AGGIE PRIDE
North Carolina
Agricultural & Technical
State University
“Where dreamers become achievers”
A TRADITION OF EXCELLENCE
at
NORTH CAROLINA
AGRICULTURAL AND TECHNICAL
STATE UNIVERSITY
REVISED 2/2004
NORTH CAROLINA AGRICULTURAL AND TECHNICAL STATE UNIVERSITY
CINCINNATI ALUMNI CHAPTER SCHOLARSHIP
In our efforts to enhance quality at North Carolina A&T Sate University, the Cincinnati Alumni Chapter
has been awarding annual scholarships to Cincinnati areas students attending NC A&T State University
since 1993. This scholarship represents the Alumni’s Association pledge to assist the University in
attracting and retaining quality students. The Cincinnati Chapter awards a $1000.00 scholarship to a
Cincinnati student. This scholarship will be administered as follows: $500.00 Fall Semester and
$500.00 Spring Semester. Please review the following requirements and complete the attached
application for consideration.
FRESHMAN/TRANSFER STUDENT ELIGIBILITY REQUIREMENTS:
1. The student must have been accepted by North Carolina A&T State University.
2. The high school principal or counselor must sign all freshman applications. The head of the
department in the student’s major area of interest must sign all transfer students applications.
3. A copy of the acceptance letter to NC A& T State University or a copy of the letter
acknowledging receipt of application for admission to the University must accompany the
application.
4. The applicant must be a citizen of the United States of America.
FRESHMAN/TRANSFER STUDENT CRITERIA:
You must include:
1. High School Grade Point Average (4.0 scale). Include ninth grade courses and GPA for the
ninth grade. Your GPA for seven semesters must be at least a 3.0. Transfer students need only
supply transcript from the transferring University.
2. You must provide one of the following: SAT score (minimum 920) or ACT score (minimum 21).
SAT/ACT scores are not required for rising sophomores and above.
3. Exact class rank at the end of senior year for the incoming freshman, if available.
4. Complete transcript covering at least seven semesters as noted in step 1 for this section. Also a
photocopy of the SAT or ACT scores as noted in step 2 for this section.
5. Three letters of recommendation: Two from high school officials (do not include letter from
official who signs your application) and one from an adult who is not an official of the school
(you may use an alumnus of A&T, but the person cannot be a relative of yours).
APPLICATION MUST BE POSTMARKED NO LATER THAN MIDNIGHT JUNE 15!
INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED!
UPPERCLASSMEN ELIGIBILITY REQUIREMENTS:
1. Students applying for the Cincinnati Alumni Chapter scholarship must be in good standing with
the University.
2. The application should be signed by the head of the Department in your major in the
college/school you are enrolled.
3. The applicant must be a citizen of the United States of America.
UPPERCLASSMEN CRITERIA:
You must include:
1. Your grade point average (4.0 scale) through the most recent semester at A&T or Current
University. Your GPA for these semesters should be at least 2.5 or better.
2. Complete transcript through the years completed thus far at A&T or Current University.
3. Three letters of recommendation: Two from university/school officials (do not include letter
from official who signs your application) and one from an adult who is not an official of the
school (you may use an alumnus of A&T, but the person cannot be a relative of yours).
APPLICATION MUST BE POSTMARKED NO LATER THAN MIDNIGHT JUNE 15!
INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED!
Mail Application To:
Earnest Womack
11581 Lincolnshire Ct.
Cincinnati, OH 45240
NORTH CAROLINA AGRICULTURAL AND TECHNICAL STATE UNIVERSITY
CINCINNATI ALUMNI CHAPTER SCHOLARSHIP
__________________________I am voluntarily providing my social security number with the understanding that it
will be used only as a personal identifier for the internal recording keeping and data processing operations of the NC A&T
State University Alumni Association.
Date of Application:
Complete Legal Name:
Last
First
County of Residence:
Home Phone: (
)
City State Zip
Home Phone: (
)
Middle Initial
Current Address:
Number and Street
Apt No.
Parents Name:
Last
First
Middle Initial
Current Address:
Number and Street
Apt No.
US Citizen: Yes ( ) No ( ) Sex : Male ( ) Female ( )
High School from which you will (or have) graduate (d):
____________________________
Name of School
___________________
City/State
City State Zip
Date of Birth:
_____________________
Mo./Yr. Of Graduation
____________
Years Attended
Previously Enrolled At A&T? Yes ( ) No ( ) Have You ever Enrolled in Classes A&T? Yes ( ) No ( )
How did you first learn of NC A&T State University?
Please list Names of Family Members that Graduated From A&T:
SCHOLASTIC RECORD
Rank in Class___________in class size of ________
Class ranking is (
) weighted
(
) unweighted and is (
) exact ( ) approximate
GPA is _________based on 4.0 scale. Do not assign grade points. GPA is cumulative through six semesters for high school
applicants.
Freshman/Transfer Student SAT or ACT Score (circle one or note below)
Date Taken
________________
________________
________________
Verbal
_________
_________
_________
Math
________
________
________
Total
________
________
________
College/Upperclassmen Applicants:
Major:_____________________ Previous Semester GPA ____________ Cumulative Stats GPA________
SAT or ACT Score
Date Taken
________________
________________
________________
Verbal
_________
_________
_________
____________________________________
Signature of School Official
___________________________________
Title
Math
________
________
________
Total
________
________
________
______________________
Date of Certification
NORTH CAROLINA AGRICULTURAL AND TECHNICAL STATE UNIVERSITY
CINCINNATI ALUMNI CHAPTER SCHOLARSHIP
RELEASE OF ACADEMIC DATA FOR SCHOLARSHIP CONSIDERATION
The undersign student (and parents where applicable) agree and consent to the releases of information
for his/her consideration in pursuit of the Cincinnati Alumni Chapter Scholarship at North Carolina
Agricultural and Technical State University.
