Conference Registration Booklet - PBCOHE
Transcription
Conference Registration Booklet - PBCOHE
Pennsylvania Black Conference on Higher Education, Inc. (PBCOHE) th 46 Annual Conference March 3rd - March 5th, 2016 Examining Institutional Barriers Towards Inclusion and Success in Higher Education: WHERE ARE WE NOW & WHERE ARE WE GOING? Embassy Suites Philadelphia Airport 9000 Bartram Avenue, Philadelphia, PA 19153 Phone: (215) 365-4500 PENNSYLVANIA BLACK CONFERENCE ON HIGHER EDUCATION, INC. 46th Annual Conference March 3 – 5, 2016 Philadelphia, PA Greetings, Welcome to the 46th Annual Pennsylvania Black Conference on Higher Education. The 2016 Annual Conference: “Examining Institutional Barriers Towards Inclusion and Success in Higher Education: Where Are We Now & Where Are We Going?” will be held from Thursday, March 3 through Saturday, March 5 at the Embassy Suites Philadelphia Airport. Forty-five years ago, K. Leroy Irvis founded the Pennsylvania Black Conference on Higher Education to examine the impact of state and federal educational policies on persons of color in Pennsylvania and advocate for greater access for minority students, faculty and staff. This year's theme, “Innovations in Higher Education: The way forward for a diverse student population”, explores new initiatives and strategies that have been implemented in recent years within our nation’s colleges and universities, as well as innovations on the horizon, and how such innovations will impact minority students. PBCOHE is seeking to learn from faculty, staff and graduate students whose work examines what forces currently shape the landscape within higher education. These may include changes we anticipate to these forces in the coming years, and how minority students might benefit from or be hampered by recent and anticipated changes and innovations involving recruitment and retention efforts, advancements in technology and online learning, and national or local educational policies among other areas. Since 1970, PBCOHE has given thousands of dollars in financial support to worthy students through its scholarship program. Moreover, PBCOHE provides ongoing opportunities for minorities in higher education to pursue their professional, social, and personal development. We are a not-for-profit, (501)(c)(3) organization and a Pennsylvania professional association whose purpose is to ensure that African Americans and other underrepresented groups have access to higher education in the Commonwealth. The PBCOHE 46th Annual Conference will be hosted in Philadelphia, Pennsylvania. As the home of the Liberty Bell and Independence Hall, Philadelphia serves as the ideal setting for examining how student progress is enhanced or inhibited by educational policies and practices. This conference will provide attendees with a rich opportunity to explore the myriad of issues related to ensuring student success. Please join us as we celebrate forty-six years of service and scholarship. Sincerely, The 2016 Annual Conference Planning Committee Lawrence A. Dowdy and Cherylyn Rush, Co-Chairs Organization History The Pennsylvania Black Conference on Higher Education was established, in 1970, by the Honorable K. Leroy Irvis, who was at that time, the Minority Leader and Speaker of the Pennsylvania House of Representatives. Since 1970, the organization has been examining the effect of state and federal educational policies on persons of color in Pennsylvania. In addition, PBCOHE has given thousands of dollars in financial support to worthy students through its scholarship program. Moreover, PBCOHE provides ongoing opportunities for minorities in higher education to pursue their professional, social, and personal development. The Pennsylvania Black Conference on Higher Education, Inc. (PBCOHE) is an organization made up of Black professionals from the public and private sector, education, business, social services, law, and government, who have a deep commitment to improving and ensuring the education of Black and Latino-American students. In addition to advocating for policies and issues in higher education, PBCOHE provides support and professional development opportunities through its scholarship program, the Annual Conference, and the Journal of the Pennsylvania Black Conference on Higher Education, Inc. Pennsylvania Black Conference on Higher Education, Inc. Executive Council 2014-2016 President Dr. Sharon Stringer Assistant Professor, Communications Lock Haven University of PA 603 Robinson Hall Lock Haven, PA 17745 