National Hampton Alumni Association, Inc.
Washington, DC Chapter
Scholarship Application
The application must be typed
For questions about the scholarship please contact the following:
Carlene Reid-Scholarship Chair
carlene_reid@yahoo.com
Personal Information (permanent residency)
Name:
Street Address:
City:
State:
Email Address:
Telephone Number:
HU Student ID #:
Date of Birth (mm/dd/yyyy):
Zip Code:
Guardian 1 Name:
Telephone Number:
Email:
Guardian 2 Name:
Telephone Number:
Email:
Education Information
(Additional sheets may be used to list additional activities and awards if necessary)
Name of High School:
Street Address:
City:
Intended major:
Current Students only
Classification:
State:
Zip Code:
Class name:
Major:
Extra-Curricular/Community/Civic Activities/Clubs/Organizations (Include positions held)
1.
2.
3.
4.
5.
Honors and Awards Received (Include the year)
1.
2.
3.
4.
5.
Financial Information
How do you plan to finance your college education?
Show percentage from loans, work, scholarships, and parental contribution.
Loans
%
Work
%
Scholarship/Financial Aid
% Parental Contribution
List Scholarships/Grants Received
1.
2.
%
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Form 2015
3.
5.
4.
6.
Essay
Please answer two of the essay questions. The essays must be one-page, double-spaced, and typed 12-font in
Times New Roman. The essay will be rated on content, depth, grammar, organization, and originality.
1) Upon graduating, you are given the responsibility to make 5 improvements to your high
school/Hampton. What would you propose and why?
2) Discuss a current event that you feel strongly about and would like to change. Why does this concern you
and what would be your solution to resolve the problem?
3) What does alumni mean in your opinion and what responsibility do they hold in your experience as a
student? What would you like to see from alumni and what would you be willing to commit to as an
alumnus?
School Officials Certification
Guidance Counselor/Advisor and Principal must certify student’s Cumulative Grade Point Average (GPA) on a
4.00 scale or school applicable grading system.
Student’s Name:
Print Guidance Counselor/Advisor Name:
Cumulative GPA:
Guidance Counselor/Advisor Signature and Date:
Student Certification
I certify that the information provided on this application is accurate and has not been falsified. I understand
that any misleading information will automatically disqualify me from consideration of any scholarship offered
by a National Hampton Alumni Association and subsequent chapters and regions.
Applicant Signature:
Date:
Parent Signature:
Date:
Application packets must be postmarked no later than April 30, 2016
Send to:
National Hampton Alumni Association, Inc.
Washington, DC Chapter
P.O. Box 91734
Washington, DC 20090-1734
INCOMPLETE APPLICATIONS & DOCUMENTS SENT BY EMAIL WILL NOT BE CONSIDERED
A complete application packet includes the following items only:
 Complete and typed application
 Copy of Hampton University Acceptance Letter (high school students only)
 Unofficial copy/print-out of fall semester schedule (current students only)
 Typed Essays
 Official high school/undergraduate transcript
 One letter of recommendation from a school official (i.e. principal, counselor, teacher, professor, etc.)
 One letter of recommendation from community member (alumnus, club sponsor, coach, church official)
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Form 2015