2026 Scholarship

Annual Scholarship
Application

Awarded to four graduating high school students who demonstrate academic excellence, community service, and leadership.

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Personal Information

Last Name

First Name

Middle Initial

Current Street Address (city, state, zip)

Contact Number

Email Address

Date of Birth

Parent/Guardian Last Name

Parent/Guardian First Name

Middle Initial

Academic Information

Current High School & Address

Year of Graduation

High School Cumulative GPA

College Advisor's Name

Advisor Contact Number

College/University/Trade School & Address

Intended Major

Extracurricular & Volunteer Activities

List the name and year of all your academic and achievement honors, extracurricular activities, and community service

Recommendations

List your referrals (name, relationship, contact)

Declaration

I hereby declare and certify that all the information included in this application is true and complete. I hereby grant permission to the African American Day Parade Breakfast to verify such information and to contact present and/or former schools I have attended, and the individual whose name I have given as a sponsor. I understand that any false statements made herein will void this application and disqualify me.

Name of Applicant

Date

Sponsor — Print Name

Application Received

Thank you for applying to the Annual Scholarship. The committee will review your application and be in touch.

Annual ScholarshipApplication

Application Received

Annual Scholarship
Application