Phone: 570-484-2092 [email protected] Immediate Past President Mr. Albert Jones Director of Human Resources First Quality Enterprises, Inc. McElhatten, PA 17748 Phone: 570-660-2464 [email protected] Vice/President-Elect Dr. John B. Craig Campus Dean Strayer Univ Lower Bucks Campus Phone: 610-812-5166 [email protected] Secretary Ms. Querida Lugo Associate Director Multicultural Affairs West Chester University of PA 003 Sykes Union 700 South High Street West Chester, PA 19383 Phone: 610-436-3273 [email protected] Treasurer Mrs. Verona Griffin 170 Regal Court Monroeville, PA 15146 Phone: 717-525-4913 [email protected] Central Region Director Dr. Dwayne Marshall Assoc. Professor of Criminal Justice Lock Haven University of PA East Campus J-304 Lock Haven, PA 17745 Phone: 570-484-2968 [email protected] Journal Editor TBD Eastern Region Director Mrs. Madeline Somerville-Reeves Coordinator, Black Student Retention Delaware County Community College 901 South Media Line Road Media, PA 19063 Phone: 215-359-5215 [email protected] Western Region Director Mr. Theo Turner Assistant Dean of Students Indiana University of PA 1012 Winslow Street Punxsutawney, PA 15767 Phone: 814-938-6711 [email protected] Parliamentarian 2016 Annual Conference Co-Chair Mr. Lawrence Dowdy [email protected] Membership Chair Ms. Karla Roach PHEAA PA School Services 1200 North 7th Street, HQ3A Harrisburg, PA 17102 Phone: 717-720-2657 [email protected] Newsletter Editor Ms. Valdijah Brown Director of Grants/ACT101 Program Thaddeus Stevens Coll of Technology 750 East King Street Lancaster, PA 17602 Phone: 717-391-7299 [email protected] IEML Co-Director Dr. Richard E. Arnold 5013 Trail Side Court Jeannette, PA 15644 [email protected] Education Policy and Research Mr. Kaaba Brunson [email protected] Tentative Conference Agenda Historian IEML Co-Director Scholarship Chairperson Dr. Brenda Sanders Dédé Associate VP for Academic Affairs Research and Graduate Studies Clarion University of PA 840 Wood Street Clarion, PA 16214-1231 Phone: 814-393-2223 [email protected] Business Liaison Think Tank Chair Dr. Francene Haymon 102 Parkside Place Cranberry Township, PA 16066 Phone: 724-776-4314 [email protected] International Education Chair Dr. George Agbango Professor of Political Science Bloomsburg University of PA 400 East 2nd Street Bloomsburg, PA 17815 Phone: 570-389-4516 [email protected] Marketing and Fundraising Vacant SLDI Director Mrs. Barbara A. Thompson Director, Multicultural Recruitment Penn State Harrisburg Swatara Building 132 777 West Harrisburg Pike Middletown, PA 17057 Phone: 717-948-6297 [email protected] 2016 Annual Conference Co-Chair Mrs. Cherylyn Rush Multicultural Education Coordinator LaSalle University 1923 West Olney Avenue Philadelphia, PA 19141 Phone: 215-951-1948 [email protected] (subject to change) Thursday, March 3, 2016 8:00am – 11:30am 9:00am – 5:00pm Institute for Educational and Management Leadership (IEML) Registration 9:30am – 10:30am Conference Planning Committee Meeting 10:00am – 12:00pm Executive Council Meeting 12:30pm – 2:00pm Opening Luncheon 2:30pm – 3:45pm Concurrent Workshops Session I 4:00pm – 5:15pm Concurrent Workshops Session II or Plenary Session 4:00pm – 8:00pm Vendors/Exhibitors 5:30pm – 7:30pm Embassy Suites Happy Hour & Refreshments 7:00pm – 9:00pm President’s Welcome Reception Buffet 8:30pm – 9:00pm New Member Orientation (First time attendees) 9:00pm – 12:00am PBCOHE Hospitality Suite Friday, March 4, 2016 7:00am – 8:45am Breakfast 8:00am – 5:00pm Registration 8:00am – 7:00pm Exhibits, Vendors 8:45am – 9:45am PBCOHE Business Meeting 9:55am – 11:45am Public School Service Project 10:15am – 11:30am Concurrent Workshops Session III 12:30pm – 2:00pm Soul Food Scholarship Luncheon 2:15pm – 3:30pm Concurrent Workshops Session IV 3:45pm – 5:15pm Town Hall Meeting 5:30pm – 7:00pm Embassy Suites Happy Hour & Refreshments 7:00pm – 9:15pm PBCOHE Annual Awards Dinner 9:30pm – 12:00am Entertainment 10:00pm – 12:00am PBCOHE Hospitality Suite Saturday, March 5, 2016 9:00am to 10:00am Breakfast 10:00am to 11:00am Closing Remarks and Regional Roundtables 11:30am to 12:15pm Planning Committee Wrap-Up Embassy Suites Philadelphia Airport The Embassy Suites Philadelphia Airport hotel is located just a mile from the Philadelphia International Airport and is a fantastic base for leisure guests wishing to explore Philadelphia. Sports fans will be delighted at the proximity to the homes of some of Philadelphia’s pro baseball, football, ice hockey and basketball teams, as