Black Student Fund Scholar Application 2018 – 2019 Academic Year
Note: Black Student Fund (BSF) Scholars apply each year to gain access to BSF programs and scholarships. Scholars must demonstrate a commitment to academic achievement. Parents/Guardians agree to work in partnership with BSF as advocates for the Scholar.
Email address *
Section I: Student Information
First Name: *
Please enter the student's first name.
Your answer
Last Name: *
Please enter the student's last name.
Your answer
Student identifies as: *
Required
Student's Date of Birth (DOB) *
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Current School *
Your answer
Current Grade *
Your answer
Student's Final Grades 2017-2018 *
Please enter each course name and your final grade (or progress grade) from the 2017-2018 school year.
Your answer
Total Number of Years With Black Student Fund
If you are a returning family, please tell us how many years you have been with BSF.
Your answer
Section II: Parent Information
#1. Parent/Guardian First Name *
Please note there is a section below to enter the other parent's info.
Your answer
#1. Parent/Guardian Last Name *
Please note there is a section below to enter the other parent's info.
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
County/Ward *
Your answer
Home Phone #: *
Your answer
Work Phone #: *
Your answer
Cell Phone #: *
Your answer
Home Email: *
Your answer
Work Email: *
Your answer
#2. Parent/Guardian First Name *
Your answer
#2. Parent/Guardian Last Name *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone #: *
Your answer
Work Phone #: *
Your answer
Cell Phone #: *
Your answer
Home Email: *
Your answer
Work Email: *
Your answer
Facebook Profile: *
Please share a link to your Facebook profile or share the name you use on Facebook. If you do not have an active Facebook account, please enter N/A.
Your answer
Twitter Profile: *
Please share a link to your Twitter profile or share the username you use on Twitter. If you do not have a Twitter account, please enter N/A.
Your answer
Section III: School Information
Returning Applicants, please list your current school
Your answer
New Applicants, please list the BSF Schools to which you are applying
Your answer
Section IV: Parent Statement
Please describe your child's academic strengths. *
Remember to list all accomplishments, achievements, and awards received.
Your answer
Signature
I/We understand that by signing below, I/we confirm all information provided in this application is accurate. I/We understand I/we give the school permission to provide academic records and financial aid information to Black Student Fund. I/We also understand if accepted, participation is required in Parent Orientation, Leadership Institute, May/June Reception; and I/We will volunteer at BSF a minimum of ten (10) hours per academic year.
Electronic Signature. *
Please type your full name below. It will serve as your electronic signature.
Your answer
Date. *
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A copy of your responses will be emailed to the address you provided.
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