Application – ERR Foundation

Date Of Application(Required)

First Name:(Required)

Last Name:(Required)

Name of High School(Required)

Middle Initial:(Required)

Home Address:(Required)

City:(Required)

State:(Required)

Zip:(Required)

Phone #:(Required)

Other #:

Do you have internet access?:

Yes

Email:(Required)

The Robinson Family wishes to stay in communication after scholarship award.

Parent or Guardian's Name(s):

Mother's Occupation:

Father's Occupation:

Are there any other special circumstances you would like the Board to consider?:

Yes

If so, provide additional information here:

ACADEMICS:

SAT Score (if available):

Unweighted GPA (on a 4.0 Scale):(Required)

Rank in Class:

COLLEGE PLANS:

Degree Seeking:(Required)

Planned Major:(Required)

Planned Career:

1st School Of Choice:(Required)

Accepted:(Required)

Yes

Scholarship Received(Required)

Yes

2st School Of Choice:

Accepted:

Yes

Scholarship Received

Yes

Allowed file extensions to upload: zip,rar.pdf,doc,x/s.ppt.jpg.gifpng.docx

Upload copy of Acceptance Letter:

Drop files here or

Accepted file types: zip, rar, pdf, doc, x/s, ppt, jpg, gif, png, docx, pdf, pptx, jpeg, Max. file size: 4 MB, Max. files: 10.

What other scholarships have you applied for and or received?

EXTRA CURRICULAR ACTIVITIES

School Organizations and Clubs:

Honors and Awards:

Positions Of Leadership:

Community Involvement:

Upload copy of most recent report card or transcript:(Required)

Drop files here or

Accepted file types: zip, rar, pdf, doc, x/s, ppt, jpg, gif, png, docx, pdf, pptx, jpeg, Max. file size: 4 MB, Max. files: 10.

REQUIREMENTS

1. Please upload a recent school or professional picture.
2. Please upload at least one (1) Letter of Recommendation (from Teacher, Religious leader or Employer).
3. Please provide two (2) 250-word essays choosing from the following topics:

• What are your career goals and why have you chosen that career?
• How will this scholarship help you achieve your goals?
• Who is your role model and why?
• Which African American global leader do you admire and why?
• When you graduate from college, how will you give back to the African American community?
• How does religion influence your actions and the direction you have for your life? (please provide the name of the sanctuary that you attend, if any)

MEDIA RELEASE

Yes - I consent. I grant permission for the Elouise Rice Robinson Foundation to make use of any and all pictures, video and/or audio recordings of me to appear in video or audio recordings, films, photographs, written articles, or on websites and social media sites.

No - I do not consent

Allowed file extensions to upload: zip,rar.pdf,doc,x/s.ppt.jpg.gifpng.docx

Upload recent school or professional picture:(Required)

Drop files here or

Accepted file types: zip, rar, pdf, doc, x/s, ppt, jpg, gif, png, docx, pdf, pptx, jpeg, Max. file size: 4 MB, Max. files: 10.

Upload Scanned Letter of Recommendation # 1:(Required)

Drop files here or

Accepted file types: zip, rar, pdf, doc, x/s, ppt, jpg, gif, png, docx, pdf, pptx, jpeg, Max. file size: 4 MB, Max. files: 10.

Upload Scanned Letter of Recommendation #2:

Drop files here or

Accepted file types: zip, rar, pdf, doc, x/s, ppt, jpg, gif, png, docx, pdf, pptx, jpeg, Max. file size: 4 MB, Max. files: 10.

Upload Essay #1:(Required)

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Accepted file types: zip, rar, pdf, doc, x/s, ppt, jpg, gif, png, docx, pdf, pptx, jpeg, Max. file size: 4 MB, Max. files: 10.

Upload Essay #2:(Required)

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Accepted file types: zip, rar, pdf, doc, x/s, ppt, jpg, gif, png, docx, pdf, pptx, jpeg, Max. file size: 4 MB, Max. files: 10.

Upload Supplemental Information:

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Accepted file types: zip, rar, pdf, doc, x/s, ppt, jpg, gif, png, docx, pdf, pptx, jpeg, Max. file size: 4 MB, Max. files: 10.

Please provide signature, if using a pc please use a mouse, if using iPad or Tablet use stylus or finger:(Required)

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Scholarship App

Scholarship Application

ACADEMICS:

COLLEGE PLANS:

EXTRA CURRICULAR ACTIVITIES

REQUIREMENTS

MEDIA RELEASE

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