well as the nearby sport and recreation complex. Visit downtown Philadelphia and enjoy the array of shopping, dining and entertainment attractions. There are several museums, as well as the famous Penn's Landing, where the state's founder was rumored to have landed in 1682. Visit the quaint Independence Hall, marvel at the collection at the Philadelphia Museum of Art, or explore the Academy of Natural Science. ROOM RESERVATION PROCEDURE To reserve your room, contact the hotel directly at (215)796-6010 or visit the following link http://embassysuites.hilton.com/en/es/groups/personalized/P/PHLAPES-PBC20160302/index.jhtml?WT.mc_id=POG and use the group code PBC. When calling, please make sure to reference the PA Black Conference on Higher Education to obtain the contracted group rate. A credit card is required to guarantee the reservation. The hotel will honor reservations received by February 2, 2016. Reservations received after this date are subject to availability and at prevailing room rates. GROUP RATE $129.00 for a king room and $139.00 for a double room. Added to guest room rates will be applicable state and local tax, currently 15.5%. Free parking available. CHECK- IN/CHECK-OUT Check-in time is 4pm and check-out time is by 11am. Guests arriving prior to 4pm will be accommodated as rooms become available. The front desk will arrange to check luggage for those guests arriving early when rooms are not available. BILLING INSTRUCTIONS Individuals are responsible for their own room, tax, and incidental charges. Payment will be accepted in the form of a major credit card or cash. Early check out fee may apply. PENNSYLVANIA BLACK CONFERENCE ON HIGHER EDUCATION, INC. 46th Annual Conference March 3 – 5, 2016 Embassy Suites Philadelphia Airport, Philadelphia, PA www.pbcohe.org Tax Id# 23-216-2416 “Examining Institutional Barriers Towards Inclusion and Success in Higher Education: WHERE ARE WE NOW & WHERE ARE WE GOING?” Dr. ____ Mr.____ Mrs.____ Ms.____ Name_____________________________________________________________ Title/Position____________________________________________________________________________________________ Institution/Organization________________________________________________________________________________ Mailing Address_________________________________________________________________________________________ City/State/Zip Code_____________________________________________________________________________________ Telephone: Business (___)_____________________________ Cell (___)____________________________________ Email Address ___________________________________ Registration Type: Professional ____ Graduate Student ____ Presenter____ Other (specify) ________ REGISTRATION FEES* (Full registration includes entry into all program sessions, conference materials, conference meals and the annual banquet. The appropriate fee must accompany the registration form. Early Bird, Regular, and Late/On-site registrations include PBCOHE membership for one year). Early Bird Registration (Register by January 15, 2016) _____Pre-registration $310.00 _____Pre-Registration Emeritus $260.00 Event Rates ONLY _____Thursday Opening Luncheon $45 _____Thursday Reception $35 Regular Registration (Register by February 12, 2016) _____Registration $375.00 _____Registration Emeritus $310.00 _____Friday Scholarship Luncheon $55 _____Friday Awards Banquet $70 Late Registration (Register after February 12, 2016 or On-Site) _____Registration $395.00 _____Daily Rate $155.00 (includes one-year membership) _____Registration Emeritus $325.00 Make checks payable to: PBCOHE, Inc. and mail to: Ms. Karla Roach, PBCOHE Registration c/o PHEAA PA School Services 1200 North 7th Street, HQ3A Harrisburg, PA 17102-1444 717-720-2657 (office) 717-720-3919 (fax) [email protected] *A surcharge of $20 will be assessed for all returned checks. Cancellation Policy: Registration cancelled by January 15, 2016 – 100% refund Registration cancelled by February 12, 2016 – 50% refund No refunds can be made after February 12, 2016 Request for refunds must be in writing to the Registration Chair. ** Conference registration serves as approval for the use of your image on all PBCOHE marketing materials. Pennsylvania Black Conference On Higher Education, Inc. www.pbcohe.org 46th Annual Conference Embassy Suites Philadelphia Airport, Philadelphia, PA March 3 - 5, 2016 “Examining Institutional Barriers Towards Inclusion and Success in Higher Education: WHERE ARE WE NOW & WHERE ARE WE GOING?” Call for Proposals Forty-five