2018 HBCU All Star Application Form

HBCU ALL STAR STUDENT PROGRAM

2018 WHIHBCU Student Recognition Application Form. Revision enj

2017 HBCU All Start Application Form

OMB: 1894-0016

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White House Initiative on Historically Black Colleges and Universities


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The White House Initiative on Historically Black Colleges and Universities (HBCUs) works to promote HBCU excellence and innovation. This year the WHIHBCU will recognize undergraduate, graduate, and professional students for their accomplishments in scholarship, leadership, entrepreneurship and civic engagement.

Nominate a student today!



Student Recognition














Public Burden Statement

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number.  The valid OMB control number for this information collection is xxxx-xxxx.  Public reporting burden for this collection of information is estimated to average 3.5 hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  The obligation to respond to this collection is voluntary.  If you have comments or concerns regarding the status of your individual submission of this application, please contact the White House Initiative on Historically Black Colleges and Universities at 400 Maryland Ave., SW, Washington, DC 20202 or by phone at (202) 453-5634 directly. [Note: Please do not return the completed WHIHBCU Student Recognition Application to this address.

PROGRAM DETAILS

Students will be recognized and acknowledged by the White House Initiative on Historically Black Colleges and Universities. Their formal recognition will last, one academic school year; during the course of an academic school year WHIHBCU Staff will inform recognized students of outreach and engagement opportunities that they can take advantage of or communicate to their fellow students.



Recognized students will also receive a formal invitation to attend the Annual HBCU Week Conference where they will engage with initiative staff and key stakeholders and participate professional development sessions and explore some of the many sites the nation’s capital has to offer. Through personal and professional relationships with community-based organizations, public and private sector entities, selected students will share promising and proven practices with key stakeholders that support opportunities for all young people.



In addition, this opportunity will allow recognized students to participate in regional events, as well as, web chats facilitated by WHIHBCU Staff and other professionals from a wide range of disciplines that support a spirit of engagement and personal and professional development.





ELIGIBILITY AND RULES

1. Nominee must be a current undergraduate, graduate, or professional student at a Historically Black College or University (HBCU). Student must be enrolled for the 2018-2019 fall semester. View HBCU Listing by State

2. Only complete nominations will be accepted. This includes signed nomination form, unofficial transcripts and recommendation letter.

3. Submissions entered past the due date will not be acknowledged.



Applications must be submitted as one PDF to [email protected] by

Friday, March 30, 2018, 11:59pm EST.



2018 Student Nomination Form

STUDENT INFORMATION

Legal Name (Last)*

     

Legal Name (First, Middle Initial)*

     

Gender: Male Female

Hometown (City, State):

College or University* (No Abbreviations):

     

Year*: (Rising Sophomore and beyond)

     

Major*(No Abbreviations):      

Grade Point Average (GPA):

Primary Mailing Address*:      

City*:       State*:    Zip*:      

Phone:       Primary E-mail*:      

Signature:

Date:

* REQUIRED

HBCU PRESIDENT/CHANCELLOR INFORMATION

Legal Name (Last)*

     

Legal Name (First)*

     

College or University*:

     

Title *:      

School Mailing Address*:      

City*:       State*:    Zip*:      

Phone:       Primary E-mail*:      


Signature:

Date:

* REQUIRED

2018 WHIHBCU Student Recognition Nomination Form

Part A: UNOFFICIAL TRANSCRIPT

Required with this application is a copy of your unofficial transcript.


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Part B: ENDORSEMENT/COMMITMENT LETTER

(To be completed by HBCU President/Chancellor)

HBCU President/Chancellor must provide a signed written nomination attesting to the nominee's current performance, potential for a leadership and endorsement.

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Part C: STUDENT INTEREST

(To be completed by the Nominee)

In 350 words or less, the nominated student must carefully assess their professional aspirations/needs; determine some ways that our initiative might be able to support your needs and those of your fellow students.

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