NORTH CAROLINA CENTRAL UNIVERSITY ALUMNI ASSOCIATION, INC. 2223 Fayetteville Street Durham, NC 27707

National Alumni Scholarship Program NCCU Alumni Association, Inc. 2223 Fayetteville Street Durham, NC 27707 (919) 530-5222 [Phone] (919) 560-5864 [Fax] www.nccualumni.org Revised July 2012

The NORTH CAROLINA CENTRAL UNIVERSITY ALUMNI ASSOCIATION, INC. offers several “NATIONAL ALUMNI SCHOLARSHIPS” to students at North Carolina Central University. These scholarships vary in amount and may be renewable annually for up to four years. Recipients of these awards are designated as National Alumni Scholars. Since the alumni of North Carolina Central University are traditionally committed to high academic achievement and service to society, it follows that the purpose of the National Alumni Scholarship Program will be to assist North Carolina Central University in attracting to its campus outstanding students who exhibit high academic, citizenship and leadership characteristics, and desire to contribute positively to the quality of study and life at the University. Only those who have at least 3.0 “B” weighted grade point average and a SAT/ACT (Math/Reading/Writing) score of 1210/17 or above will be considered for alumni scholarships. Though the majority of National Alumni Scholarship awards made annually will be to incoming freshmen students, applications are acceptable from any student, regardless of classification or academic interest. All Alumni Scholars are required to carry a full class load as deemed appropriate by the University. National Alumni Scholars are required to maintain a cumulative grade point average equal to a 3.0 “B” each academic year, complete at least 24 volunteer hours within the NCCU Alumni House, become a member of the NCCU Pre-Alumni Club, and attend at least one Alumni Association National Meeting (Annual/Council/Convention). The progress of these scholars will be reviewed at the end of each academic year by the Alumni Association’s Scholarship Committee. Under certain circumstances, the assistance of faculty members will be sought to help these students achieve and maintain the minimum average for continuation of the scholarship. National Alumni Scholars will be selected from a variety of backgrounds and interests. Students with special talents (athletes, performing artists, etc.) may be given special consideration; however, the minimum scholastic average will not be waived for these students. Financial need will not be the primary criterion in determining the recipients for these scholarships. The deadline for receiving all application materials and renewal applications is March 15th (postmarked). Notices of initial and renewal awards will be made by May 15th of each year.

APPLICATION PROCEDURES: 1. Complete all parts of the National Alumni Scholarship Program Application Form. 2. Compose a typed ESSAY between 250 and 500 words on one of the following topics: a) Describe your experience transitioning from high school to college or college to graduate/professional studies. b) What does it mean to be an NCCU Eagle? c) What do you consider to be the most significant problem in society? Why?

3. 4. 5. 6. 7.

Provide two written references (*at least one from a paid member of the National NCCUAA) Provide an official high school or college transcript (Freshmen must provide both) Provide the Counselor/Registrar Academic Verification Form (can be sent directly to NCCUAA) Provide an official copy of your SAT/ACT scores (High School applicants only) Provide a 1 page résumé that shows your education, volunteerism, work experience and skills

Return all necessary materials postmarked by March 15 to: NCCU ALUMNI ASSOCIATION, INC. Attn: Scholarship Committee | 2223 Fayetteville Street | Durham, NC 27707 *A confirmation of receipt of your scholarship application will be provided to all applicants *Incomplete or applications missing required materials will not be considered for review *Scholarship recipients and the Local Alumni Association Chapter will be notified by May 15th

North Carolina Central University Alumni Association, Inc. NATIONAL ALUMNI SCHOLARSHIP APPLICATION FORM HIGH SCHOOL STUDENT Instructions: Please read all questions before attempting to answer them. Incomplete applications will not be considered. Type or print (in ink) answers in all the blanks on this application and return by the deadline to: North Carolina Central University Alumni Association, Inc., 2223 Fayetteville Street, Durham, NC 27707 Name _____________________________________________________ Male ________ Female _________ Address _________________________________________________________________________________ City _______________________________________ State____________ Zip Code ____________________ Date of Birth _____________________ E-mail Address __________________________________________ Student Telephone Number ______________________________ NCCU 820# ________________________ Father’s Name __________________________________________ NCCU Alumnus:

 Yes

 No

Employed by____________________________________________ Occupation _______________________ Mother’s Name __________________________________________ NCCU Alumna:

 Yes

 No

Employed by____________________________________________ Occupation _______________________ Total Annual Family Income $_______________Number of dependents in the household? ______________ Number of dependents presently enrolled in college? _____________________________________________ Name of High School ______________________________________________________________________ Address__________________________________ City_________________ State_______ Zip ___________ Name of Principal _________________________________________________________________________ Weighted GPA (4.0 Scale) ___________________ SAT/ACT (Math/Reading/Writing) _________________ *School Counselor verification form must be submitted with the application in a sealed envelope. What awards or honors have you received? ____________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ List the school activities in which you are/have been involved (clubs, organizations, offices): ________________________________________________________________________________________ ________________________________________________________________________________________ In what community activities/organizations are you involved (church, “Y”, etc., offices held)? ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ What are your hobbies or special creative interests? ______________________________________________ ________________________________________________________________________________________ What special talents do you possess (in the arts, athletics, and academics)? ___________________________ ________________________________________________________________________________________