years ago, K. Leroy Irvis, the first African American Speaker of the Pennsylvania State House of Representatives, founded the Pennsylvania Black Conference on Higher Education (PBCOHE). The purpose of PBCOHE is to examine the impact of state and federal educational policies on persons of color in Pennsylvania and to advocate for the postsecondary access and success for minority students, faculty and staff. This year's theme, “Examining Institutional Barriers Towards Inclusion and Success in Higher Education: Where Are We Now and Where Are We Going?”, explores new initiatives and strategies that have been implemented in recent years within our nation’s colleges and universities, as well as innovations on the horizon, and how such innovations will impact minority students. PBCOHE is seeking to learn from faculty, staff and graduate students whose work examines what forces currently shape the landscape within higher education. These may include changes we anticipate to these forces in the coming years, and how minority students might benefit from or be hampered by recent and anticipated changes and innovations involving recruitment and retention efforts, advancements in technology and online learning, and national or local educational policies among other areas. In line with the Pennsylvania Black Conference on Higher Education mission and the desire of K. Leroy Irvis to ensure that minorities have access to quality education, we invite scholars, educators, and policy makers to submit papers that examine these issues within the Commonwealth of Pennsylvania and throughout the nation at large. We invite you to submit your ideas, inspiration and innovative presentations that reflect the essence of this year’s conference theme. Please submit your proposal on one of the following (or other related) topics: Diversity in Higher Education Black and Brown Males in Higher Education Student Retention and Achievement Culturally Responsive Pedagogy Urban Education and Achievement English Language Learners in Higher Education International College Students & Faculty Gender Gaps Sexuality in Higher Education The Role of Spirituality in Higher Education For Profit Higher Education The Leadership Gap and Diversity Technology and Access in Higher Education Black Lives and Society and Conversations Equity and Access Departmental Level Equity and Leadership Pennsylvania Black Conference on Higher Education, Inc. 46th Annual Conference Embassy Suites Philadelphia Airport, Philadelphia, PA March 3 - 5, 2016 “Examining Institutional Barriers Towards Inclusion and Success in Higher Education: WHERE ARE WE NOW & WHERE ARE WE GOING?” Call for Proposals This program is being submitted as a: _____Research Presentation (75 minutes) – a traditional workshop, the topic of which is the presenter’s current or completed research _____Best Practice/Skill Development Workshop (75 minutes) – a traditional format workshop of sharing insights and expertise designed to enhance knowledge and skills of attendees PROGRAM TITLE: (Maximum of 50 Characters and spaces) _____________________________________________________________________________________ _____________________________________________________________________________________ PROGRAM SYNOPSIS (FOR PUBLICATION IN THE CONFERENCE PROGRAM - 50 Word Maximum) __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ ________________________________ LEAD PRESENTER (Contact Person): Name:_______________________________________________________________________________ Position:_____________________________________________________________________________ Business Address: _____________________________________________________________________ Business Phone:(____)______________________ E-mail_________________________________ ____________________________________________________________________________________ PRESENTER II (If necessary): Name:_______________________________________________________________________________ Position:_____________________________________________________________________________ Business Address: _____________________________________________________________________ Business Phone:(____)______________________ E-mail_________________________________ PRESENTATION DESCRIPTION: Please include presentation learning outcomes, summary of information, best practice(s), research to be presented, presentation method (panel, lecture, large/small group discussion, demonstration, media), relevance to the conference theme, targeted audience