Black Legacy Scholarship Requirements:

Name *

Name

First Name

Last Name

Home Address *

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birth Date *

Birth Date

YYYY

Email Address *

Phone *

Phone

(###)

###

####

GPA: Weighted & Unweighted (Ex. 4.5 Weighted/3.8 Unweighted) *

Minimum grade point average of 2.5. Official transcript must be submitted to Dr. Marjorie Desantis before May 20th

Name and email address of a NMHS Teacher (For Academic and Personal Referral) *

Collegiate Information (Expected University) *

(High School students should provide information on the university they have been accepted to or plan to attend)

Expected Major or Field of Study *

Career Goal *

Link to Video (Submission)

Applicants must submit a video that is no longer than five minutes. In the video, the student should discuss: •What is your most memorable life experience that motivates you to help people? •How will college prepare you to make a positive change in our society? •Lastly, what does the quote below mean to you? “Change will not come if we wait for some other person, or if we wait for some other time. We are the ones we've been waiting for. We are the change that we seek.” ― Barack Obama. If you have any questions about the video, please call. Theo Woodley 704.779.5673. You may upload it to a video hosting site such as Youtube or Vimeo, and post the link in the space below.

Name of Parent(s)/Guardian(s) *

Community Service and Involvement *

Estimated Financial Need for the 2016-2017 Academic Year (Minus Other Scholarships & Grants) *

Example: $9,000

Also, please forward an one page resume to tlwoodley@theblacklegacy.com.

If you do not have a resume, here is a great site to get you started: Click here