APPLICATION FOR UNDERGRADUATE SCHOLARSHIP IN AFRICAN AMERICAN STUDIES For full-time undergraduate students who are AAS minors only

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APPLICATION FOR UNDERGRADUATE SCHOLARSHIP IN AFRICAN AMERICAN STUDIES Fr full-time undergraduate students wh are AAS minrs nly This frm is t be cmpleted nly by undergraduate students wh are declared minrs in African American Studies and wh have cmpleted 12 hurs f undergraduate credit in residence at the University f Hustn. T be eligible fr schlarships in African American Studies after submitting a cmpleted applicatin frm: Yu must be a declared minr in African American Studies Yu must be enrlled as a full-time student (at least 12 credit hurs) Yu must have cmpleted 12 hurs f undergraduate credit in residence at the University f Hustn. An Applicatin fr Undergraduate Schlarships must be received in the ffice f African American Studies, 629 Agnes Arnld Hall, by the deadlines specified. The applicatin must include the fllwing (use this as yur checklist): A cmpleted applicatin frm dated and signed. Official UH dcument indicating current cumulative GPA. A persnal letter f intent. This MUST be n mre than tw duble-spaced, typewritten pages summarizing: 1) area f research study/interest in African American Studies; and 2) educatinal bjectives. T be cnsidered cmplete, tw (and n mre than tw) letters f supprt must be received by the deadline. Letters must be n mre than tw duble-spaced typewritten pages. Due April 6, 2012 fr undergraduate schlarships Jhn Rueben Sheeler Memrial Schlarship: --Established in 1981 by the widw f Dr. Jhn Rueben Sheeler, histrian and chair f the Department f Histry and Gegraphy at Texas Suthern University, this schlarship prvides funding t academically talented students wh have declared minrs in African American Studies and whse GPAs are at least 3.0. The amunt f this award is $1,000. Mrs. Debbie Haley Academic Schlarship: --Established by Mrs. Debbie Haley and African American Studies, this schlarship prvides funding t students wh have declared minrs in African American Studies and whse GPAs are at least 2.5. The amunt f this award is $1,000. Friends f African American Studies Schlarship: --Established in 1999 by supprters f African American Studies thrughut the Hustn cmmunity, this schlarship prvides funding t students wh have declared minrs in African American Studies and whse GPAs are at least 2.5. The amunt f this award is $1,000. Sylvester Turner Academic Distinctin Schlarship:

--Established in 2006 t prvide funding t students wh have declared minrs in African American Studies and whse GPAs are at least 3.5. The amunt f this award is $1,000. Jhn J. Mres, Sr. Academic Achievement Schlarship: --Established in 2006 t prvide funding t students wh have declared minrs in African American Studies and shw GPAs are at least 3.0. The amunt f this award is $1,000. Dr. Ira B. Bryant, Jr. Academic Schlarship: --Established in 2005 in hnr f the great Hustnian educatr and civil rights leader, this schlarship prvides funding t students wh have declared minrs in African American Studies. Dr. Kwame Nkrumah Internatinal Study Schlarship: --Available t UH-matriculated undergraduate students enrlled in six (6) credit hurs f African American Studies Summer IV Sessin Internatinal Study curses t the University f Ghana, University f Cape Cast, and Kwame Nkrumah University f Science and Technlgy in Ghana, West Africa. African American Studies Graduate Assistantship: --This award, established in 1995, was initiated t recruit utstanding students fr graduate study at the University f Hustn pursuing M.A. r Ph.D. degrees in research related t r in the disciplinary field f African American Studies. Graduate assistants wrk 20 hurs weekly n varius assignments as required by the African American Studies Prgram. Dr. Julius Thmpsn Memrial Bk Schlarship in African American Studies Established by AAS in 2008, this schlarship assists students with their bk fees.

APPLICATION FOR UNDERGRADUATE SCHOLARSHIP IN AAS Print f type and fill ut the frm cmpletely. Incmplete frms will nt be cnsidered. Enter yur name at the tp f every applicatin page. Name Male Female Current Address Phne ( ) Email Address Student ID# Undergraduate Majr Undergraduate Minr Intended Degree Racial/Ethnic Backgrund (US Citizens/Permanent Residents): African American/Black/African (nn-hispanic rigin) Hispanic Other American Indian r Alaskan Native Latin Asian r Pacific Islander White/Eurpean/Caucasian Prefer nt t respnd I certify that the infrmatin cntained within this applicatin is, t the best f my knwledge, accurate. Signature f Applicant Date Name f persns sending letters f recmmendatin t the African American Studies ffice. (applicatins withut letters f recmmendatin will be cnsidered incmplete) 1. (Name) (Address) (Dept.) (Email) 2. (Name) (Address) (Dept.) (Email) Submit cmpleted applicatin t: African American Studies prgram, University f Hustn, 629 Agnes Arnld Hall, Hustn, TX 77204-3047 An email cnfirming receipt f yur applicatin will be sent t yu. A fllw up email will be sent, if needed, nce the applicatin is cmplete. Fr thse wh d nt have an email address, please include a self-addressed, stamped pst card (5x7) with this applicatin. If yu d nt receive an email r pst card by April 15, yu may assume that yur applicatin remains incmplete. STOP HERE. SPACE BELOW IS FOR OFFICE OF AFRICAN AMERICAN STUDIES USE ONLY. Letter f Intent Letters f supprt Official UH GPA Applicatin Cmplete Date Receipt ntificatin sent Cmplete ntificatin sent

African American Studies Prgram University f Hustn 629 Agnes Arnld Hall Hustn, TX 77204-3047 Letter f Supprt fr Undergraduate Schlarships (Please Print) Applicant s Name Address Street, City, State Zip Cde Majr Department (s) Minr Department(s) Degree Objective Persn Writing Letter (Optinal) I hereby waive the right prvided by the Family Educatinal Rights and Privacy Act f 1974 (Buckley Amendment) t view this letter f recmmendatin in my file at the University f Hustn. Signature f Applicant Date SUMMARY EVALUATION Amng apprximately students I have taught/advised in this field during the past 10 years, I wuld rank this applicant as fllws based n ptential t pursue/cmplete undergraduate study. This is my pinin f the applicant s all-arund qualificatin fr success in undergraduate study. Outstanding: The best in a current class, prbably in the upper 5%. Very Gd: Ability stands ut, is easily Identifiable, prbably in the upper 15%, clearly in upper 25%. Gd Average The reverse side f this dcument may be used fr typewritten r printed cmments. Letters f n mre than tw duble-spaced, single-sided pages may als be attached. State the basis f yur judgment regarding this applicant s ability t pursue undergraduate study. Signature Psitin Institutin and address Date Mail t: AFRICAN AMERICAN STUDIES PROGRAM, UNIVERSITY OF HOUSTON, 629 AGNES ARNOLD HALL, HOUSTON, TX 77204-3047 The deadline fr Undergraduate Schlarships is April 6, 2012

African American Studies Prgram University f Hustn 629 Agnes Arnld Hall Hustn, TX 77204-3047 Letter f Supprt fr Undergraduate Schlarships (Please Print) Applicant s Name Address Street, City, State Zip Cde Majr Department (s) Minr Department(s) Degree Objective Persn Writing Letter (Optinal) I hereby waive the right prvided by the Family Educatinal Rights and Privacy Act f 1974 (Buckley Amendment) t view this letter f recmmendatin in my file at the University f Hustn. Signature f Applicant Date SUMMARY EVALUATION Amng apprximately students I have taught/advised in this field during the past 10 years, I wuld rank this applicant as fllws based n ptential t pursue/cmplete undergraduate study. This is my pinin f the applicant s all-arund qualificatin fr success in undergraduate study. Outstanding: The best in a current class, prbably in the upper 5%. Very Gd: Ability stands ut, is easily Identifiable, prbably in the upper 15%, clearly in upper 25%. Gd Average The reverse side f this dcument may be used fr typewritten r printed cmments. Letters f n mre than tw duble-spaced, single-sided pages may als be attached. State the basis f yur judgment regarding this applicant s ability t pursue undergraduate study. Signature Psitin Institutin and address Date Mail t: AFRICAN AMERICAN STUDIES PROGRAM, UNIVERSITY OF HOUSTON, 629 AGNES ARNOLD HALL, HOUSTON, TX 77204-3047 The deadline fr Undergraduate Schlarships is April 6, 2012