2016-2017 Urban League of Nebraska Scholarship
The Urban League of Nebraska Scholarship is awarded to assist graduating high school
seniors in pursuit of postsecondary education.
To be eligible for this scholarship, you must meet the following criteria:
1. Be a current resident of Nebraska.
2. Have a current cumulative G.P.A. of 2.5 or higher.
3. Have completed at least 10 hours of documented community involvement.
4. Have taken the A.C.T. or S.A.T.
Students must submit the following materials bound in a clear plastic report cover
(stapled packets will not be accepted):
1. Typed application.
2. Cover page with color picture attached.
3. Official copy of high school transcripts or G.E.D. (General Education Diploma).
4. Two (2) letters of recommendations from persons attesting to your qualifications
and motivation for attending college. Family members and relatives cannot
submit letters of recommendation on the student’s behalf.
4. Typed essay stating your goals, ambitions and the reasons you should receive a
scholarship. (Essays must be no less than 250 words and no more than 500
words in length.)
5. Resume
6. Additional information may be requested by the selection committee.
The completed scholarship application packet (including all requested materials) must
be received by 5:00 p.m. Tuesday, March 1, 2016 and submitted to:
Urban League of Nebraska, Inc.
Attn: Tyrone Marshall
3040 Lake Street
Omaha, NE 68111
Application deadline is 5 p.m. on Tuesday, March 1, 2016.
Applicant’s First & Last Name:
2016-2017 Urban League of Nebraska Scholarship
PART I. COVER PAGE
Please attach
a color
picture here.
Applicant’s First & Last Name:
2016-2017 Urban League of Nebraska Scholarship
PART II. APPLICATION
Application must be typed.
1. CONTACT INFORMATION
Last Name
First Name
Middle Name
Preferred Name
Birth Date (MM/DD/YYYY)
Street Address
City
State
Phone 1
Phone 2
Email
Zip Code
You will occasionally receive information about ULN activities, events and volunteer opportunities.
2. What is your race and/or ethnicity? Please check all that apply.
☐ African-Amer./Black
☐ Hispanic/Latino
☐ Caucasian/White
☐ Asian/Pacific Islander
☐ Native American/Indian
☐ Other:
3. Please list any Urban League of Nebraska programs in which you are
currently or have you ever been involved.
Name of Program(s)
Dates Involved
Applicant’s First & Last Name:
4. What is your annual household income?
Savings
A
B
STUDENT’S INCOME
FAMILY’S INCOME
$
$
+
Work
+
$
$
+
Social Security /
TANF /
Veterans Benefits
+
$
=
TOTAL
COLUMN A TOTAL
+
COLUMN B TOTAL
$
=
+ $
$
= $
5. How many dependents live in your household (including yourself)?
6. Have other members of your family attended college?
☐ Yes
☐ No
If yes, please list their names below:
7. To what colleges and/or universities have you applied for admission?
Attach additional sheets if necessary.
Name
Location
City & State
Accepted?
Yes or No
Applicant’s First & Last Name:
IMPORTANT NOTICE
The Urban League of Nebraska will award two different types of scholarships:
A. Scholarships that can be used to attend any in-state or out-of-state college
or university.
B. Scholarships that can only be used to attend Metropolitan Community College.
If you are awarded a scholarship, you will be notified which type you will receive,
along with special instructions to follow before funds can be disbursed.
8. What degree or area of study do you plan to pursue (i.e. engineering,
business administration, education)?
9. Will you live on campus?
☐ Yes
☐ No
10. Have you taken the S.A.T.?
☐ Yes
☐ No
If yes, what was your score?
11. Have you taken the A.C.T.?
☐ Yes
☐ No
If yes, what was your score?
12. From what sources will you seek financial support?
Please check all that apply.
☐ Family
☐ Work
☐ Other Scholarships
☐ Pell Grant
☐ Other:
Applicant’s First & Last Name:
13. What high school do you currently attend?
Name of High School
Street Address
City
State
Zip Code
14. List your high school involvement. Attach additional sheets if necessary.
Organization/Activity
Position
(if applicable)
Years Involved
15. List your current off-campus involvement. Attach additional sheets if necessary.
Organization/Activity
Position
(if applicable)
Years Involved
I attest that the above information is true to the best of my knowledge. My signature
authorizes the Urban League of Nebraska to release information to the members of the
scholarship selection committee and to prospective donors.
Applicant’s Signature
Date
Applicant’s First & Last Name:
2016-2017 Urban League of Nebraska Scholarship
PART III. PERSONAL ESSAY
Please use the space below to provide a personal essay, stating your education and
career goals, ambitions and the reasons you should receive a scholarship. Essay must
be typed and between 250 and 500 words in length. You may also attach an essay.
Applicant’s First & Last Name:
Community Service Hours Log
This form may be copied if additional space is needed.
Organization
Activity
# of
Hours
Supervisor’s Signature
Date Signed
Scholarship Application Checklist
☐ Cover Sheet with a current photo attached.
☐ Typed Scholarship Application
☐ Copy of Official Transcript
☐ Copy of A.C.T. and/or S.A.T. Student Report
☐ Two Letters of Recommendation
☐ Resume
☐ Personal Essay
☐ All of the materials above have been placed –
unstapled – in a clear plastic report cover.
The completed scholarship application packet (including all requested
materials) must be received by 5:00 p.m. Tuesday, March 1, 2016 and
submitted to:
Urban League of Nebraska, Inc.
Attn: Tyrone Marshall
3040 Lake Street
Omaha, NE 68111
Application deadline is 5 p.m. on Tuesday, March 1, 2016.