

2.Whatdoyousee as the greatestthreattothe environmenttodayanddescribe your recommendedsolution?

3.Teacherqualityis the number one determinantofstudents’achievement.Describe the attributes of your favoriteteacher/professor andthe impacthe/shehadonyouracademicachievement.

4.If youhadthe authorityto change your schoolinapositiveway,describe the specific changesyouwouldmake?

5.Discusswhy youwanttoobtaina college education.Nowdescribe indetailhowyou are goingtousethatdegree toimpact your communityandthe world.

3. Official Academic Transcript

Applicants must request anofficialacademic transcriptfromtheirmost recentschool orcollege. Transcripts must be includedinthepackets

4. GPA – 2.5 ORGreater

Applicants must have aminimum grade pointaverage of2.5to be eligible forthe scholarship.

5. ConfirmationofCommunity ServiceForm

Applicants are requiredtohave performedaminimumof50“active” service hours withinthe12-month precedingthe applicationdeadline. Students whoare awardeda 100BlackMen Future Leader Scholarshipare requiredtocomplete anadditional50hoursof“active”community servicewithin 8-months after thescholarshipis awarded. Scholarshipapplicants andrecipients shouldcomplete andsubmittheConfirmation ofCommunityServiceFormas certification ofserviceperformed. Confirmationforms shouldbe completedforeach project. Applicants and recipients may make copies ofthe formas needed.

“Active” serviceshall be defined as “Anactivity thatallows one toextendthemselves inservicetoanother withoutcompensation, remuneration,personalgain orbenefit.” See below fora samplingofacceptable projects:

Ex.1ACTIVE SERVICE-Acceptable ServiceProjects (servingfoodtothehomeless throughsoup kitchen orshelter, tutoringstudents,picking uplitter andrecycling,coordinatinga communityfood/shelterdrive,serving as an officerinan official positionofa civic organization).

Ex.2PASSIVE SERVICE-Unacceptable ServiceProject(donatingfood/clothingina clothingdrive, babysitting,singing ina choir,serving as an officerinan official position ofa church).

6. ReferenceLetter

One (1)non-relatedfamilymembercharacter reference letter

DearApplicant:

The100BlackMenofSan Antonio,Inc.iscommittedtothegrowthanddevelopmentofAlamo Cityyouth.Inadditiontoengaginginmentoring, education,healthwellnessandeconomicdevelopmentprograms,wefeelitisimportanttoaidindevelopingtalentedyoungSan Antonio youthin pursuitofhighereducation.Through giftsprovidedbyourcorporatesponsors,the100 BlackMen ofSan Antonio,Inc.isableto provide scholarshipsto deserving college students onan equalopportunitybasis regardless ofrace,sex,creed, orreligiouspreference.

The100BlackMenofSan Antonio’sFutureLeaderScholarship Program isavailabletoundergraduatestudentswhomaintainfulltimestatusatan accredited,post-secondary institutionbeginninginthefalloftheyear. Applicantsmustmeetalloftheeligibility requirementsanddeadlinesto qualify. Scholarshipawardsrangefrom $250to$1,000andshouldbe appliedtowardstuition,room,board,andbooks.Checkswillbemailed from the100 Black Men San Antonioofficeandmadepayableto theinstitution. Individualsapplying fora scholarshipmustforwardone complete applicationpackettotheaddress below. Currentscholarshiprecipientsmustre-apply eachyear. Applicationpacketsmustbepostmarkedno laterthanFebruary28,2016. Facsimilesandincomplete packetswillnotbeaccepted. Notification ofscholarshipswillbesenttoall applicantsbyJune 30,2016.Mailcomplete applicationpackets to:

100BlackMen of San Antonio,Inc.

PO Box 29563

San Antonio, Texas 78229

ATTN: ScholarshipAdministrator

ELIGIBILITY CRITERIA

Undergraduate studentorhighschoolstudenttransitioningtocollege

Minimumgrade pointaverage of 2.5

Attendinga post secondary,accreditedinstitutionorplanningto attend

Plans to attendschoolforentire academicyear, beginninginthe fall

Completed 50hours of “active” communityservicewithin past 12-months withcertified documentation

Leadershipinvolvement(Definedas office heldfor instance is aPresident,Treasurer,etc.in HighSchool,Collegeor an

organization/club;Captainofateam;Students thathavestartedanorganization/programordeveloped/ inventedanitemthat helps to benefit the communityatlarge;etc.)

APPLICATION PACKET CONTENTScholarshipApplication

100BlackMen ofSan Antonio’sFuture LeaderScholarshipApplicationwill beavailable afterNovember 1standmaybe acquired fromourwebsite encouragedand preferredthatthe applicationsbe typed.

Essay

Applicants are requiredtosubmita 600wordminimum, double-spacedessayusingoneofthe followingtopics. Itis alsoencouragedand preferredthatthe essays be typed.

1.Describehowyouhavedemonstratedleadershipabilitybothinandoutofschool,andtell howyour leadershipimpacted positive change.

2.Whatdoyousee as the greatestthreattothe environmenttodayanddescribe your recommendedsolution?

3.Teacherqualityis the number one determinantofstudents’achievement.Describe the attributes of your favorite

teacher/professorandthe impacthe/shehadonyouracademicachievement.

