The Alabama A&M University Mississippi Alumni Chapter
Scholarship Application
SCHOLARSHIP APPLICATION REQUIREMENTS
Greetings from the Alabama A & M University Mississippi Alumni Chapter
Mississippi Chapter! We are so pleased you have chosen our beloved AAMU to
complete your higher education studies where “Service is Sovereignty.” Please be
advised that the following documents are required to apply for the Mississippi Chapter
of the Alabama A&M University Alumni Association Scholarship:
 A completed scholarship application displaying a permanent address reflective
of Mississippi residency.
 A two-page autobiographical essay (describing financial need, future goals
(short term and long term), and how Alabama A&M University can assist you
in achieving these goals.
 A copy of official acceptance of admission to Alabama A&M University or
current enrollment acknowledgment for the semester of application.
 Official transcript of grades in a sealed envelope with a minimum cumulative
grade point average of 3.0 or above.
 ACT or SAT scores (incoming freshmen).
 Three letters of recommendation.
 A self-addressed envelope with the scholarship application; if written
notification of the award is desired.
SCHOLARSHIP APPLICATION DEADLINE: MARCH 31
REQUIREMENTS OF SCHOLARSHIP RECIPIENTS
Scholarship recipients are requested to fulfill the following requirements:
1. Connect with the Alabama A&M University Mississippi Alumni Chapter.
2. Upon receiving the scholarship, write a letter of gratitude the Alabama A&M
University Mississippi Alumni Chapter.
3. Join the Alabama A&M University Pre-Alumni Association.
4. Make a commitment to attend the Founders Day Convocation.
The Alabama A&M University Mississippi Alumni Chapter
Scholarship Application
Last Name _______________________
First Name _____________________
MI _____
Current Address: _______________________________________________ Apt. #:__________
City: ________________________ State: ______
Zip Code: __________________________
Permanent Address: ____________________________________________
City: __________________________ State: ______
Home Telephone: (____)___________________
Apt. #: ________
Zip Code: ________________________
Mobile: (____)________________________
Email Address:__________________________
Optional
Ethnic Background:
African American ____ Caucasian ____ Hispanic ____ Asian ____ Native Americans____ Other ____
U.S. Citizen:
Yes ____ No ____
PARENTAL/ SPOUSAL INFORMATION
Father’s Name: __________________________
Mother’s Name:___________________________
Address:
_______________________________________
_______________________________________
Apt. #: ________
City: ___________________________________
State: ______ Zip Code:__________________
Father’s Occupation: ______________________
Address:
________________________________________
________________________________________
Apt. #: ________
City: ____________________________________
State: ______ Zip Code:___________________
Mother’s Occupation: ______________________
Number of Siblings at Home: _____ Number of Siblings in College: _____
Spouse’s Name: _______________________________
(if applicable)
Address: _____________________________________________________ Apt. #:_________
City: ______________________________________ State: ______ Zip
Code:_________________
Spouse’s Occupation:___________________________________________________________
EDUCATIONAL INFORMATION
Student Classification: ____ Incoming Freshman
____ Sophomore
High School Attended: _______________________________
____ Junior ____ Senior
Year of Graduation:_________
High School Grade Point Average: _____
Anticipated Major: ________________________________________
Anticipated Minor: ________________________________________
Current Student Applicants Major: ________________________________________
Current Student Applicants Minor: ________________________________________
Cumulative Grade Point Average: _____
Will You Be a Full-time Student? ____Yes ____ No
Will You Be Living On-Campus? ____Yes ____No
Expected Date of Enrollment:
_______Year ____ Fall ____ Spring
School/Community Involvement, Organization Memberships & Extracurricular Activities:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Honors/Awards:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Are You Presently Employed: ____ Yes ____ No
If so, Where:
______________________________________________________________________________
Annual Household Income (as indicated in parent(s)’s federal income tax return):
_________________________
Other Expected Aid: Pell Grant, Work-Study, Veteran’s Benefits, Vocational Rehabilitation
Other (specify):_________________________________________________________________
If you are considered an Independent Student by Financial Aid, please answer the following
questions:
Annual Household Income: _______ Marital Status: ________ Number of Dependents: _______
Signature:____________________________________
Date: __________________________
The application will not be processed without the applicant’s signature. Your signature certifies
that the information provided is accurate to the best of your knowledge and that you agree to
fulfill the listed requirements of the scholarship if you are chosen as the recipient. Please mail all
required documents to: The Alabama A&M University Mississippi Alumni Chapter, P.O. Box
97784, Pearl, MS. 39288 on or by the deadline. Any applications submitted beyond this date are
not guaranteed review.