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City Treasurer’s Black History Month Essay Competition 2012 Scholarship Application

General Information

The City Treasurer’s Office of Chicago is the custodian and manager of all cash and investments of the City of Chicago. Each year

the City Treasurer’s Office sponsors a Black History Month Essay Competition. The winner of this competition will receive a $1,000

non-renewable scholarship to support the cost of attending the first year of college. The check will be issued to the college where

student enrolls in the fall of 2012.

Eligibility Requirements

Applicants must meet the following requirements:

Must be a senior enrolled in a Chicago Public School high school

Plan to enroll in an accredited two-or-four-year institution of higher education or educational institution in the fall of 2012

Minimum high school g.p.a. of 2.5

Minimum of 50 hours of community service

Required Documentation:

Official high school transcript

Letter of recommendation from a teacher, counselor or college coach who is familiar with student’s academic work

College Letter of Acceptance

Respond to the following essay questions (no more than 500 words each, typed, double-spaced. Be sure to include your

name and CPS ID number on the top right corner of each page).

1. Please describe the institution you plan to attend, your intended major, if you have selected one, and how you plan to

succeed in college.

2. What can African American small business owners do to become more competitive in the Chicago business community?

Incomplete applications will not be evaluated past the deadline. All information received will remain confidential. Applicants will be

contacted by Stephanie Neely, Chicago City Treasurer.

Deadline: FRIDAY, MARCH 2, 2012 by 4:00PM - Only complete applications will be accepted.

Please send all application materials to:

City Treasurer’s Black History Month Essay Competition

Office of Pathways to College and Career

Attn: Marcia Boyd, Project Manager/Scholarship Coordinator

125 S Clark Street, 12th Floor

Chicago, IL 60603

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2012 City Treasurer of Chicago Black History Month Essay

Competition Application

Student Information:

Last Name First Name Middle Initial

Student Birth Date (mm/dd/yy)

Home Address City State Zipcode

_(____)_____________________________________ _(____)_____________________________________

Home Phone Cell Phone

Student E-mail Address

High School Name

CPS Student ID Number: _________________________ Graduation Date: (mm/yy):__________________________

Grade Point Average (GPA):_____/4.00 Test Scores: ACT Composite: __________ SAT: ___________

College Information/Postsecondary Plans:

Your intended major in college: ___________________________________________

Colleges you have applied to:

1. ______________________________________________ Date applied:___________________

2. ______________________________________________ Date applied:___________________

3. ______________________________________________ Date applied:___________________

Have you completed the Free Application for Federal Student Aid (FAFSA)?

Yes, Date Completed: ________________________________ Month Day Year

No (If you have not, please do so by March 1st). To complete the FAFSA, go to www.fafsa.ed.gov

Have you researched the cost of attending each of the three colleges you have applied to?

Yes

No (If no, go to each college’s website and search for the Net Price Calculator to find out the costs)

Have you applied for any other scholarships?

Yes (If yes, how many have you applied for? __________)

No

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2012 City Treasurer of Chicago Black History Month Essay

Competition Application

Activities Activities include service learning, volunteer activities, extracurricular activities in your school, etc. Attach additional sheets if necessary.

Activity Office(s) Held

(e.g. President, Secretary)

Dates of

Participation

mm/yy

Hours Per Week

Honors or Awards:

Honor or Award Name Date Received)

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2012 City Treasurer of Chicago Black History Month Essay

Competition Application

Application Deadline: Friday, March 2, 2012 by 4:00 p.m.

Please send all applications and supporting documents to:

Black History Month Essay Competition

c/o Marcia Boyd

Office of Pathways to College and Careers

125 S Clark Street, 12th

Floor

Chicago, IL 60603

All questions related to this scholarship should be directed to CollegeScholarships@cps.k12.il.us

Applicant Certification

By submitting this application, I formally authorize any agency or person mentioned herein, to provide any information requested by

City Treasurers Office of the City of Chicago related to this application. I further release any of the entities or persons seeking or

providing information from all claims or damages that I may sustain as a result of seeking or providing such information.

Additionally, I certify that I plan to enroll in a regionally accredited postsecondary institution in the upcoming fall of 2012. I also

certify that this application is true and correct and intent to mislead or falsify the contents will result in disqualification for this

scholarship.

Student Signature Date

High School Certification

I certify that the education information for the applicant listed above is correct to the best of my knowledge.

High School Official’s Signature Date

Official’s name: (print or type):______________________________________ Title:____________________________________

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2012 City Treasurer of Chicago Black History Month Essay

Competition Application Checklist

Student Name:_________________________________ Last Name First name

High School Name: _____________________________

Date Submitted: ________________________________

(Include this as the cover of the application materials that you submit)

Completed Black History Month Essay Competition Application

Official High School Transcript

Essay Question #1 (500 words, typed and double-spaced)

Essay Question #2 (500 words, typed and double-spaced)

Letter of Recommendation

College Letter of Acceptance (from the college where student plans to enroll)

This section to be completed by CPS Scholarship Coordinator:

Date received by office: ___________________

File Complete: ___Yes __No