North Carolina Central University Alumni Association, Inc. NATIONAL ALUMNI SCHOLARSHIP APPLICATION FORM COLLEGE STUDENT Instructions: Please read all questions before attempting to answer them. Incomplete applications will not be considered. Type or print (in ink) answers in all the blanks on this application and return by the deadline to: North Carolina Central University Alumni Association, Inc., 2223 Fayetteville Street, Durham, NC 27707 Name _____________________________________________________ Male ________ Female _________ Permanent Address ________________________________________________________________________ City _______________________________________ State____________ Zip Code ____________________ Date of Birth _____________________ E-mail Address __________________________________________ Student Telephone Number ______________________ NCCU 820# ________________________________ Father’s Name __________________________________________ NCCU Alumnus:

 Yes

 No

Employed by____________________________________________ Occupation _______________________ Mother’s Name __________________________________________ NCCU Alumna:

 Yes

 No

Employed by____________________________________________ Occupation _______________________ Total Annual Family Income $_______________Number of dependents in the household? ______________ Number of dependents presently enrolled in college? _____________________________________________ Current College or University________________________________________________________________ Date(s) of Attendance _____________________________________________________________________ GPA (4.0 Scale) ___________________ Classification_______________ Credit Hours Passed ___________ What awards or honors have you received? ____________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ List the college/university activities in which you are/have been involved (clubs, organizations, offices): ________________________________________________________________________________________ ________________________________________________________________________________________ In what community activities/organizations are you involved (church, “Y”, etc., offices held)? ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ What are your hobbies or special creative interests? ______________________________________________ ________________________________________________________________________________________ What special talents do you possess (in the arts, athletics, and academics)? ___________________________ ________________________________________________________________________________________

List the names, position/title and phone numbers of two references or an appropriate body to document your degree of proficiency in your special talent: 1_______________________________________________________________________________________ 2. ______________________________________________________________________________________ Expected/Current College Major _____________________________________________________________ Career/Occupational Goals: _________________________________________________________________ Essay: Please check your essay choice and attach it to your application (250 - 500 word typed)  Describe your experience transitioning from high school to college or college to graduate/professional studies.  What does it mean to be an NCCU Eagle?  What do you consider to be the most significant problem in society? Why?

References: Provide the names and addresses of the two (2) persons whom you have asked to recommend you for an Alumni Scholarship. At least one reference must be an alumnus who is a financial member of the NCCU National Alumni Association. Applicants must provide the reference recommendation form with the application package. References can be submitted with the application packet or mailed directly to the committee by the postmarked deadline. If the reference is not a member, membership into the NCCU National Alumni Association can be obtained at www.nccualumni.org. 1. NCCU Alumnus (Financial) ______________________________________________________________________ ________________________________________________________________________________________ 2. ______________________________________________________________________________________ ________________________________________________________________________________________ I/We hereby agree to the terms above to be considered for the NCCU National Alumni Association Alumni Scholarship. I/We understand that incomplete applications will not be considered for the scholarship. I/We understand that the Alumni Scholarship amount is awarded based on unmet financial need as verified by the NCCU Financial Aid Office. I/We also give permission for the release of my university admissions, financial aid and academic records to the NCCU National Alumni Scholarship Committee for verification for the scholarship. I/We understand that the applications and all supporting documents must be postmarked by March 15th. Incomplete or applications missing required materials will not be considered for review. Signature of Applicant _____________________________________________________________________ Signature of Legal Guardian (if under 18) ______________________________________________________ Signature of Legal Guardian (if under 18) ______________________________________________________ FOR COMMITTEE USE ONLY | DO NOT WRITE BELOW THIS LINE Student:

 Completed Application |  Transcript | SAT/ACT |  Essay |  References __#1 __#2 _____ Grade Point Average

______ SAT Score (HS Only) ______ ACT Score (HS Only)

NCCUAA:

_____ Date Received  Father Alumnus  Mother Alumna  Alumnus Reference Verification

University:

 Admission Verification |  Enrollment Verification |  Financial Aid Verification (FAFSA)

Committee:

Scores: ___ GPA + ___ SAT/ACT + ___ References + ___ Essay = _____ Total points  Scholarship Not Awarded

 Scholarship Awarded

$_________ Scholarship Amount

Completed by: _____________________ Verified by ____________________ Date ________