The Student further consents to the release of academic data from his/her student file to the evaluators of
this scholarship application for their consideration in connection with the awarding of said scholarship.
Data to be released is not limited to but includes high school, university and/or institution of higher
learning admission scores and/or grade point averages. This authorization extends to any and all
semesters pertinent to evaluation of the scholarship application.
______________________________________________
Student
______________________________________________
Parent or Guardian (if student is less than 18 years of age)
_______________________________________________________________________
By signing this application, I agree to be held by the policies and regulations of North Carolina A&T
State University, and to the best of my knowledge, the information I have given is true. I understand
that any misrepresentation of facts on this application will be cause for refusal of the Cincinnati Alumni
Chapter Scholarship.
______________________________________________
Student
______________________________________________
Parent or Guardian (if student is less than 18 years of age)
______________________________________________
Date
NORTH CAROLINA AGRICULTURAL AND TECHNICAL STATE UNIVERSITY
CINCINNATI ALUMNI CHAPTER SCHOLARSHIP
ACTIVITIES SHEET
(READ CAREFULLY THE ENTIRE FORM BEFORE FILLING IN YOUR ANSWERS)
Please list your primary school and community extracurricular activities in the indicated areas below. Be sure to specify (A)
the year(s) of participation (1= freshman, 2= sophomore, 3=junior, 4=senior) (B) any officer positions held, following each
activity you list. Please DO NOT add additional sheets of information unless they are essential for sharing your
extracurricular activities.
Membership/Year:
Student Council (2,3,4)
Honor Council (3,4)
Example:
STUDENT GOVERNMENT
Officer/Year:
Student Body President (4)
Treasurer (3)
STUDENT GOVERNMENT
Membership/Year:
_______________
_______________
_______________
_______________
HOBBIES AND INTEREST/TALENTS
Officer/Year:
______________
______________
______________
______________
CLUBS
_______________
_______________
_______________
_______________
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ADDITIONAL INFORMATION:
______________
______________
______________
______________
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HONORS AND AWARDS:
COMMUNITY ACTIVITIES:
Academic Honors and Awards:
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
Please list activities such as scout work, church
activities, community service organizations or other
activities in which you are engaged outside school.
Include years of membership and list offices held.
Athletic Honors and Awards:
Membership/Year:
___________________________________
___________________________________
___________________________________
___________________________________
______________
______________
______________
______________
_____________
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_____________
Officer/Year:
______________
______________
_____________
_____________
Other Honors and Awards:
___________________________________
___________________________________
NORTH CAROLINA AGRICULTURAL AND TECHNICAL STATE UNIVERSITY
CINCINNATI ALUMNI CHAPTER SCHOLARSHIP
Name:_____________________________
1. In space below please discuss your interest in attending North Carolina Agricultural and
Technical State University.
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2. In the space provided, please describe your career aspirations and interests.
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NORTH CAROLINA AGRICULTURAL AND TECHNICAL STATE UNIVERSITY
CINCINNATI ALUMNI CHAPTER SCHOLARSHIP
GENERAL EVALUATION & RECOMMENDATION OF NOMINEE
(To be completed by a school official or other adult)
In the space provided, please state your evaluation of the Nominee’s qualification for the Cincinnati Alumni Chapter
Scholarship. Your recommendation is extremely important in developing a comprehensive representation of the nominee.
Please share specific details that you believe best demonstrate the Nominee’s strengths, including potential for leadership and
general contribution in the future.
Name of Nominee____________________________
Signature___________________________________
Occupation_________________________________
Address____________________________________
___________________________________
___________________________________
NORTH CAROLINA AGRICULTURAL AND TECHNICAL STATE UNIVERSITY
CINCINNATI ALUMNI CHAPTER SCHOLARSHIP
GENERAL EVALUATION & RECOMMENDATION OF NOMINEE
(To be completed by a school official or other adult)
In the space provided, please state your evaluation of the Nominee’s qualification for the Cincinnati Alumni Chapter
Scholarship. Your recommendation is extremely important in developing a comprehensive representation of the nominee.
Please share specific details that you believe best demonstrate the Nominee’s strengths, including potential for leadership and
general contribution in the future.
Name of Nominee____________________________
Signature___________________________________
Occupation_________________________________
Address____________________________________
___________________________________
___________________________________
NORTH CAROLINA AGRICULTURAL AND TECHNICAL STATE UNIVERSITY
CINCINNATI ALUMNI CHAPTER SCHOLARSHIP
GENERAL EVALUATION & RECOMMENDATION OF NOMINEE
(To be completed by a school official or other adult)
In the space provided, please state your evaluation of the Nominee’s qualification for the Cincinnati Alumni Chapter
Scholarship. Your recommendation is extremely important in developing a comprehensive representation of the nominee.
Please share specific details that you believe best demonstrate the Nominee’s strengths, including potential for leadership and
general contribution in the future.
Name of Nominee____________________________
Signature___________________________________
Occupation_________________________________
Address____________________________________
___________________________________
___________________________________