4.If youhadthe authorityto change your schoolinapositiveway,describe the specific changesyouwouldmake?

5.Discusswhy youwanttoobtaina college education.Nowdescribe indetailhowyou are goingtousethatdegree toimpact your communityandthe world.

OfficialAcademicTranscript

Applicantsmustrequestanofficialacademictranscriptfromtheirmostrecentschoolorcollege.Transcriptsmustbeincludedin thepackets.

ConfirmationofCommunityServiceForm

Applicantsarerequiredto haveperformedaminimumof50“active”servicehours withinthe12-monthprecedingtheapplication deadline.Studentswhoareawardeda 100BlackMenFutureLeaderScholarshiparerequiredtocompleteanadditional50 hours of“active”communityservicewithin8-monthsafterthe scholarshipisawarded. Scholarshipapplicantsandrecipientsshould completeandsubmittheConfirmationofCommunityServiceForm ascertificationofserviceperformed.Confirmationforms shouldbecompletedforeachproject.Applicantsandrecipientsmaymakecopiesoftheformasneeded.

“Active”serviceshallbedefinedas “Anactivitythatallowsonetoextendthemselvesin servicetoanotherwithoutcompensation, remuneration,personalgainorbenefit.”Seebelowfora samplingofacceptableprojects:

Ex.1 ACTIVESERVICE- AcceptableServiceProjects(servingfoodtothe homelessthroughsoupkitchenor shelter,tutoringstudents,pickinguplitterandrecycling,coordinatinga communityfood/shelterdrive,servingas anofficerinanofficialpositionofa civicorganization).

Ex.2 PASSIVESERVICE-UnacceptableServiceProject(donatingfood/clothingina clothingdrive, babysitting,singingina choir,servingasanofficerinanofficialpositionofa church).

Pleasenotethatthisisnotacompletelistofacceptableserviceprojects.If youhave questionsregardingacceptableprojects,.

AWARDREQUIREMENTS

Oncenotifiedoftheirselection,scholarshiprecipientsmustcompleteand forwardthefollowingitemstotheSan Antonio Officebythe specifiedduedates.

ScholarshipAcceptanceAgreement*(Due:OnorBefore July 30, 2016)

PersonalInformationForm*(Due:OnorBefore July 30, 2016)

Copyofyourfallregistrationsheetandbill*(Due:OnorbeforeJuly 30, 2016)

CommunityServiceVerificationForm(Due:OnorbeforeJuly 30, 2016)

*Scholarship Awardsarenot released untilthese items havebeen receivedbythe 100 Black Men of San Antonio, Inc. Office.

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2015–2016FUTURE LEADERSCHOLARSHIPAPPLICATION

Student Profile:

Name

Address

City/State/Zip

Home Phone

EmailAddress: CellPhone StudentID Number

Date ofBirth

AcademicProfile:

High SchoolInformation(ForHigh Schoolstudentstransitioning to collegeonly)

Name Address City/State/Zip

GradePointAverage

Phone

Collegiate Information

(HighSchoolstudentsshould provide informationonthe universitytheyhave been acceptedto orplantoattend)

Name

Address

City/State/Zip

Phone

GradePointAverage MajorField ofStudy

Please listand describe your leadershipinvolvementover the past4years.

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References:Pleaseincludeone(1)non-relatedfamily membercharacterreferenceletter.

CareerGoals: Briefly state yourcareergoalsin twenty-five wordsor less.

100 Black MenAffiliation:Are you affiliatedwitha 100 BlackMen Chapter?

YESNOIfyes, Chapter’s name:

Are you involved inany100 BlackMenprograminitiatives(i.e. mentoring, educationalprograms)?

YESNOIfyes, Listtheprogramand yourmentor/facilitator’s name and contactinformation:

Were you a previousFutureLeaderscholarshiprecipient?YESNOIfYES, whatyear?

InternalUse Only: Award Amount:$

Reviewed By:

Deficiencies:ApplicationGPAEssayTranscriptCommunityService

Reference Letter

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2015–2016ConfirmationofCommunityServiceForm

PleasenotethataConfirmationof CommunityServiceFormMUSTbe submittedforEACHcommunityserviceproject.

I, ,in accordancewith the 100BlackMen ofAmerica, Inc., scholarship eligibilityrequirements, verify thatI performedthefollowingcommunityserviceproject.*

*See descriptionfor“active” communityservice

(Checkonlyone.)

Iama FutureLeaderScholarshipApplicantIama FutureLeaderScholarshipRecipient

NameofOrganization

Address

City,State,ZipCode

NameofProject#ofServiceHoursPerformed_

Brieflydescribetheserviceprojectand/ordutiesperformedbythestudent:

My signaturebelow certifies thatthe above-namedprojectwas performedwithinthe timeframeoutlinedinthe scholarshipapplication.

NameofSupervisor(Print)NameofStudentName(Print)

SignatureofSupervisorDateSignatureofStudentDate

Supervisor’sTitleStudent’sGradeLevelorCollegeClassification

Supervisor’sTelephoneNumberStudent’sTelephoneNumber

NameofSchool/College/UniversityNameofSchool/College/University