NCCU Alumni Association, Inc. HIGH SCHOOL ACADEMIC VERIFICATION FORM Directions: High School Applicants must submit this form to their High School Guidance Counselor or Registrar to verify academic information. This form can be returned to the student in a sealed envelope or mailed directly to the NCCUAA. PART A: COMPLETED BY STUDENT

Applicant’s Name ________________________________________________________________________________________________ Address _______________________________________________________________________________________________________ City State Zip Code ______________________________________________________________________________________________ Applicant’s Telephone ____________________________________________________________________________________________

PART B: TO BE COMPLETED BY HIGH SCHOOL PERSONNEL (OR PRINCIPAL, IF APPLICANT IS HOME SCHOOLED) Please complete the information below. Information can be provided to the student in a sealed envelope, mailed or faxed by March 15 School System ________________________________________________________________________________________________________________ High School _________________________________________________________________________________________________________________

Form Completers Name ___________________________________________________________________________________________ Form Completers Role/Position _____________________________________________________________________________________ Form Completers Telephone & Extension _____________________________________________________________________________ Form Completers E-mail __________________________________________________________________________________________

APPLICANTS GRADE POINT AVERAGE (Based off of a 4.0 Grading Scale) GPA (Weighted Scale) __________ GPA (Un-Weighted Scale) __________ TEST SCORES SAT Highest Math ______________________ Highest Verbal _____________________ Highest Writing _____________________ Highest SAT TOTAL ________________ Out of 2400 points

ACT Highest ACT Score (with writing) ________________ Out of 36 points

Scholastic Profile Verification I, the undersigned agree that the information provided on the scholastic profile is accurate. ____________________________________________ Name of Completer

Return to Student Applicant or Mail to: NCCU Alumni Association, Inc. Attn: Scholarship Committee 2223 Fayetteville Street Durham, North Carolina 27707

(919) 530-5222 [Phone] (919) 560-5864 [Fax]

____________________________________________ Signature of Completer (Counselor/Principal/Registrar)

North Carolina Central University Alumni Association, Inc. DURHAM, NORTH CAROLINA

National Alumni Scholarship Program Recommendation Form _______________________________ has applied for a National Alumni Scholarship from the North Carolina Central University Alumni Association, Inc. We are asking that you please provide one of the two required recommendations. With your written recommendation please include the number of years you have known the applicant, in what capacity, your assessment of the applicant’s personal character and/or academic potential and an evaluation of his/her leadership qualities. Please use this form by clearly writing or typing your recommendation. If additional space is required, use the back or an additional sheet. Recommendations must be postmarked by March 15th. Return to: NCCU Alumni Association, Inc. Attn: Scholarship Committee 2223 Fayetteville Street Durham, North Carolina 27707

(919) 560-5864 [Fax] Name_______________________________________________ Title/Position____________________________________________ NCCU Alumnus:  Yes  No

Class of _____________________ Member of ___________________________ Alumni Chapter

Signature ____________________________________________________ Date __________________________________________

North Carolina Central University Alumni Association, Inc. DURHAM, NORTH CAROLINA

National Alumni Scholarship Program Recommendation Form _______________________________ has applied for a National Alumni Scholarship from the North Carolina Central University Alumni Association, Inc. We are asking that you please provide one of the two required recommendations. With your written recommendation please include the number of years you have known the applicant, in what capacity, your assessment of the applicant’s personal character and/or academic potential and an evaluation of his/her leadership qualities. Please use this form by clearly writing or typing your recommendation. If additional space is required, use the back or an additional sheet. Recommendations must be postmarked by March 15th. Return to: NCCU Alumni Association, Inc. Attn: Scholarship Committee 2223 Fayetteville Street Durham, North Carolina 27707

(919) 560-5864 [Fax] Name_______________________________________________ Title/Position____________________________________________ NCCU Alumnus:  Yes  No

Class of _____________________ Member of ___________________________ Alumni Chapter

Signature ____________________________________________________ Date __________________________________________

NCCU ALUMNI ASSOCIATION NATIONAL ALUMNI SCHOLARSHIP RENEWAL FORM

Due by March 15th of Each Academic School Year Incomplete or applications missing required materials will not be considered for review. Name 820# E-mail Local Telephone Local Address

Permanent Telephone Permanent Address

Scholarship Verifications CUMULATIVE GPA (Final Spring GPAs will be verified) (Print a copy of current academic transcript from Banner) Cumulative Earned Credit Hours Number of Alumni House Volunteer Hours (24 minimum): *Contact the Office of Alumni Relations for verification letter Pre-Alumni Club Membership Verification from OAR NCCU Alumni Council Attendance Date(s) from OAR Personal Development Please Submit a Copy of Your Most Recent Résumé List your University and Community Involvement

List your academic and professional goals

For Office Use Only Total # of years Alumni Scholarships Awarded  1  2  3 Total Amount of Scholarship Funds Awarded # of Volunteer Hours in the current School year NCCUAA Scholarship Committee Decision  Approved  Denied Award Amount for ______ School Year $ Revised July 2012