P.O.

Box 1102 Flint, MI 48501 

2019 Urban League of Flint Black Scholars All Stars

Scholarship Application

1. Scholar Full Name:Alawnah Wells___________________________________________

2. Scholar’s Parent(s)/Guardian’s Name: Pamela Wells__________________________________
3. Address:5505 Antoinette Dr__________________________________
4. City/State:Grand Blanc, MI____________________________ Postal Code:48439_________
5. Home Phone:810-962-7600______________ Cell Phone: ___________________________
6. High School: Carman-Ainsworth High School__________________________________
7. Grade Point Average:3.118_______________________________________________________
8. SAT Scores: 800________________ _________________________________________________
9. ACT Scores: ________________________________________________________________________

English ____
Math _____
Reading ____
Science _____
Composite ____

1. Please list any honors, awards and/or scholarships you have been awarded:

Top 100 in Class of 2019__________________________________________________________________

1. Please list your extra-curricular and/or community service experiences:

Two Year Varsity Cheerleader__________________________________

1. College Attending/Major: College Undecided, Major: Engineering________________________________________

1. Household Size

___ 1-3
_X_ 4-6
___ 7-9
1. What is your approximate household income:

___ $0 - $24,999
___$25,000 - $49,999
___$50,000 - $74,999
___$75,000 - $99,999
___$100,000 - $124,999
___$125,000 - $149,999
___$150,000 - $174,999
___$175,000 - $199,999
___$200,000 – and up
_X_ Prefer not to disclose household income

1. Please briefly describe your intended major and future goals using a minimum of 250 words (this may submitted on a
separate page:
________________________________________________________________________________________________
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________________________________________________________________________________________________
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