Scholarship application form

GABRIELLE’S Light Up The World Mentoring

SCHOLARSHIP FUND GUIDELINES

Werthing Foundation’s established Gabrielle’s Light Up the World Scholarship in honor of Mentor Gabrielle Lamiah Reynolds (11/22/1989 – 02/12/2020).

The scholarship honors the life of Gabrielle’s Love, Life and Light ! This scholarship will help bridge the gap of under-resourced young women of color for academic support, professional development and
scholarship.

When rising leaders are empowered, confident and self-sufficient, they become high achievers and positively impact the lives of everyone in their family and community.

Scholarship is Open To: Graduating High School Female Senior of Skyline High School, Dallas, TX planning to enroll in Tennessee State University or a female high school graduating member of St. Luke “Community” United Methodist Church, Dallas, TX.

Scholarship is Restricted To: If there are no qualified candidates for that year period, that restriction may be waived for any young woman attending or planning to attend a Historical Black College & University.

Application Deadline: April 15th

Award Amount: $1,000.00 per each scholarship

Minimum GPA: 2.5 Cumulative Grade Point Average

Application Requirements:

- - Completed Application
  - Academic Letter of Reference
  - Community Letter of Reference – Church, Employee, Volunteer Director, etc.
  - Acceptance Letter or Proof of Enrollment from College or University
  - Official Transcript (if available)
  - Essay – 250 words double spaced addressing the following

Topic: “What Will It Take for Me to Become an Empowered Leader and High Achiever”

Scholarship Renewal: Students who have received Gabrielle’s Light Up the World Scholarship must maintain a minimum 2.5 GPA and submit an application each year to be considered for an additional award

ONLINE APPLICATION FORM

Student’s Name*:

Address*:

City*:

State*:

Zip Code*:

Home Number:

Cell Number*:

Email Address*:

I am a resident of*:

City*:

County*:

Education

Name of School*:

Grade or Classification*:

Expected Date of Graduation*:

G.P.A. (4.0 scale)*:

College/University attending or planning to attend*:

Major*:

Minor*:

Career choice*:

FAMILY INFORMATION

Mother/Legal Guardian’s Name:

Email address

Father/Legal Guardian Name:

Email address

Number of siblings in your household (including yourself):

Number of people in college in your household (please list):

ACADEMIC AND COMMUNITY ACTIVITIES (Attach Separate Sheet if Needed)

Academic Achievement Awards:

Extracurricular/Community Service Activities

CERTIFICATION

(Important: Your digital signature is required below. Without your signature, your application is incomplete and will not be processed.)
I certify that the information in this application is true and accurate.

Signature

Date

Alternatively, you can download and print your application form.

CLICK HERE TO DOWNLOAD APPLICATION FORM

Completed applications must be postmarked by: April 15th
MAIL APPLICATION or EMAIL:
Werthing Foundation, Inc.
Gabrielle’s Light Up the World Scholarship Committee
P.O. Box 795622
Dallas, Texas 75379
Email – info@werthingfoundation.org