Scholar's Program Application

The scholarship competition is open to any African-American male New Jersey high school graduate/incoming college freshman who is a resident of northern and central New Jersey, or attends a northern or central New Jersey high school and has ties to northern or central New Jersey. All entries must be received by 5:00 PM on December 1, 2017. The entries will be reviewed on or about December 8, 2017 and contestants will be notified of the results of the competition soon after.

Qualifications

Applicants Must:

Be an enrolled full-time student in a baccalaureate program at an accredited college or university.
Be an African American high school student residing in, or attending high school in and having ties to, northern or central New Jersey.
Complete and submit the required essay and application postmarked by due date.
Provide a copy of schedule and current bill.

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First Name*

Please let us know your first name.
M.I.

Please let us know your middle initial.
Last Name*

Please let us know your last name.
Address*

Please provide an address.
City*

Please provide a city.
State*

Please select a state.
Zip

Please provide a valid zip.
Phone*

Please provide a phone number.
Your Email*

Please let us know your email address.
Highschool*

Please let us know your highschool.
Gender*

Please select a gender
Cumulative G.P.A.*

Please enter a valid G.P.A
College/University Planning on attending *

Please let us know your desired college or university.
Intended Major*

Please let us know your intended major.
List extracurricular activities and or co-curricular activities and offices you held or are currently holding, e.g. student organizations, civic groups, religious, sports, clubs, etc.*

Please let us know your list of extracurricular activities.
Please complete and submit this form on or before December 1, 2017. The scholarship/book award will be forwarded once the proper documentation is received for the Fall, 2018 Semester. The award will be presented to you in advance of the Fall, 2018 Semester.
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If you prefer to complete the application offline, please click here to download a hard copy of the application.