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North Carolina HBCU/MSI Transportation Scholarship Program Application Form 2019-2020 Academic Year

North Carolina
HBCU/MSI Transportation
Scholarship Program Application Form
2019-2020 Academic Year

General Instructions to Applicant:

  1. Please read and review the North Carolina HBCU/MSI Transportation Scholarship Program Overview. Office of HBCU Outreach.
  2. Applications are only accepted on-line by the due date. Do not mail your printed responses. These applications will be discarded.
  3. Your application is the first impression you will make upon those who award scholarships. Please check for grammar and clarity.
  4. Contact your Faculty Advisor or Career Development Director, if you need assistance.
  5. It will take approximately 1 hour to complete this application. It must be completed in one sitting. A save and complete later function is not available.
  6. To complete this application you will need:
  • Resume;
  • Two letters of recommendation;
  • Unofficial transcript;
  • If you are not a United States Citizen, you must submit a CERTIFIED copy of Certificate of Eligibility (SEVIS I-20) or Permanent Resident Card (Form I-551) issued by the C.I.S., if applicable.

  • *



    North Carolina HBCU/MSI Transportation Scholarship Program Application 2019-2020 Academic Year

    Applications MUST be completed on line. Printed/Handwritten and incomplete applications will not be considered.

    * Required
    * Full Name:
    Current
    Mailing Address:
    City:
    State:
    Zip:
    Permanent
    Mailing Address:
    City:
    State:
    Zip:
    Preferred Name:
    Date of Birth:
    Phone Number,
    including area code:
    Alternate Contact Person:
    Name:
    Phone Number, including area code:

    Check one box and choose year to indicate your status as of 9/1/2019
    Are you a Full Time Student?
    U.S. Citizen:
    If no, please attach a CERTIFIED copy of Certificate of Eligibility
    (SEVIS I-20) or Permanent Resident Card (Form I-551) issued by the C.I.S.
    Gender:
    RACE/ETHNICITY (optional):

    Experience in Other Transportation Education Programs

    * College/University (must be a North Carolina HBCU/MSI):
    Academic Department:
    Current GPA:
    Unofficial Transcript (indicate uploaded or mailed):
    Expected Graduation Date (i.e. Spring 2020):
    Applicant's Major (Must be a transportation related field - see list in program overview):
    Applicant's Field of Study (i.e. Traffic Studies, Physical Planning):
    First letter of recommendation contact information: Second Letter of recommendation contact information:
    * Name:
    * Title:
    * Mailing Address:
    * City:
    * State:
    * Zip:
    * Telephone No:
    * Email Address:
    * Name:
    * Title:
    * Mailing Address:
    * City:
    * State:
    * Zip:
    * Telephone No:
    * Email Address:


    North Carolina HBCU/MSI Transportation Scholarship Program Application 2019-2020 Academic Year

    Personal Statement

    The Personal Statement should include relevant background information and future goals. Describe how your education will prepare you for a career in transportation. (Limit 5000 words)

    Work History

    Please provide your work experience, including paid/unpaid summer internships and volunteer work experience like Peace Corps. (Limit 5000 words). You must attach your resume at the bottom of this form. Resume must be limited to two pages.

    Financial Statement

    The Financial Statement should include pertinent information that provides the committee a general overview of your financial need. Please share cost of education at your university/college including, but not limited to the following: tuition, room, books, and fees. Include all additional scholarships and financial support you are receiving. How will this scholarship help your ability to matriculate through your HBCU/MSI? (Limit 2000 words)



    By submitting this application, I certify to the statements contained in this document and that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties and your scholarship will be rescinded.

    NOTE: Once you press the submit button you will not be able to return to this application. This application does not have a SAVE and Return mechanism. You can only apply once.

    Please enter your name, email address and attach any documents related to this application below:


    Please use the form below to send your question or comment.

    Questions are answered during normal business hours (8 a.m. to 5 p.m. Monday through Friday) within seven business days.

    • In case of a roadway or safety hazard, such as a downed tree, please notify your local law enforcement agency.
    • For more immediate assistance regarding DMV-related issues, call its Customer Service office at (919) 715-7000.
    • Check out these frequently asked questions for more information about contacting the North Carolina Department of Transportation.

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