Ewing-Jones Scholarship Application
This application is due on November 30, 2017. Applicants will be notified of their status by December 5, 2017.

BEFORE BEGINNING THIS APPLICATION, MAKE SURE THAT YOU HAVE DONE THE FOLLOWING:

- Reviewed information about the scholarship at eveewing.com/scholarship
- Visited duboisscholars.org and reviewed program details, especially for the Leadership Academy (click "Programs" then "Academies")
- Prepared your answers in a word processor (such as Microsoft Word), proofread and revised them, and made sure that your personal statement is 500 words
- Asked your two recommenders to confirm that they are willing to write you a letter of recommendation, and gathered their email address and phone number. Give them the link to the recommender form (see eveewing.com/scholarship) and make sure they know that recommendations are due on November 30

ABOUT YOU
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
Zip Code *
Your answer
Email Address *
Please note that applicants will be notified of scholarship results via email.
Your answer
Birthday *
MM
/
DD
/
YYYY
Gender Identity and Preferred Pronouns
Your answer
High School Name *
Your answer
Counselor Name *
Your answer
Are you in 9th grade during the 2017-2018 school year? *
The Du Bois Summer Institute is four weeks long and is a residential program on the Princeton University campus. If offered the scholarship, will you be available to stay for the entire four weeks? *
The scholarship will support travel, room and board, and books (which you will keep after the Institute.) You will be responsible for any extra costs (snacks, spending money, etc). Is this feasible for you? *
Name of Parent/Guardian *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email
Your answer
Household Income *
Ask a parent or guardian for assistance with this question. If you proceed to the interview stage of the application process, you may be asked to provide documentation of household income,
Your answer
Parent/Guardian Highest Level of Education *
Parent/Guardian Education - Name of School *
What is the name of the last school your parent/guardian(s) attended?
Your answer
Describe your racial or ethnic identity. *
Your answer
GRADES: Please list all courses and grades from your first quarter report card, separated by commas.
Example: ALGEBRA I: A-, PHYSICAL EDUCATION: B+, BIOLOGY: A, SPANISH II: B
*
Please note that if you are asked to participate in a candidate interview, you will be asked to provide evidence showing at least a B average. We recommend you prepare in advance by requesting a transcript, a letter from your counselor, a copy of your report card, or some other documentation.
Your answer
REFERENCES
Below, you will provide information about your references, who will submit a letter of recommendation on your behalf. These references should not be related to you, and at least one must be from a teacher or counselor. Make sure they have this link to submit a letter for you: https://goo.gl/forms/PWrE8yE3ouuDK1G43 (A link to the recommender form is also included on the Ewing-Jones Scholarship website.)

References are due on November 30, 2017. YOUR APPLICATION IS NOT CONSIDERED COMPLETE UNTIL YOUR LETTERS OF REFERENCE HAVE BEEN SUBMITTED.

Reference 1 Name *
Your answer
Reference 1 Title/Position and Organization *
Example: Math Teacher, Dunbar High School
Your answer
Reference 1 Email Address *
Your answer
Reference 1 Phone Number *
Your answer
Reference 2 Name *
Your answer
Reference 2 Title/Position and Organization *
Example: Math Teacher, Dunbar High School
Your answer
Reference 2 Email Address *
Your answer
Reference 2 Phone Number *
Your answer
INTERESTS & PERSONAL STATEMENT
In this section, we want to learn more about you. Please be honest with your responses; there is no right or wrong answer.
What are your favorite things to learn about in school? *
Your answer
Describe a social or political issue that is important to you and your personal opinions on that issue. *
Your answer
What are your interests, passions, or activities outside of school? *
Your answer
How do you hope to benefit from participating in the Leadership Academy at the W.E.B. Du Bois Scholars Institute? *
Your answer
Describe your career and education goals. *
Your answer
PERSONAL STATEMENT: In about 500 words, please describe 1) what you believe are the qualities of a good leader, 2) the ways you have demonstrated leadership, commitment to social justice, and/or service in your community, 3) the ways you hope to continue your personal growth in the short term and the long term. *
TIP: Write your essay first in a word processor such as Microsoft Word. Proofread it for spelling and revise it to make sure it says what you want it to say and that it is about 500 words long. Ask a teacher, counselor, or other trusted adult to give you feedback. When you're ready, paste it here.
Your answer
What aspects of the Leadership Academy do you think will be challenging for you? Describe any reservations or doubts you have about participating. *
Your answer
In this space, please add any additional comments or things we did not ask about that you think we should know. *
Your answer
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