Cherry Hill African American Civic Association 2022 Penn Medicine Scholarship Application
The Penn Medicine Scholarship provided through the Cherry Hill African American Civic Association is open to students that would like to pursue a career in healthcare. Penn Medicine is funding two $1000 scholarships to African American Cherry Hill high school seniors. The deadline for submission is Friday, April 29, 2022.

Applicants must be an African American high school senior with a financial need, who resides and attends a public or parochial high school in Cherry Hill, New Jersey.  Applicant must plan to attend an accredited two-year college, a two-year technical school or a four-year college/university for the year 2022-2023.  Awards will be based on academic achievement, involvement in school activities, leadership, community service, volunteer service, and career goals.

1.Complete the application below and email materials where requested.  All applicants must submit an official school transcript with SAT/ACT scores (if available), 3 reference letters (2 teacher/counselor 1 personal).   Note* If you did not take the SAT/ACT as it was not required by your institution please indicate this where asked.

2.  Reference letters are required and 2 must be from a Teacher or your Guidance Counselor and on school letterhead. 1 may be a personal letter of reference. All must be signed.

3. Applications missing any information will not be accepted or reviewed.

4. The CHAACA Scholarship Committee Chairperson will notify scholarship recipients of his/her/their award via email.

5. All award recipients will be required to participate in our Scholarship Award Celebration on a date TBD as well as be featured on our Social Media and webpages.

6. All scholarship recipients must show proof of school enrollment before money is awarded.

7. Deadline for application submission is Friday, April 29, 2022 by 11:59pm.

For any questions, concerns, or issues with application completion please email: Pat McCargo, CHAACA Scholarship Committee Chair, PMccargo@msn.com

Untitled Title
First Name *
Last Name *
Full Street Address *
Email *
Best Contact Number *
Date of Birth *
MM
/
DD
/
YYYY
Mother's/Primary Caregivers Full Name *
Father's/Secondary Caregivers Full Name *
Current High School Name *
Colleges/Universities/Technical School to which you have applied or intend to apply:  *top 3 only *
Is your Mother/Father/Caregiver a member of CHAACA? *
If yes to any of the above please state person's full first and last name: *
Extra-Curricular School Activities/Clubs (Include Name, Years, and Any Offices held) *
Community Organizations/Activities-outside of school (Include Name, Years, and Any Offices held) *
Religious or Faith Based Activities (Include Name and Years) *
Awards and Honors (School, Work, or Community) *
Employment History (Employer Name, Dates Worked, Position Held) *
Please request for your official transcripts to be electronically sent to chaaca.civic@gmail.com  In addition to this request, please email your unofficial copy of transcripts to chaaca.civic@gmail.com The Subject line for both emails should be "2022 CHAACA Scholarship Transcripts - Student Full Name" *
Please request that your reference letter writers email a PDF, signed letter of reference to chaaca.civic@gmail.com The subject line should read "2022 CHAACA Scholarship Reference Letter- Full Name". *
Please share with us the name of your three letter writers in the space below. *
To complete your application you must submit an essay in which you describe your career goals and aspirations.  The essay should include the following:  What have been the major influences in your life?  What goals have you set for yourself in college or technical school?  What long-term goals have you set for yourself as you move into the workforce and for your future community? This essay should be emailed to: chaaca.civic@gmail.com
Please send a headshot photo of yourself to accompany your application. Email to chacca.civic@gmail.com *
Headshot can be small and preferably your senior class photo.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms