Pulaski County Special School District Scholarship Announcement

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Pulaski County Special School District Scholarship Announcement 2017-2018 1. The deadline for scholarship applications is Friday, April 6, 2018. Refer to criteria below for eligibility requirements. 2. Refer to application process below for a list of the supporting documents needed (i.e., reference forms and letters, evidence of GPA, etc.). Incomplete applications will not be considered. 3. Type or print legibly. Illegible applications may not be considered. You may also download a copy of the application online at www.pcssd.org. 4. If you have any questions about the application please contact your school counselor. NOTE: Scholarship funds will be awarded to the student and sent to the accredited postsecondary institution upon evidence of enrollment. Recipients of the scholarships will be announced after May 1. Purpose: To provide scholarships to deserving Pulaski County Special School District African- American graduating seniors interested in or intending to pursue post-high school course of study at either college/university or other post-secondary educational institution. Award Components: $2500 scholarships awarded to students selected by the Pulaski County Special School District Scholarship Committee. Qualifications 1. Student must have attended and successfully completed a minimum of six (6) semesters, of which two (2) will be during the senior year, at a District high school. 2. Student must have a minimum cumulative grade point average of 2.0. 3. Student must be enrolled in a post-secondary school in Arkansas as a full time student. 4. Financial need is a criterion for eligibility. 5. The District will fund the scholarship for one year. Division of Equity and Pupil Services Revised March 2015

Application Process: Applicant must submit the following items: 1. Completed application (if handwritten, please print legibly). 2. Letter of application addressed to the Scholarship Committee. The letter should contain a brief explanation of career goals and biographical (background) information. 3. Three (3) letters of recommendations from choice of high school teachers, administrators, counselors, employers, or individual with significant knowledge of applicant s experience and involvement. 4. Your most recent school transcript with cumulative grade point average and a class standing/rank. 5. Personal 500 word Essay. 6. Waiver of Confidentiality - Verification of Free/Reduced Lunch Deadline for the application is Friday, April 6, 2018. Applications postmarked after this date may not be considered. Please mail OR submit application in person to: Sherman Whitfield, Interim Assistant Superintendent for Equity and Pupil Services Division of Equity and Pupil Services 925 E. Dixon Road/ PO Box 8601 Little Rock, AR 72216-8601 Division of Equity and Pupil Services Revised March 2015

Pulaski County Special School District African-American Student Scholarship Application Application Deadline: On or before April 6, 2018 Last Name: First Name: Race: Mailing Address Street: City: State: ZIP: Daytime Telephone Number: ( ) Date of Birth: Month Day Year Current High School: Number of years attended: I will be attending the following school in the Fall 2018: Proof of acceptance or current student enrollment from the above school is required prior to receipt of funds. Grade Point Average (GPA): (On a 4.0 scale) Attach proof of GPA. Your most recent school transcript is required. ACT Score: or SAT Score: A copy of your ACT or SAT score sheet on high school transcript is required. Name & address of parent(s) or legal guardian(s): Street: City: State: Zip: Telephone Number of parent(s) or legal guardian: Parent/Guardian Educational Background: Mother Father Guardian Guardian High School Diploma Some College/ Technical School Associates Degree Bachelor s Degree or higher Division of Equity and Pupil Services Page 1 of 4

What specialty/major do you plan to major in as you continue your education? What are your educational and professional goals and objectives? List your academic honors, awards and membership activities while in high school: List your community service activities, hobbies, outside interests, and extracurricular activities: Division of Equity and Pupil Services Page 2 of 4

Personal 500 word Essay (Typed and double-spaced) Please answer the following question: How will furthering your education improve the quality of life in your community? Division of Equity and Pupil Services Page 3 of 4

A. The following items must be attached to this application in order for the application to qualify to be reviewed by the Scholarship Committee. B. Your application will not be considered if these items are not attached. (No exceptions.) C. Circle YES or NO to be sure you have attached each item as required. YES NO Three (3) reference letters. Return these completed forms along with the Recommendation Letter(s) in a sealed envelope. YES NO Proof of college acceptance or current student enrollment. A letter of college acceptance or program acceptance is required for receipt of funds. YES NO Most recent high school transcript. YES NO Personal Essay. Maximum of 500 words. YES NO Waiver of Confidentiality Verification of Free/Reduced Lunch Division of Equity and Pupil Services Page 4 of 4

Pulaski County Special School District Scholarship Recommendation Form Procedures for completing recommendation form: 1. Student applicant will provide this form to each person completing recommendation letter. No more than three (3) letters of recommendation will be accepted. 2. This form must be attached to each recommendation letter in a sealed envelope. 3. The envelope must be signed by the author of the recommendation letter across the seal. 4. The sealed envelope should be delivered directly to the Division of Equity and Pupil Services (not delivered through the student) to ensure confidentiality by April 6, 2018. Information Student Name: Name of Reference: Title of Reference: Relationship to Student: Other Comments: Please sign below to verify that the letter with which this form is enclosed has not been read or related to the student listed above before submission. Please then enclose this form with your recommendation letter in a sealed envelope, and sign your name across the seal. Signature of Reference Date Division of Equity and Pupil Services PO Box 8601/ 925 E. Dixon Road Little Rock, AR 72216-8601

PULASKI COUNTY SPECIAL SCHOOL DISTRICT STUDENT NUTRITION SERVICES 1101 A EAST DIXON ROAD LITTLE ROCK, AR 72206 PHONE 234-2304 FAX 490-5810 WAIVER OF CONFIDENTIALITY I, REQUEST THAT THE MEAL STATUS OF STUDENT ID# (Student s name) BE PROVIDED TO PCSSD Scholarship Committee (Name, Title, Fax # or Address) FOR THE PURPOSE OF Application for the PCSSD Scholarship I CERITFY THAT I AM THE PARENT/GUARDIAN FOR THE ABOVE NAMED STUDENT. SIGNATURE OF PARENT/GUARDIAN: PRINTED NAME OF PARENT/GUARDIAN: SIGNATURE OF WITNESS: (Name, Title and Date)