EMH Scholarship Application 2025-Empower My Hood

EMH Scholarship Application 2025

Tell us more about you so we can get back to you with more info.

I. Application Information

Please provide all requested information

First name

Middle Name

Last name

Street Address

City, State, ZIP

Home Phone

Cell Phone

E-mail Address

Date of Birth

Place of Birth

Scholarship Category

Which EMH event have you attended and when?

Social Media Handles

Please list all relevant social media handles

Middle School

Middle School Attending

Address

Overall GPA

High School

High School Attending

Address

Overall GPA

II. Parent/Guardian Information

Name of Mother/Guardian

Mother/Guardian's Address (if different from applicant's)

Mother/Guardian's Work Phone

Mother/Guardian's Home or Cell Phone

Mother/Guardian's Occupation

Mother/Guardian's Employer

Mother/Guardian's Email

Name of Father/Guardian

Father/Guardian's Address (if different from applicant's)

Father/Guardian's Work Phone

Father/Guardian's Home or Cell Phone

Father/Guardian's Occupation

Father/Guardian's Employer

Father/Guardian's Email Address

Number of Dependent Children in Family

Number of Dependent Children Currently Attending College/University

III. Parent/Guardian Signature

Parent/Guardian Signature

Date

Honors and Awards

(e.g., academic, athletic, community, and/or school awards)

Award #1

Award #2

Award #3

Award #4

Award #5

VI. Extra-Curricular/ Community Service Activities

Activity #1

VII. Work/Volunteer Experience

Employer/Organization #1

Dates of Employment/Service

Employer/Organization #2

Dates of Employment/Service

Employer/Organization #3

Dates of Employment/Service

Employer/Organization #4

Dates of Employment/Service

Employer/Organization #5

Dates of Employment/Service

Employer/Organization #6

Dates of Employment/Service

Employer/Organization #7

Dates of Employment/Service

All Applications Essay Requirement:

A two - three hundred (200-300) word personal statement essay, which should include candidate’s goals, accomplishments, community involvement, and reasons why they should be considered for our scholarship.

Please submit the essay one requirement here.

High School Students Only

A two-three hundred (200-300) word essay, selecting one topic of choice listed below:

Explain your achievements and successes and how this will help contribute to your future?
What are your strengths or talents? How are they used to help or inspire others?
Please describe a life changing event that you experienced. What happened and how it affected you (good or bad).

High School Students Only: Please submit the essay two requirement here.

Please attach a small professional headshot or passport size picture of yourself:

I hereby certify that all the information provided in this application is accurate and current. I understand that this application packet will be kept confidential, and all materials submitted become the final property of Empower My Hood, Inc. I acknowledge that all application materials are subject to verification.

Your Signature