Section I. Applicant’s Personal Information

Full Name

Phone

Date of Birth

Address

Section II. Applicant’s Family Information

Mother's Name

Father's Name

Section III. Background Information (High School Students Only)

Name of High School

Telephone Number of High School

Full Address of High School

Expected Graduation Date

Cumulative GPA on a 4.0 Scale

Name of College/University planning to attend

Have you been accepted for admission?

Yes

Type of College/University Program?

Two Year

Four Year

Section IV. Background Information (College/University Students Only)

Accredited College/University currently attending:

Address of College/University

How many credit hours are you currently taking?

Cumulative GPA

Section V. To Be Completed by All (High School and College Applicants)

List and describe any honors, awards, special activities and community involvement:

Provide an essay between 500 to 1000 words describing your educational/career goals and the reasons you feel deserving of the scholarship.

Applicant must have at least 1 recommendation letter to be considered. Recommendation letters should be emailed from source email to mggscholars@gmail.com. Official transcripts must be mailed to:

Millicent G. Graves Memorial Scholarship

5420 Meryton Park Way

Raleigh, NC 27616

By signing here I do under penalty of perjury, declare that the information contained in this document and any attachments sent are true and correct to the best of my knowledge and belief.

Your Signature

Thank you for submitting your application.

If you have any additional question please email us at mggscholars.org