Wilbur Ray Scholarship Application

Scholarship Application

Eligibility

Greater Monmouth County Resident
High school/GED graduate
Ethnic minority student
Minimum GPA of 2.5
Completed Brookdale admission application
Current registration status
Evidence of financial need

Instructions

Write your name on each attachment
Application and related documents must be received by July 31 for the fall semester and January 15 for the spring semester of any given year.
Attach two (2) letters of recommendation. (See Part 7)

Check one:*
- I am a graduating high school student applying for the $1,000 scholarship
- I am a graduating high school student applying for the $500 scholarship
- I am currently enrolled full-time Brookdale student applying for the $1,000 scholarship
- I am currently enrolled part-time Brookdale student applying for the $500 scholarship
Personal Information:
Name*
First Last
Student ID#
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Date of Birth*
MM slash DD slash YYYY
Ethnicity
Are you an ethnic minority?
- Yes
- No
High School Student Information:
If you are graduating high school complete this section
High School:
Zip Code:
Guidance Counselor/Class Advisor:
Telephone:
What is your current Grade Point Average (GPA), or class standing?

*Current Grades/Transcripts – *Please include your high school transcript with this application
Transcript Submission:
File*
Max. file size: 50 MB.
3. Brookdale Community College Student Information
Current Brookdale students complete this section
Are you currently enrolled for classes at Brookdale Community College?
- Yes
- No
If yes, for which term?
Extra-Curricular Activities:
List your extra-curricular activities, whether related to school or community. Include any leadership positions held, awards won, or special recognition achieved.
Financial Information:
How do you plan to finance your college education?*
What is your current Grade Point Average (GPA), or class standing?

*Current Grades/Transcripts – *Please include your Brookdale transcript with this application
Essay:
File*
Max. file size: 50 MB.
Letters of Recommendation:
Please submit two letters of recommendation:
a) One academic recommendation (guidance counselor, teacher, class advisor, coach, etc.)*
Max. file size: 50 MB.
b) One community recommendation (clergy, employer, etc. – person(s) not related to you)*
Max. file size: 50 MB.
Certification/Signature:
I understand
a. That the Wilbur Ray Scholarship Committee reserves the right to request additional information from applicants regarding my eligibility for this scholarship
b. That selections for this scholarship are final;
c. That, should I be the recipient and then withdraw from my planned academic program, the scholarship award will be forfeited.
I hereby certify that the statements herein are true and that I believe I am eligible for this award.
Signature:*
Date:*
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.

Scholarship Application

Eligibility

Instructions

Personal Information:

High School Student Information:

Transcript Submission:

3. Brookdale Community College Student Information

Extra-Curricular Activities:

Financial Information:

Essay:

Letters of Recommendation:

Certification/Signature:

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