THE LOUIS H. VAUGHN SR. SCHOLARSHIP FUND, Inc.

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1 Application Deadline Friday, January 26, 2018 (postmark date) final deadline in order to be considered for the Louis H. Vaughn Sr. Scholarship. Application materials must be mailed in one packet. Transcripts (most recent) and letters of recommendation should not be sent under separate cover. SAT/ACT scores must be included on the application at the time it is mailed. Incomplete, ed or faxed applications will not be considered. Application Packets will not be returned. Winners of the scholarship will be notified by Friday, February 23 and names will be posted on The Louis H. Vaughn Sr. Scholarship Fund Inc. website. Winners will be required to attend the Luncheon Banquet (May 5, 2018), if for any reason an awardee is unable to attend, the scholarship is subject to forfeiture, and the Board of Directors would deliberate any forfeiture. We request each recipient sell 5 tickets (Parents/guardians must have tickets and may be inclusive with the 5 tickets.) Criteria for consideration Applications received postmarked after due date are not opened or considered. Applicants will not be notified. All applications received on time, are inventoried to confirm if the applicant followed directions during the application process. Incomplete applications are not considered. Applicants will not be notified. The selection committee reads all applications. Essays, grades and activities are all taken into consideration when selecting awardees. Awardees are not selected based solely on the strength of GPA, but it will be a factor in consideration. Scholarship Conditions The Louis H. Vaughn Sr. Scholarships are reserved for Black or African American high school seniors, New York State residents and may be used at accredited institutions. If you have questions, please call, send or visit our website. The scholarship may be used to supplement benefits from the college or university a student plans to attend. Students may use the scholarship to cover the costs of tuition, fees, books, room and board, computers, health insurance, studying abroad and other college-related expenses. All scholarships are mailed directly to the awardees college/university, which is designated by the letter of acceptance, which must be submitted to the Louis H. Vaughn, Sr. Scholarship Fund.

2 (This application may b APPLICATION FORM Are you a U.S. Citizen? Yes / No (Please circle choice) Social Security Number - - If non-u.s. Citizen, please provide your U.S. Permanent Resident Card Number Applicants must be U.S. citizens or permanent residents, Black or African American, current high school seniors at the time of their application and who will attend college in the fall semester of the current year. College students are not eligible to apply. Application materials must be submitted in one packet. Transcripts and letters of recommendation should not be sent under separate cover. SAT/ACT scores must be included on the application at the time it is mailed. Incomplete, ed or faxed applications will not be considered. Personal DATA (Type or print in black or blue ink only.) Full Legal Name Gender PermanentAddress City State Zip Date of Birth Telephone # Cell # Address High School Street City State Zip SAT Tests Scores Writing Score/Date Math Score/Date Reading Score/Date

3 Final Deadline Friday, January 26, 2018 (postmark date) APPLICANT: Please respond to the following questions. Attach your typed responses to this form. 1. Please list your extracurricular, community, employment or other activities in order of their importance to you. Indicate the dates you participated in the activity, positions held and the number of hours per week you spend on each activity. We realize that the way you spend your time outside the classroom may be affected by factors beyond your control, such as the need to work. 2. List any significant awards or honors you have received during high school for academic or extracurricular achievements 3. Essays: You must respond to both (A) and (B). Each essay should be no longer than 500 words. (A) How could your chosen field of study, be used to improve or enhance your community. (B) Submit one essay that you plan to send or have sent as part of a college application. This may be on any topic. If your college application did not require an essay, please submit an essay on the one activity you listed as most important in question #1 and tell us why it is significant. 4. Please ask two individuals who know you well to submit letters of recommendation. At least one letter should be from a teacher or other school professional. 5. Please submit an official transcript (most recent) with most current semester course load and school profile with application materials. A school profile is an information sheet about your high school. This profile would include information on the school location, student enrollment and/or types of courses offered. If the school does not offer a school profile the applicant will not be penalized, if it is not included with the application materials. Application materials must be mailed in one packet. Transcripts and letters of recommendation should not be sent under separate cover. 6. A photograph is required (no 8 ½ x 11). No proof copies of graduation pictures. Incomplete, ed or faxed applications will not be considered. If essays are incomplete the application will not be considered. We suggest that you keep copies of your application materials. Winners will be announced on our web site March 4th. We regret that we are unable to individually notify other applicants of the decision on their applications. The Louis H. Vaughn Sr. Scholarships are reserved for Black or African American high school seniors, New York State residents and may be used at accredited institutions. If you have questions, please call, send or visit our website. To Be Signed by Parent or Guardian Date Print Name Signature

4 TO BE COMPLETED BY SCHOOL GUIDANCE COUNSELOR OR ACADEMIC ADVISOR Name Title School State Telephone Fax 1. Applicant s Name Cum. GPA 2. Class Rank Class Size If rank is not available, please approximate the student s position to the nearest tenth from the top and/or provide a grade distribution for the class. 3. Do you weight the grades or exclude certain courses to determine rank and/or GPA? If yes, please provide us with a key to this information if it is not already available on the transcript. 4. Of this candidate s graduating class, approximately percent will attend a four-year college. 5. Please submit an official transcript with most current semester course load and school profile with application materials. All application materials must be submitted in one packet. Faxed or ed applications will not be accepted. Comments:

5 Dear Friend, Luncheon Support Schedule We thank you in advance for supporting our Scholarship Fund by attending and/or placing an ad in the 11th Annual Memorial Celebration Luncheon Journal. Our luncheon is on May 5, It is a great way to congratulate and encourage your loved one or advertise your local business. Sincerely yours, Louis H. Vaughn, Jr. and Board of Directors PRICES FOR LUNCHEON SUPPORT Luncheon Ticket(s) $40 Luncheon Table (6) $240 PRICES FOR JOURNAL ADVERTISEMENT Booster 1 line listing = $15 Business Card listing= $25 1/4 page = $30 1/2 page = $50 1 page = $100 Front or Back inside cover $150 AD SUBMISSION DEADLINE FRIDAY, March 30, 2018 Name Company Name Address Phone Fax Please submit your copy ready advertisement along with this application and a check for the correct amount to: The Louis H. Vaughn Sr. Scholarship Fund, Inc. P.O. Box Cambria Heights, NY Call for Information: (718) Website: vaughnscholars@gmail.com

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