2025 MLK Scholarship Application

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone Number

Birthday

Month

Day

Year

Current College/University

I will be attending the following school in the following semester:

Proof of Aceptance

Name of parent(s) or legal guardian(s)

Home number of parent(s) or legal guardian(s)

Address of parent(s) or legal guardian(s)

Multi-line address

Country/Region

Address

City

Zip / Postal code

Name and city of other high schools attended

List the name of any college you have attended (Include start dates and end dates for each one) (Add graduation dates if applicable)

List your academic honors, awards, and membership activities academically or in a community organization.

List your community service activities, hobbies, outside interests, and extracurricular activities

Personal Essay

Please answer the following question:

What are your educational and professional goals and objectives?

How will your college experience help you to serve your community?

Your essay should be between 250-500 words, typed, double-spaced, and 12 pt / Time New Roman font. Please ensure your essay contains no grammatical errors

Complete Essay here

A. The following items must be attached to this application in order for the application to qualify to be reviewed by the scholarship committee.

B. Your application will not be considered if these items are not attached to this application. (No exceptions.)

C. Circle “YES” or “NO” to be sure you have attached each item as required.

Completed application

Yes

No

Letter to Scholarship Committee

Yes

No

Two (2) Letters of Recommendation

Yes

No

Proof of college acceptance or current student enrollment. A copy of your college acceptance letter is required for receipt of funds.

Yes

No

Personal Essay. Must be at least 250-500 words, typed, double-spaced, and 12 pt / Time New Roman font. Please ensure your essay contains no grammatical errors.

Yes

No

Community service details. Must be documented in the form of a letter on official letterhead from the agency the applicant completed their community service hours.

Yes

No

STATEMENT OF ACCURACY

I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I also consent that my picture may be taken and used for any purpose deemed necessary to promote the IMC’s scholarship program.

I hereby understand that if chosen as a scholarship recipient, according to the IMC/MLK Scholarship policy, I must provide evidence of enrollment/registration at the post-secondary institution of my choice before scholarship funds can be awarded.

Signature of scholarship applicant

Signature field is empty.

Signature of applicant’s guardian/ parent (if applicable):

Signature field is empty.

Date

Month

Day

Year

Scholarships

Fill out the application below

Or you can upload this file or print it and send it to us

2025 MLK Scholarship Application

STATEMENT OF ACCURACY