LIVING THE DREAM, INC



LIVING THE DREAM, INC

The Martin Luther King, Jr.

Scholarship Application

The Living The Dream, Inc offers a one-time scholarship award to high school seniors who meet the eligibility requirements. Applicants must have a grade point average of 2.5 or better. The application deadline is November 27, 2017.

|ELIGIBILITY REQUIREMENTS |

• Must be a high school senior for the Spring 2018

• 2.5 Grade Point Average

• (2) High School References letters (teachers, counselors)

• An official copy of your high school transcript

• A wallet size picture

• Students must have an unmet financial need

• Application must be submitted by November 27, 2017

• An essay on your goals and objectives and how they relate to Dr King’s goal and/or objectives

|APPLICATION PACKAGE CHECKLISTS |

 Essay

Transcript

Picture

References

***INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED***

LIVING THE DREAM, INC

The Martin Luther King, Jr.

Scholarship Application

Please type or use Black Ink

Name

(Last) (First) (Middle)

Address

City State

Zip Code Date of Birth

Home Telephone

Social Security Number

Mother’s Name

Father’s Name

SECTION I

1. Current School

2. Address

3. City State Zip Code

4. Anticipated Major

5. Anticipated College Attending

SECTION II

To be completed by School Counselor

1. GPA:

______________________________

Signature of Counselor

SECTION III

FINANCIAL NEEDS

1. Your Current Family Gross Annual Income Is:

A. More than $0 but less than $15,000.00

B. More than $15,000.00 but less than $25,000.00

C. More than $25,000.00 but less than $35,000.00

D. More than $35,000.00 but less than $45,000.00

E. More than $45,000.00 but less than $55,000.00

F. Over $55,000.00

2. How many reside in your household?

3. How many minors are in your household

SECTION IV

EXTRA-CURRICULAR

SCHOOL ACTIVITES

|Freshman |Sophomore |Junior |Senior |

|1. |1. |1. |1. |

| | | | |

|2. |2. |2. |2. |

| | | | |

|3. |3. |3. |3. |

| | | | |

|4. |4. |4. |4. |

| | | | |

|5. |5 |5 |5 |

SECTION V

EXTRA-CURRICULAR

COMMUNITY ACTIVITES

|Freshman |Sophomore |Junior |Senior |

|1. |1. |1. |1. |

| | | | |

|2. |2. |2. |2. |

| | | | |

|3. |3. |3. |3. |

| | | | |

|4. |4. |4. |4. |

| | | | |

|5. |5 |5 |5 |

SECTION VI

SPECIAL AWARDS/RECOGNITIONS

|Freshman |Sophomore |Junior |Senior |

|1. |1. |1. |1. |

| | | | |

|2. |2. |2. |2. |

| | | | |

|3. |3. |3. |3. |

| | | | |

|4. |4. |4. |4. |

| | | | |

|5. |5 |5 |5 |

If additional space is needed for Sections IV, V or VI please, attached additional sheet(s) using the same format.

I hereby certify that the information contained herein is true and correct to the best of my knowledge. Signed on this day of , 2017

Signature of Applicant

• Send complete scholarship applications to the following address:

• Please ensure enough postage is on the envelope or it will be returned

Living the Dream, Inc Scholarship Committee

C/O

P O Box 2342

Topeka, Kansas 66601

785 274 6060

***INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED***

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