Scholarship Application
(Please Print or Type)
The Florida State University (FSU) National Black
Alumni, Inc. is an officially chartered affiliate of the FSU
Alumni Association. The Association’s mission is to build
a network of Black alumni and friends and sustain
meaningful relationships on behalf of FSU.
and graduate from FSU), one will be awarded in honor
of Dr. William R. Jones (Founder and first Director
of the FSU Black Studies Program), and one is
specifically designated for a student who is involved
in the International Program or plans to study abroad.
The FSU National Black Alumni promotes and supports
the academic achievement and excellence of Black
students at FSU. Consequently, the FSU Black Alumni
Scholarship Fund was established in the FSU Foundation
to provide financial assistance to minority students of
African descent.
Interested students should complete the Scholarship
Application, and briefly discuss their academic
experiences and community involvement outside the
formal classroom.
As part of its 2015 National Black Alumni Reunion, the
FSU National Black Alumni will award $500
scholarships to three deserving students.
Additionally, applicants must describe how they took
a stand and were courageous in the face of injustice or
a challenging situation, and how they used this as an
opportunity to build social solidarity, encourage
understanding, or broaden their academic experiences.
One scholarship will be awarded in honor of Maxwell
Courtney (first Black undergraduate student to attend
Name:
(Last)
(First)
Local Address:
(Middle)
City/State/Zip:
Home Phone:
Cell Phone:
E-mail:
Date Entered FSU:
Full Time Student:  Yes  No
Classification:
 Freshman
Home Town:
Major(s):
 Sophomore  Junior
 Senior
 Graduate Student
Please describe your academic experiences, community involvement, and a time in which you took a stand in the face
of injustice or a challenging situation. . Attach additional pages as needed.
Reference who can verify information:
Position/Title:
Phone:
E-mail:
Cell Phone:
Date:
Please return completed application by October 16, 2015, to: Scholarship Committee, at
scholarship@fsublackalumni.org.
Date Received:
Comments:
FOR OFFICE USE ONLY
Received By: