2018 dr. rather g. brown scholarship application … g. brown scholarship application...

2018 Dr. Rather G. Brown Scholarship Application Huntsville-Madison County Alumni Chapter

Alabama Agricultural and Mechanical University

Huntsville-Madison County Alumni Association of

Alabama A&M University Alumni Association Post Office Box 568

Normal, Alabama 35762http://www.aamuhsv-madisonalumni.org/resources.html

Applicant Information

Last Name First Name Middle Name

Email Address Phone Number

Applicant's Street Address

City State Zip Code

Date of Birth Month Day Year

Parent/ Guardian Name (Last Name, First Name, Middle Initial)

Parent/ Guardian Email and phone number

Applicant School Information School Name Address

Assigned School Counselor/ Assigned AAMU Advisor and Phone Number



Normal, Alabama 35762



School Activities (Organizations)

Activity Name Position Held or Member School Year






Community Activities (Organizations)

Activity Name Position Held or Member School Year






School and Community Awards and Honors Received

Activity or Organization Award Name Date Received





Alabama Agricultural and Mechanical University Essay:

Prepare an essay (Arial Font, 12pt, 500 words maximum) that addresses the following question:

• Explain the significant role that Alabama A & M University plays in theHuntsville/Madison County Community.





Alabama Agricultural and Mechanical UniversityPersonal Statement (250 words maximum)

Describe yourself including your hobbies, educational, and career goals.






Affirmation Statement

By submitting this application, I hereby affirm that all information submitted on this application is true and correct to the best of my knowledge.

Signed or Typed Name Date






Recommendation Letter 1 of 2

Applicant's Name and School

Recommender's Name, Phone Number, and Email address

Recommender's Relationship to applicant and organization if applicable






Recommendation Letter 2 of 2

Applicant's Name and School

Recommender's Name, Phone Number, and Email address

Recommender's Relationship to applicant and organization if applicable

2018 dr. rather g. brown scholarship application … g. brown scholarship application...

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