MLK Youth Scholarship Awards Application

Nominee Information

Please enter the following information about the student that you are nominating. The judges will ensure that the class of scholarship recipients is diverse culturally, economically, and academically.

Name of Nominee*

First Last

Please enter the name of the student that has been nominated for an award.

Age

Please enter a number less than or equal to 19.

Grade*

Nominee's School*

Please enter the school that the nominee attends.

Nominee's Home Address*

Street Address City State ZIP Code

Nominee's Phone Number

Nominee's Email Address

Does the Nominee Qualify for Free or Reduced Lunch?*

I don’t know

Yes

Nominator Information

Please enter the information of the person submitting the nomination.

Nominator's Name*

First Last

Nominator's Address*

Street Address City State ZIP Code

Nominator's Phone*

Nominator's Email

Relationship to Nominee*

Scholarship Program and Category

The MLK Youth Scholarship Awards is comprised of multiple scholarship programs. Each program selects one winner from each of its categories.

For which scholarship program are you nominating the student?*

Applied Materials Foundation Youth Legacy Awards

Ascension Seton Youth Achievement Awards

Coca-Coca Awards

Applied Materials Foundation Award Categories*

Academic Excellence / Education

Arts

Community Service

Beating the Odds

Math and Science

Ascension Seton Youth Achievement Award*

Ascension Seton Health Sciences Award

Daughters Of Charity Humanitarian Award

Ascension Seton Youth Leadership Award

Coca-Coca Youth Achievement Award*

Community Service (2 awards)

Beating the Odds (3 awards)

Qualifications

Please describe your reasons for nominating the person above.*

Include in your response: (a) What personal characteristics illustrate the nominee’s outstanding traits? Include examples. (b) What barriers has the nominee had to overcome to succeed in this area? Include examples. Feel free to attach additional comments and / or documentation.

Please list organizations to which the nominee belongs, positions held, and the year (s) of participation.

List specific activities in the area for which the nominee is being nominated. What honors and successes have he or she had related to this category

What leadership has the nominee demonstrated in this specific area?

Transcript or Report Card Required

In order for your application to be considered complete, you must send in a transcript or up to date report card.

Please scan and send as an attachment to [email protected].

This field is for validation purposes and should be left unchanged.