Metro Washington DC Chapter Scholarship Program
Alabama State University
National Alumni Association
“Together, we make education affordable”
Book Scholarship Application
“We have an obligation and a responsibility to be investing in our students and our schools. We
must make sure that people who have the grades, the desire and the will, but not the money, can
still get the best education possible.”
~President Barack Obama
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Metro Washington DC Chapter Scholarship Program
Alabama State University National Alumni Association
The Metro Washington DC Chapter (Metro DC Chapter) Scholarship Program has been
established to promote higher learning and academic excellence, and to assist freshmen students
pursue their educational goals at Alabama State University in Montgomery, Alabama.
MINIMUM ELIGIBILITY CRITERIA
Applicants must meet the following criteria to be considered for the scholarship award:
 Reside in the District of Columbia, Virginia, or Maryland
 Graduating high school senior with acceptance to Alabama State University
 Cumulative grade point average (GPA) of 2.5 or better
 Must be a United States citizen or hold a permanent resident visa card
SELECTION CRITERIA
Applicants must excel academically, exhibit exceptional leadership potential, participate in
community service activities and demonstrate financial need.
APPLICATION PROCEDURE & DEADLINE
A complete application package includes: Applicant and parent information (page 3), essay
responses (page 4), declaration of applicant (page 5), final 2012 transcript and college
acceptance letter. Incomplete, e-mailed or faxed application packages will not be considered.
All application packages must be postmarked by June 30, 2012 and should be email to
hwatk1911@hotmail.com or mailed to: Metro Washington DC Chapter of Alabama State
University National Alumni Association, C/O Howard Watkins, 7706 Castle Rock Drive,
Clinton, MD 20735.
AWARD COMPONENTS
Two (2) $1000.00 or four (4) $500.00 scholarships and individual certificates will be
awarded to students from the Metro Washington DC area. Scholarships are not renewable
and are contingent upon the availability of funds.
AWARD DISTRIBUTION
Selected scholarship recipients will be notified by e-mail or telephone.
Scholarship awards will be distributed during the month of August, and funds will be submitted
to the Alabama State University Foundation. Students must submit the following to the ASU
Foundation to receive funds:
 Official Class Schedule at the beginning of the fall or first semester
 Official Class Schedule and first semester grades at the beginning of the second semester
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Metro Washington DC Chapter of the ASU NAA Scholarship Application
We are collecting the personal information on this form under the authority of Section 33(c) of the Freedom of Information and
Protection of Privacy Act (FOIP Act), as being directly related to and necessary to determine your eligibility and to administer
the Metro Washington DC Chapter of the ASU NAA Book Scholarship. Your information will not be shared with a third party.
APPLICANT & PARENT INFORMATION
Instructions: All responses should be typed into the designated space. Attachments will not be
accepted.
Applicant Information
Full Name:
Date of Birth:
Street Address:
Gender:
City/State/Zip:
Race:
Phone:
E-mail:
High School Information (graduating seniors only)
GPA (must be
High School Name:
consistent with final
transcript):
College Information (graduating seniors and college students)
College Name:
Current or Future
Classification: (e.g.
Freshman, Sophomore)
GPA (must be
Major/Minor:
consistent with final
transcript):
Have you been
List other scholarships
approved for Financial
awarded:
Aid? If so, how much?
Parent or Guardian Information
Father’s Name:
Mother’s Name:
Father’s Occupation:
Mother’s Occupation:
Father’s Phone:
Mother’s Phone:
Father’s E-mail:
Mother’s E-mail:
Applicant References (3 required)
Name:
Phone/E-mail:
Name:
Phone/E-mail:
Name:
Phone/E-mail:
I have been referred by:
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Metro Washington DC Chapter of the ASU NAA Scholarship Application
ESSAY QUESTIONS
Instructions: Limit each response to 250 words or fewer. All responses should be typed into the
designated space. Attachments will not be accepted.
1. What are your career goals? How will achieving a college education help you achieve your
goals?
[Type your response here]
2. Describe your current and past extracurricular activities and employment history (include
leadership roles).
[Type your response here]
3. Describe your current and past community service activities.
[Type your response here]
4. Describe any special circumstances you wish the chapter to consider when evaluating your
application.
[Type your response here]
5. Do you, or your legal guardian(s), have any financial responsibilities that should be
considered when reviewing your application?
[Type your response here]
6. Why did you select Alabama State University for your choice of higher education? Please
explain.
[Type your response here]
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DECLARATION OF APPLICANT
I HAVE READ AND UNDERSTAND THE INSTRUCTIONS, AND DECLARE
THAT:
1. I have answered all questions applicable to me and all information included is true and
complete.
2. I possess a 2.5 GPA or higher.
3. I am or will be a full-time student at Alabama State University.
4. I am a US citizen or hold a permanent resident visa card.
5. I authorize the Metro Washington DC Chapter of Alabama State University National
Alumni Association to review information pertaining to my enrollment status and GPA
(e.g. transcript).
6. I grant permission for my name and photographic image to be released publicly if I
receive this award. (Recipient’s name and photo may be displayed on the foundation’s
website and literature).
7. I will attend future Metro Washington DC Chapter of Alabama State University National
Alumni Association fundraising events.
8. I will immediately notify the Metro Washington DC Chapter of Alabama State University
National Alumni Association in writing, if I withdraw from full-time studies before
completing one semester of studies.
Typed Full Name
Applicant Signature (use blue or black ink)
Today’s Date (use blue or black ink)
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