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Mar 31, 2017 - The Ralph E. Hollmon Laptop Award acknowledges high school seniors who have demonstrated ... showcasing y
MILWAUKEE

Empowering Communities.

URBAN LEAGUE

Changing Lives.

2017 Ralph E. Hollmon Laptop Award DESCRIPTION OF AWARD The Ralph E. Hollmon Laptop Award acknowledges high school seniors who have demonstrated academic excellence, leadership, and commitment to use their talents to serve Milwaukee and the broader community. Financial need is not a criterion for this award.

ELIGIBILITY REQUIREMENTS Applicants must: 1. Be a graduating high school senior who resides and attends a high school in Milwaukee County 2. Have a cumulative unweighted GPA of at least 3.0 3. Show proof of acceptance to an accredited college or university for Fall 2017 enrollment The following applicants are NOT eligible to apply:  Students who are recipients of the 2017 Milwaukee Times Newspaper Black Excellence Louvenia Johnson Scholarship.  Students whose parents/guardians are members of the Awards Selection Committee, employees of the Milwaukee Urban League or members of the Milwaukee Urban League Guild and/or Milwaukee Urban League Young Professionals.

REQUIRED APPLICATION MATERIALS A completed and signed award application form, essay, record of extracurricular activities, resume, two letters of recommendation and official transcripts mailed to our office in a sealed envelope.

SELECTION PROCESS The Awards Selection Committee will determine award winners based on the following factors: GPA, academic progress, essay, letters of recommendation, work history (if any), school activities, leadership and community involvement. Decisions of the Awards Selection Committee are final. Winners will be notified via U.S Mail. Awards will be presented at the Milwaukee Urban League’s inaugural Transition-to-College Conference and Awards Luncheon.

Completed Applications must be submitted by 4pm CST, March 31, 2017 via mail to: Milwaukee Urban League Attn: Education and Training Department 435 W. North Avenue Milwaukee, WI 53212

Application Instructions NOTE: When an application is received, it will be given either a “complete” or “incomplete” status. It is your responsibility to call and check on your status. Any incomplete applications will not be forwarded to the Award Selection Committee. 1. Complete all sections of the application form, including applicant’s signature and parent(s) or guardian(s) signature. 2. Prepare and type a 250-word essay addressing the following: “Imagine that you are the director of admissions at a highly selective college. In addition to an excellent academic record, what one factor will help you determine whether to admit an applicant? Please explain why. The essay:  must be an original piece of writing demonstrating your critical thinking ability and showcasing your writing at its best. It should also provide insight into the type of student you currently are and are poised to become.  must be double spaced, in Times New Roman or Arial 12-point font with your name and contact information in the top right corner. 3. An official copy of your transcripts in a sealed envelope must be mailed to the address below. Electronic copies of transcripts or transcripts that are not official will not be accepted. No exceptions. (Cumulative unweighted GPA of 3.0 or higher is required) 4. Two recommendation letters. One of which must come from a teacher, guidance counselor, school principal or other official school administrator. The second may come from an employer, supervisor, coach, mentor or advisor. (Family/friend references are not acceptable). 5. Complete form for Extracurricular Activity, Community Involvement and Leadership. On a separate sheet list awards and honors, computer skills, and special interests (if applicable). 6. Submit a resume (if applicable). PLEASE SEND VIA U.S. MAIL YOUR APPLICATION AND SUPPORTING DOCUMENTATION IN ONE PACKET POSTMARKED NO LATER THAN 4:00 PM CST ON MARCH 31, 2017 TO: Milwaukee Urban League Attn: Education and Training Department 435 W. North Avenue Milwaukee, WI 53212

2017 Award Application—Page 2 of 8

Applicant Checklist I submitted….

⧠ A Laptop Award Application form with all sections filled out and signed and dated by myself and my parent(s)/guardian(s). ⧠ Two letters of recommendation.

⧠ An official high school transcript via U.S. mail in a sealed envelope.

⧠ The Extracurriculuar Activity, Community Involvement and Leadership Roles form along with a separate sheet of paper listing honors and awards, computer skills and/or special interest (s) if applicable. ⧠ A typed essay of 250 words on the topic provided. ⧠ A resume (if applicable). ⧠ Signed and dated Applicant Release Form.

2017 Award Application—Page 3 of 8

Application Form STUDENT INFORMATION 1. 2.

Last Name:

First Name:

Middle Initial:

Home Address:

City:

State: WI

3.

Daytime Telephone Number(s):

4.

Email Address:

5.

ZIP Code:

Alternative Number:

DOB: Month______/Day ______/Year_______

Gender(optional):

Current High School:

School Address:

Phone:

7.

Cumulative (unweighted) GPA: _______

Anticipated Graduation Date:______

Class Size: _____ Class Rank: ____

8.

ACT Score (if any):_____________________

SAT Score (if any):_______________________

Anticipated Major:________________________________

Anticipated Career:______________________

6.

