2012 SCHOLARSHIP APPLICATION

ELIGIBILITY CRITERIA: Students applying for this scholarship will have the opportunity to be awarded

$1000 to be used for either their tuition or textbook purchases.

In order to qualify for the 2012-2013 scholarship awards, you must meet the following requirements. You must:

· Be a resident of the State of New York, New Jersey, or Connecticut (ID required).

· Be actively enrolled in an accredited College or University in the Greater New York Area (Please include your unofficial or official transcript).

· Be actively enrolled in an undergraduate or graduate studies program with a focus in Human Resources.

· Maintain a minimum cumulative GPA of 3.0.

Winners will have to complete this application along with the required 200 – 500 (1 page) essay of a topic related to the field of Human Resources, and must attend the annual 2012 awards ceremony in NYC to receive their award. All applications, along with the essay and a current transcript must be submitted via

mail or email to David Hanley, President at

.

Applicant Information

Full Name: Date:

Last First M.I.

Address:

Street Address Apartment/Unit #

City / State / ZIP Code
Home Phone: / ( ) / Cell Phone: / ( )

E-mail Address:

Do you work in Human Resources? Are you a member of the National

Association of African Americans in Human

Resources, Greater New York Chapter?


YES NO YES NO

College /


Education

University: Address:

From: To: Did you graduate? Major / Degree:

College /

University: Address:

From: To: Did you graduate?

YES NO

YES NO

Year:

Year:

Major / Degree:

Certification/Professional Licenses

Please list any certifications, professional licenses that you may have. (such as: SPHR, PHR, CCA, CPA)

Work Experience (If Applicable)

Describe your work experience during the past three jobs. (Most recent first)

Company: Phone: ( )

Address:

Job Title:

From: To: Supervisor:

Responsibilities:

Company: Phone: ( )

Address:

Job Title:

From: To: Supervisor:

Responsibilities:

Company: Phone: ( )

Address:

Job Title:

From: To: Supervisor:

Responsibilities:

Goals

Make a statement of your plans as they relate to your educational and human resource career objective and future goals. (This can be provided on a separate sheet– max 300 words)

Biography

Please provide us with a brief description of yourself (This can be provided on a separate sheet – max 300 words.)

Essay

Please attach your response to 1 of the following topics to this application. Your answer is limited to 500 words.

1. How would receiving this scholarship help you contribute to the field of Human Resources in the future? Discuss your future goals as an HR Professional.

2. Describe your view on how best Human Resources can serve as a business partner to their respective organization.

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If requested, I agree to give proof of information I have given on this form.

Signature: Date:

***Completed applications can be submitted by either mail or e-mail. Both addresses are noted below. ***

Mail:

NAAAHR – Greater New York Chapter

NAAAHR Scholarship Committee

P.O. Box 4195

New York, NY 10163

E-mail:

Please include your Name and 2012-2013 NAAAHR - GNY Scholarship Application in the title

Attn:

David Hanley, President NAAAHR Greater New York Chapter