Escolar Documentos
Profissional Documentos
Cultura Documentos
Tamera Thomas-Smith
Tamera Thomas-Smith
Graduate Advisor
Yvonne Hyde-Carter
Yvonne Hyde-Carter
President
Rachel Palmer
Rachel Palmer
Reading and Scholarship Chairman
Street Address:_____________________________________________________
City:_________________ State:_______
Phone Number:_________________
Zip Code:____________________
Birth date: _____________________
List your extracurricular activities and the years that you participated in the
activities (including church, summer, and community service involvements)
List at least one reference who is knowledgeable of your strengths (academic and/or
extracurricular activities). Request a Letter of Recommendation from each
reference listed below and include their Recommendation with this application. (It is
strongly encouraged that you request a letter from a school official.)
1. Name:________________________________________________
Address:______________________________________________
Phone Number: ________________________________________
2. Name:________________________________________________
Address:______________________________________________
Phone:________________________________________________
3. Name:________________________________________________
Address: ______________________________________________
Phone:________________________________________________
_______________________________
Signature of Applicant
__________________
Date
_______________________________
Signature of Applicant
__________________
Date