The Luis Velázquez Scholarship Application

The Emporium Center for Arts and Culture

100 South Gay Street

Knoxville, TN 37902

NAME: DATE OF BIRTH:

ADDRESS: CITY:

STATE: ZIP:

EMAIL ADDRESS

HIGH SCHOOL NAME:

COUNTY:

SENIOR YEAR _____ (YES) GPA __________

PLEASE LIST TWO (2) COLLEGES OR UNIVERSITIES YOU HAVE APPLIED TO, AND INDICATE IF YOU HAVE BEEN ACCEPTED:

FIRST CHOICE ACCEPTED: YES/NO ANSWER

SECOND CHOICE ACCEPTED: YES/ NO ANSWER

WHAT WILL BE YOUR MAJOR IN COLLEGE?

WHAT ARE YOUR INTERESTS?

DO YOU GIVE THE SCHOLARSHIP COMMITTEE PERMISSION TO CONTACT YOUR SCHOOL COUNSELOR AND/OR TEACHER FOR FOLLOW UP INFORMATION? _____________ YES _______________NO

IF YES, PLEAE PROVIDE THE FOLLOWING INFORMATION ABOUT YOUR COUNSELOR OR TEACHER; NAME: PHONE NUMBER: EMAIL ADDRESS: NAME: PHONE NUMBER: EMAIL ADDRESS:

2

CHOOSE ONE (1) OF THE ESSAY QUESTIONS AND SUBMIT YOUR ESSAY ALONG WITH THE APPLICATION FORM TO THE ADDRESS BELOW.

PLEASE IDENTIFY YOUR ESSAY WITH NUMBER AND TITLE. ESSAYS MAY BE TYPED OR HAND WRITTEN AND MUST BE TWO TO FOUR PAGES, DOUBLE-SPACED.

1. Describe something you have done in the past year that has made a difference in the community around you.

2. Why does your education matter to your community and family?

3. Pick an experience from your own life and explain how it has influenced your development.

PLEASE SUBMIT YOUR APPLICATION AND ESSAY BY MARCH 1, 2018 TO:

HOLA HORA LATINA

ATTN: THE LUIS E. VELAZQUEZ SCHOLARHIP FUND

THE EMPORIUM CENTER FOR THE ARTS

100 SOUTH GAY STREET. SUITE 112

KNOXVILLE, TN 37902

.