9. 10.

College you will be attending (please provide acceptance letter):_________________________________

PARENT INFORMATION 11.

(Mother/Female Guardian) First /Last Name

(Father/Male Guardian) First /Last Name:

12.

Home Address:

City:

13.

Daytime Telephone Number (s):

Email Address:

State: WI

ZIP Code:

Student Signature: _______________________________________________________

Date: ____________

Mother/Female Guardian Signature: _________________________________________

Date: ____________

Father /Male Guardian Signature: ___________________________________________

Date: ____________

2017 Award Application—Page 4 of 8

Record of Extracurriculuar Activity, Community Involvement and Leadership Please describe your activity involvement (examples: drama clubs, choral groups, sports teams, church or religious youth groups, community volunteerism, part-time jobs, youth counseling/mentoring), especially any activities that demonstrates leadership responsibilities (example: Scout Leader, Team Captain, Student Government Officer. Please fill out as many of the entries as necessary. Activity: Enter Activity or Organization Name

Date(s) of Involvement: Enter Date(s) of Participation

Leadership Position/Title (if applicable): List Any/All Title(s) Held in this Activity

Brief Description of Activity: Provide 2-3 sentence description of activity

Activity: Enter Activity or Organization Name

Date(s) of Involvement: Enter Date(s) of Participation

Leadership Position/Title (if applicable): List Any/All Title(s) Held in this Activity

Brief Description of Activity: Provide 2-3 sentence description of activity

Activity: Enter Activity or Organization Name

Date(s) of Involvement: Enter Date(s) of Participation

Leadership Position/Title (if applicable): List Any/All Title(s) Held in this Activity

Brief Description of Activity: Provide 2-3 sentence description of activity

2017 Award Application—Page 5 of 8

Activity: Enter Activity or Organization Name

Date(s) of Involvement: Enter Date(s) of Participation

Leadership Position/Title (if applicable): List Any/All Title(s) Held in this Activity

Brief Description of Activity: Provide 2-3 sentence description of activity

Activity: Enter Activity or Organization Name

Date(s) of Involvement: Enter Date(s) of Participation

Leadership Position/Title (if applicable): List Any/All Title(s) Held in this Activity

Brief Description of Activity: Provide 2-3 sentence description of activity

Activity: Enter Activity or Organization Name

Date(s) of Involvement: Enter Date(s) of Participation

Leadership Position/Title (if applicable): List Any/All Title(s) Held in this Activity

Brief Description of Activity: Provide 2-3 sentence description of activity

Activity: Enter Activity or Organization Name

Date(s) of Involvement: Enter Date(s) of Participation

Leadership Position/Title (if applicable): List Any/All Title(s) Held in this Activity

Brief Description of Activity: Provide 2-3 sentence description of activity

2017 Award Application—Page 6 of 8

Activity: Enter Activity or Organization Name

Date(s) of Involvement: Enter Date(s) of Participation

Leadership Position/Title (if applicable): List Any/All Title(s) Held in this Activity

Brief Description of Activity: Provide 2-3 sentence description of activity

Activity: Enter Activity or Organization Name

Date(s) of Involvement: Enter Date(s) of Participation

Leadership Position/Title (if applicable): List Any/All Title(s) Held in this Activity

Brief Description of Activity: Provide 2-3 sentence description of activity

Activity: Enter Activity or Organization Name

Date(s) of Involvement: Enter Date(s) of Participation

Leadership Position/Title (if applicable): List Any/All Title(s) Held in this Activity

Brief Description of Activity: Provide 2-3 sentence description of activity

I attest that all statements in this record are true and accurate.

Print Name: ____________________________ Signature: _____________________________ Date: _________________________________

2017 Award Application—Page 7 of 8

Applicant Release Form I certify that all information I have provided to the Milwaukee Urban League is true and complete to the best of my knowledge. I give permission for the Award Selection Committee to contact high school and college officials for additional academic information and/or any other information related to this application if necessary. If selected to receive the Ralph E. Hollmon Laptop Award I give permission for a publicity release and to share information contained in my application with appropriate scholarship donors, the Milwaukee Urban League, and or the National Urban League and its affiliates. I understand that the Award Selection Committee and/or the Milwaukee Urban League reserves the right to amend application requirements, deadlines, and decision processes at any time.

Signature of Applicant: _______________________________________________

Date: __________

Signature of Mother/Female Guardian(s): ________________________________

Date: __________

Signature of Father/Male Guardian(s): ___________________________________

Date: __________

MUL EDUCATION & TRAINING OFFICE USE ONLY: Staff Signature: ____________________ Date Received: ___________ Applicant Cumulative GPA: _________ COMMENTS: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

SCHOLARSHIP COMMITTEE USE ONLY: Committee Member Signature: _________________________Date: ______________ FINAL Score: ________ COMMENTS: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

2017 Award Application—Page 8 of 8