COX MILL HIGH SCHOOL
UNC CHARLOTTE - LEVINE SCHOLARSHIP INTEREST FORM
SENIORS: If you are receiving this form, you have requested to be nominated for the UNC Charlotte
Levine Scholarship. Please review the scholarship information and other criteria below. If you are still
interested in being nominated for this scholarship, please return this completed form you school
counselor in the S3 Office by the end of the day on October 8. Thank you!
Student’s Name: _______________________________________________________________________
Email Address: ________________________________________________________________________
SAT SCORES (attach evidence of score):
Highest SAT Reading __________ Test Date: __________
Highest SAT Math __________ Test Date: __________
Highest SAT Writing __________ Test Date: __________
ACT SCORES (attach evidence of score):
Highest ACT Composite __________ Test Date: __________
Highest ACT English/Writing Score __________ Test Date: __________
I am interested in being nominated for this scholarship. I understand that I must complete an
application for admission to UNC Charlotte by the appropriate deadline AND any scholarship application
that is requested by UNC Charlotte’s Levine Scholarship Program by the appropriate deadlines. I know
that I can get more information about this scholarship at www.uncc.edu.
_______________________________________________________
__________________________
Student’s Signature
Date
Levine Scholar Applicant Profile:
The program seeks outstanding high school seniors who demonstrate evidence of experience,
motivation, and commitment toward the ideals of the Levine Scholars Program. Requirements include:
• Students must be applicants for freshman enrollment at UNC Charlotte in a baccalaureate program for
the fall term immediately following their high school graduation. Students must be admitted to UNC
Charlotte to receive a Levine Scholarship.
• We anticipate that successful candidates will have a grade point average of 3.8 – 4.00 (unweighted)
and score 1800 – 2400 on the three combined sections of the SAT or 29 – 36 on the ACT composite.
Thus, while there are no minimum SAT, ACT or grade point averages to apply for the Levine Scholarship,
students must excel academically.
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• Students should demonstrate a commitment to community service, hold an academic record that
reflects a sustained passion for knowledge and possess a capacity for ethical leadership that beckons
fellow students toward a higher standard.
Levine Scholarship Overview:
The Levine Scholars Program takes the brightest, most capable students and gives them the tools,
resources and environment they need to connect, transform and make a difference in the world. The
four-year scholarship includes full tuition, room and board, a grant to implement a service project of the
Scholar’s own design, and four summers of experiences that will develop leadership skills, social
awareness, and an international perspective. The total value of this four-year package is estimated at
$90,000 per in-state student and $140,000 per out-of-state student.
The Scholars value the benefits of the rigorous academic programs at UNC Charlotte, the state’s only
urban research university noted for its innovative interdisciplinary programs and opportunities for
student research. To complement classroom learning, Levine Scholars participate in rich and varied
opportunities in the vibrant commercial and cultural center of Charlotte, North Carolina the state’s
largest metropolitan region.
A passion to make a difference is a defining attribute of a Levine Scholar. All Scholars receive access to a
service grant to implement a project of their own design in the community. The grant and the service
project transform the lives of the Levine Scholars, the lives of the individuals and the families with whom
they work, and the communities where Scholars extend their energy and creativity. Upon graduation,
Levine Scholars move into their chosen careers fully prepared as talented scholars, gifted leaders, and
passionate humanitarians.
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