Columbia (Mo.) African American Association Memorial Scholarship
P.O. Box 1632
Columbia, MO 65203
CAAA MEMORIAL SCHOLARSHIP APPLICATION
Dear Scholarship Applicant,
The Columbia African American Association (CAAA) is committed to the development of America’s youth; specifically targeting African American students living in the Columbia, Missouri area. Our children are the future leaders of America and we accept the challenge and responsibility of preparing them for success. Our top priority is to cultivate and develop responsible citizens and leaders.
CAAA has established a scholarship fund to assist talented young African Americans in their pursuit of higher education. The CAAA Memorial Scholarship Fund will be presented in honor of former Columbia African American high school students who are now deceased. Applicants must meet strict eligibility requirements and deadlines to qualify. Children, relatives and friends of CAAA members are eligible to compete for the scholarship; however they must adhere to the same strict requirements.
Individuals applying for the CAAA Memorial Scholarship Fund must complete the entire application packet and submit to :
Columbia African American Association (CAAA)
P.O. Box 1632
Columbia MO. 65205
ATTN: CAAA Memorial Scholarship Fund
APPLICATIONS MUST BE POSTMARKED NLT APRIL 2, 2012
This application is intended to give the scholarship committee a glimpse into your personality — who you are; your academic and personal successes; and your future goals/ambitions. Our scholarship committee will review all applications and announce the winners in May. Applicants must meet strict eligibility requirements and deadlines to be considered.:
1. Applicant must be African American
2. Applicants must possess/maintain a minimum grade point average of 2.5 (cumulative)
3. Applicant must attend a Columbia, Mo., public high school
4. Applicant must provide verification of enrollment to an accredited college, university, technical or trade school.
5. Applicants must complete and submit application packet no later than April 2, 2012 (see below). Packet must include:
If you have questions concerning this application or our scholarship fund please contact, Melvin Clayborne, (315) 408-5604 begin_of_the_skype_highlighting (315) 408-5604 end_of_the_skype_highlighting begin_of_the_skype_highlighting (315) 408-5604 end_of_the_skype_highlighting begin_of_the_skype_highlighting (315) 408-5604 end_of_the_skype_highlighting begin_of_the_skype_highlighting (315) 408-5604 end_of_the_skype_highlighting, or Anthony VanBuren, (571) 332-0155 begin_of_the_skype_highlighting (571) 332-0155 end_of_the_skype_highlighting begin_of_the_skype_highlighting (571) 332-0155 end_of_the_skype_highlighting begin_of_the_skype_highlighting (571) 332-0155 end_of_the_skype_highlighting begin_of_the_skype_highlighting (571) 332-0155 end_of_the_skype_highlighting. Good luck and we wish you all the best in this and future endeavors
CAAA MEMORIAL SCHOLARSHIP APPLICATION
Section A - General Information
Applicant’s Name:___________________________________________________
Last First MI
Permanent Address: _________________________________________________
Number and Street Phone
___________________________________________________________________
City State Zip
Date of Birth ____________________________________________________________________
Month Day Year
Gender: Male______ Female______
Name of Parent or Guardian:
_______________________________________________________________________
Parent or Guardian’s Address: _
_______________________________________________________________________
Number of children in family? ___________________ Ages ___________________
Please indicate (X) your family’s adjusted income from last year’s tax return.
__________Under 30,000 __________$30,000-$50,000 __________$50,000-$70,000 __________ Over $70,000
Do you have a family member (Mother, Father, Grandparents, Aunt, Uncle) who is an Alumni of Douglass, Hickman, or Rockbridge? If yes, complete the following : Name (include maiden), School, year of graduation, relationship to student.
Name and phone number of guidance counselor or favorite teacher:
________________________________________________________________________
Section B - Education Program Information
I will complete high school by June 20??? and enroll in an accredited college or university by Fall 20??:
Yes ___ No___
The month and year in which I will be completing high school: ___________________
What high school are you currently enrolled?
What is your present grade point average (GPA)?
What college or university are you planning to attend (include address)?
