Raleigh Mayor's Committee James Benton Achievement Award 2024 Scholarship Application

The Raleigh Mayor’s Committee for Persons with Disabilities has funding from the City of Raleigh to award three scholarships for $1000 each to assist persons with documented disabilities in their pursuit of academic endeavors. It is called the James Benton Achievement Award.

The academic scholarship is to be awarded to a person with a disability recognized by the Americans with Disabilities Act (ADA) who is pursuing an educational goal. This scholarship is designed to assist with tuition, books, fees, and/or special equipment for undergraduate and graduate coursework from an accredited institution. Two scholarships will be awarded to those applicants pursuing undergraduate and one will be awarded to an applicant who is pursuing graduate-level education.

Applicants must be residents of the City of Raleigh and must be enrolled in or have been accepted to an accredited undergraduate post-secondary school, college, trade school, or other institution of higher learning.

The selection of scholarship recipients shall be based on academic performance, financial need, character, school and community activities, honors or awards, and ability to express themselves in written form, personal motivation, and/or leadership potential.

Applications are due no later than Friday, June 7, 2024 at 5 pm.

Applicant Information

First Name *

Last Name *

Permanent Address *

City *

State *

Zip Code *

Telephone Number *

E-mail Address *

Parent or Guardian Information

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Parent/Guardian Phone Number *

Parent/Guardian E-Mail Address *

Parent/Guardian: By selecting "YES" I certify that all information in this scholarship application is true and accurate to the best of my knowledge. *

YES

NO

High School Data

Name of High School *

High School Graduation Date (Month/Year) *

Cumulative Grade Point Average (GPA) *

High School Guidance Counselor Name
(Note: If you are already attending college, the guidance counselor name and permission may be omitted.)

High School Guidance Counselor Phone Number *

Guidance Counselor E-mail Address *

By selecting "YES" I certify that I have received permission from my Guidance Counselor to place their name on this form. *

YES

NO

N/A - I am already attending college.

College Data

Have you be accepted to a college or university? *

YES

NO

Are you currently enrolled in college? *

YES

NO

College/University Name *

Are you a graduate student pursuing a degree higher than a Bachelor's degree? *

YES

NO

College/University Address *

City *

State *

Zip Code *

Expected Graduation Date (Month/Year) *

What is your current or intended major? *

What is your unweighted Grade Point Average (GPA)? *

If you are currently attending college and your high school information guidance counselor is not included above, include the name of the Disability Services representative from your college or university: *

Disability Services Representative Telephone Number *

By selecting "YES" I certify that I have received permission from the Disability Services Representative to place their name on this form. *

YES

NO

N/A - I am not currently attending college

Goals and Objectives

Write an essay telling why you feel you deserve this scholarship. Please include your educational and career goals, objectives, and any challenges or success associated with your disability? This essay may not exceed 400 words. *

0/400 words

Extra-Curricular Activities and/or Work + Honors

List all school, community, or work activities which you have been involved with during the past three years including any offices held. Indicate when you participated in these activities (high school, college) or if these activities are on-going. *

List honors or awards received and corresponding dates. *

Applicant's Signature: (By placing my name under the Applicants Signature and Dating this document, I certify that all information in this scholarship application is true and accurate to the best of my knowledge) *

clear

Date * +

By selecting "YES" I certify that all information in this scholarship application is true and accurate to the best of my knowledge. *

YES

NO

Your application must be received by 5:00 PM on Friday, June 7, 2024. If you have questions, please get in touch with Ms. Shakema McClean at mshake077@gmail.com.