Application for the Rev. Robert L. Gilbert and Dr. Mae Jackson Scholarships

Date:______

Personal Information

Last Name: ______First Name: ______

Address: ______

City: ______State: ______Zip: ______

Telephone Number: (____) ______

Educational Information

High School: ______

City: ______State: ______Graduation Year: ______GPA: ______

College: ______

City: ______State: ______Hours Completed: ______GPA: ______

Major/Intended Major: ______Full-Time or Part-Time (circle one)

SPECIAL ACHIEVEMENTS/HONORS AND RECOGNITION

______

______EXTRACURRICULAR ACTIVITIES/COMMUNITY

INVOLVEMENT/EMPLOYMENT

______

Waco NAACP Scholarship Essay

Write an essay discussing your goals for your life. Also, discuss how your post-secondary education can help turn your goals into reality.

Return to:

NAACP Waco Unit #6234

PO Box 20511; Waco, TX 76702