Dr. Reta Moore Shiver Excellence In Public Service Scholarship--PENDER COUNTY HIGH SCHOOL GRADUATES ONLY!
Honoring The Life & Legacy of Pender County Natives
Email address *
Pender County NAACP www.pendercountynaacp.com
DR. RETA MOORE SHIVER EXELLENCE IN PUBLIC SERVICE
The mission of the National Association for the Advancement of Colored People (NAACP) is to secure the political, educational, social, and economic equality of rights in order to eliminate race-based discrimination and ensure the health and well-being of all persons.
Applicant Name *
First and last name
Your answer
Name (Parent, Guardian, or Caretaker) *
First and last name
Your answer
Applicant Email *
Your answer
Applicant Phone number *
Your answer
Teacher that you credit most for your success and why: *
Your answer
Current High School *
Your answer
Current Grade *
Your answer
College or Secondary School Attending *
Your answer
I plan to major in or study: *
Your answer
Application Check List *
Required
APPLICANT ESSAY TOPICS (SELECT ONE)
SCHOLARSHIP DETAILS
ESSAY TOPIC (750 WORDS-cut and paste) *
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy