Houston

Historically Black Colleges & Universities

Alumni Association
Dear Applicant:
As members of the Houston HBCU Alumni Association, we are proud that you have
chosen to attend one of our member institutions. We hope that your tenure will be a rewarding
one. HBCUs have provided all of its students with the opportunity to receive a quality
education. In keeping with each institutions proud tradition, we are offering you the opportunity
to apply for our 2014 scholarship award in the amount of $1,000.00. The scholarship committee
has set four objectives for its applicants:
1.)
2.)
3.)
4.)

Academic Excellence
Character
Leadership
Community Service

We believe that these objectives are important to become a great asset in todays society.
Application Criteria:
1.) Grade Point Average 2.75 (or higher) on a 4.0 scale
2.) Attending one of the member HBCUs
3.) Official High School Transcript
4.) Completed Application
5.) Three (3) Recommendations (Counselors, Principal, or Teacher)
6.) A typed personal statement 500 words or less discussing your:
a. Background (personal, family, academic, community service, etc.)
b. Academic Goals
c. Career Goals
7.) Wallet size photograph of applicant. Please note that photograph will not be returned.
APPLICATION MUST BE COMPLETED AND POSTMARKED BY: MAY 3, 2014
PLEASE SEND COMPLETED APPLICATION TO:
Houston HBCU Alumni Association
Scholarship Committee
P. O. Box 88238
Houston, TX 77288
Sincerely,
The Scholarship Committee
(Dr. Tessie Bradford, Reginald Brown, Deion Dorsett and Larry Shaw)

Houston
Historically Black Colleges & Universities
Alumni Association

MEMBER SCHOOLS
Alabama A&M University
Alabama State University
Bethune-Cookman University
Clark Atlanta University
Fisk University
Florida A&M University
Grambling State University
Huston-Tillotson University
Jackson State University
Jarvis Christian College
Morehouse College
North Carolina A&T University
Prairie View A&M University
Southern University
Texas Southern University
Tougaloo College
University of Arkansas Pine Bluff
Xavier University

Houston
Historically Black Colleges & Universities
Alumni Association

SCHOLARSHIP APPLICATION
Personal Information
Name:______________________________________________________________________________
Last

First

Middle

Address:____________________________________________________________________________
Street / P.O. Box

___________________________________________________________________________________
City

State

Telephone: _________________________

Zip Code

Email: _________________________________________

Name of Parent(s)/Guardian(s) : _________________________________________________________

High School Information

High School: ________________________________________________________________________
School Address:______________________________________________________________________
Street / P.O. Box

___________________________________________________________________________________
City

State

Zip Code

High School Counselor:_________________________________ Telephone: _____________________

Cumulative GPA: ________________________

Graduation Date:___________________________

College/University Information
Name of HBCU Attending:_____________________________________________________________
Major: __________________________________

Minor (if any): ____________________________

DO NOT STAPLE PAPERS

Application Deadline May 3, 2014

Personal Achievements
Academic Achievements:

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Extra-Curricular Activities:

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Community Activities:

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Leadership Positions:

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Attach photo here

My signature confirms that all application information

given is true and correct:

_____________________________________________________________

Student Signature

Date

_____________________________________________________________

Parent/Guardian Signature

Date

Please remember to attach your personal statement.

DO NOT STAPLE PAPERS

Application Deadline May 3, 2014

Houston
Historically Black Colleges & Universities
Alumni Association
STUDENTS NAME: ___________________________________________________________

COUNSELOR RECOMMENDATION FORM

NAME: ______________________________________________________________________
POSITION: ___________________________________

PHONE: ______________________

How long have you know applicant? ________________________________________________

In what capacity? ______________________________________________________________

Please rate the student from 1 to 4 with 4 being the highest.

1
Dependability
Leadership
Character
Personal Appearance
Personality
Academic Performance

Please list applicants strengths and weakness.

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Remarks:

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_________________________________________

________________________

Signature
Please return form in sealed envelope to student for submission.

Date

Houston
Historically Black Colleges & Universities
Alumni Association
STUDENTS NAME: ___________________________________________________________

TEACHER RECOMMENDATION FORM

NAME: ______________________________________________________________________
POSITION: ___________________________________

PHONE: ______________________

How long have you know applicant? ________________________________________________

In what capacity? ______________________________________________________________

Please rate the student from 1 to 4 with 4 being the highest.

1
Dependability
Leadership
Character
Personal Appearance
Personality
Academic Performance

Please list applicants strengths and weakness.

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Remarks:

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_________________________________________

________________________

Signature
Please return form in sealed envelope to student for submission.

Date

Houston
Historically Black Colleges & Universities
Alumni Association
STUDENTS NAME: ___________________________________________________________

RECOMMENDATION FORM
NAME: ______________________________________________________________________
POSITION: ___________________________________

PHONE: ______________________

How long have you know applicant? ________________________________________________

In what capacity? ______________________________________________________________

Please rate the student from 1 to 4 with 4 being the highest.

1
Dependability
Leadership
Character
Personal Appearance
Personality
Academic Performance

Please list applicants strengths and weakness.

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Remarks:

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_________________________________________

________________________

Signature
Please return form in sealed envelope to student for submission.

Date

Houston
Historically Black Colleges & Universities
Alumni Association

APPLICATION CHECKLIST
Completed application should include:
Scholarship Application
Personal Statement (must be typed)
Guidance Counselor Recommendation Form (in sealed envelope)
Teacher Recommendation Form (in sealed envelope)
Recommendation Form (in sealed envelope from teacher, community
representative, etc.)

Official High School Transcript (in sealed envelope)

Application Deadline: Must be postmarked by May 3, 2014.

Mail to:
Houston HBCU Alumni Association
Scholarship Committee
P. O. Box 88238
Houston, TX 77288

Please contact Dr. Tessie Bradford at tsbradford@hotmail.com or 281-401-1812

with any questions you may have.