Have you been accepted by the college or university indicated above? Yes ___ No___
ACT SCORE ____________ DATE ______________________________
SAT SCORE ____________ DATE _______________________________
If you have not been accepted, to what other colleges or universities have you applied?
To date, have you received any other scholarship offers? If yes, from who and for what amount?
Section C - Student Profile Information
List academic accomplishments (example: honor roll, dean’s list, Who’s Who or any other additional honors, awards/scholarships received).
List community service activities (example: Church, Big Brothers & Sisters, DARE, Adopt-a-Highway Clean-up, Boys & Girls Club etc…) you have participated in.
List extracurricular school activities and leadership involvement (athletics, student body president, membership in clubs/organizations, ROTC, cheerleading, band, basketball team captain, drama club, booster club etc…) include offices held.
What are your career goals?
In what ways do you think your career goals will enable you to contribute to your community?
Why do you think you should be selected by the Columbia African American Association as a scholarship
recipient?
Section D – Student Essay Information
Please write a 500-word essay on the following (Spelling and grammar will be graded):
1. The black community is witnessing the decline of its youth receiving a college education, Why is it important for American black youth to receive a college education?
Section E – Attach Official Academic Transcript
Section F – Attach Recommendation Letters (2)
For questions or more information, contact:
Anthony D. VanBuren
Chair
CAAA Memorial Scholarship Fund
Hickman High School Alumni,
"Class of 1979"
(571) 332-0155 begin_of_the_skype_highlighting (571) 332-0155 end_of_the_skype_highlighting (C)
(703) 644-2247 begin_of_the_skype_highlighting (703) 644-2247 end_of_the_skype_highlighting (H)
Anthonyv@columbiaafricanamericanassociation.com
Melvin Clayborne
Vice-Chair
CAAA Memorial Scholarship Fund
Hickman High School Alumni,
"Class of 1980"
(315) 408-5604 begin_of_the_skype_highlighting (315) 408-5604 end_of_the_skype_highlighting begin_of_the_skype_highlighting (315) 408-5604 end_of_the_skype_highlighting begin_of_the_skype_highlighting (315) 408-5604 end_of_the_skype_highlighting begin_of_the_skype_highlighting (315) 408-5604 end_of_the_skype_highlighting begin_of_the_skype_highlighting (315) 408-5604 end_of_the_skype_highlighting begin_of_the_skype_highlighting (315) 408-5604 end_of_the_skype_highlighting begin_of_the_skype_highlighting (315) 408-5604 end_of_the_skype_highlighting begin_of_the_skype_highlighting (315) 408-5604 end_of_the_skype_highlighting ©
melvin@columbiaafricanamericanassociation.com
Keener A. Tippin II
Treasurer,
CAAA Memorial Scholarship Fund
Hickman High School Alumni,
"Class of 1979"
(573) 289-6536 begin_of_the_skype_highlighting (573) 289-6536 end_of_the_skype_highlighting begin_of_the_skype_highlighting (573) 289-6536 end_of_the_skype_highlighting begin_of_the_skype_highlighting (573) 289-6536 end_of_the_skype_highlighting begin_of_the_skype_highlighting (573) 289-6536 end_of_the_skype_highlighting begin_of_the_skype_highlighting (573) 289-6536 end_of_the_skype_highlighting begin_of_the_skype_highlighting (573) 289-6536 end_of_the_skype_highlighting begin_of_the_skype_highlighting (573) 289-6536 end_of_the_skype_highlighting begin_of_the_skype_highlighting (573) 289-6536 end_of_the_skype_highlighting
keener@columbiaafricanamericanassociation.com
NOTE: THIS APPLICATION CANNOT BE SUBMITTED ELECTRONICALLY AT THE CURRENT TIME. PLEASE PRINT IT OUT, COMPLETE IT AND MAIL IT TO THE SELECTION COMMITTEE:
Columbia African American Association (CAAA)
P.O. Box 1632
Columbia MO. 65205
ATTN: CAAA Memorial Scholarship Fund
ALL APPLICATIONS MUST BE POSTMARKED NLT APRIL 2, 2012
P.O. Box 1632
Columbia, MO 65203