and description of accompanying AV, materials or handouts. Please limit description to 150 words. __________________________________________________________________________________________________ __________________________________________________________________________________________________ ___________________________________________________________ __________________________________________________________________________________________________ ________________________________________________________________________ CONFIRMATION OF CONFERENCE ATTENDANCE: If this proposal is accepted I/we will attend the conference and pay the early registration fee. I/we understand that this program may be replaced if I/we don’t register in the timeline prescribed. Presenter(s) Signature(s)_________________________ Date________________________ AUDIO VISUAL INFORMATION: Please indicate your audio-visual needs on this form. LCD projectors and laptops will be the responsibility of the presenter(s). Information about renting audio-visual equipment from the hotel is available upon request. NOTE: Please provide all requested information on this proposal form. Please do not use "attachments" in lieu of a completed proposal form. A copy of a "brief"/one page vitae/resume for each presenter must be included. The vita/resume should include presenter’s name, address, phone, e-mail, plus recent work experience, educational history, and professional contributions such as publications and/or presentations. Incomplete proposals will not be considered. NOTE: Please provide all requested information on this proposal form. Please do not use "attachments" in lieu of a completed proposal form. A copy of a "brief"/one page vitae/resume for each presenter must be included. The vita/resume should include presenter’s name, address, phone, e-mail, plus recent work experience, educational history, and professional contributions such as publications and/or presentations. Incomplete proposals will not be considered. PROPOSAL SUBMISSION GUIDELINES Submit this completed Program Proposal Form and a copy of each presenter's brief vitae/resume via email by Monday, January 4, 2016 to: York Williams, Ph.D., CASA West Chester University 305 C. Recitation Hall West Chester, PA 19383 [email protected] Office (610) 436-2833 ALL PRESENTERS ARE REQUIRED TO REGISTER FOR THE CONFERENCE **All proposals can be submitted for consideration in the PBCOHE Journal** Mailing of Acceptance Notices will be ongoing and completed by January 24, 2016 Pennsylvania Black Conference On Higher Education, Inc. www.pbcohe.org Tax Id# 23-216-2416 46th Annual Conference Embassy Suites Philadelphia Airport, Philadelphia, PA March 3 - 5, 2016 “Examining Institutional Barriers Towards Inclusion and Success in Higher Education: WHERE ARE WE NOW & WHERE ARE WE GOING?” Vendor Registration Form Name of Vendor: _____________________________________________________________________________ Last Name First Name Middle Initial Type of product/exhibit: _____________________________________________________ Institution/Organization: _____________________________________________________ Mailing Address: _____________________________________________________ E-Mail Address: _____________________________________________________ City State Zip _____________________________________________________ Telephone: Business ( ) ______________ Fax ( ) __________________ Cost of vending space is $60.00 per 6 foot table (including chair). Meals are not included. Vendor Hours: Thursday, 3/3– 4:00pm-8:00pm (set-up 3:00pm) Friday, 3/4– 8:00am–7:00pm Number of tables requested______ x $60.00 = _____ Meals: Thursday Evening Reception $35.00 Friday Breakfast ($15.00) and Lunch ($55.00) total: $70.00 per person. Friday Evening Banquet $70.00 per person. Meal tickets: Thursday Reception ______x $35.00 = _____ Breakfast: _______x $15.00= _____ Lunch: ____x $55.00=__________ Number of Banquet tickets______ x $70.00 = ______ Total remitted: $___________ Payment due by February 12, 2016. Please make money order payable to PA Black Conference On Higher Education and mail along with Vendor Registration to: Ms. Karla Roach, c/o PHEAA, 1200 North 7th Street, HQ3A, Harrisburg, PA 17102-1444, 717-720-2657 (office) 717-720-3919 (fax) [email protected] Pennsylvania Black Conference On Higher Education, Inc. www.pbcohe.org 46th Annual Conference Embassy Suites Philadelphia Airport, Philadelphia, PA March 3 - 5, 2016 “Examining Institutional Barriers Towards Inclusion and Success in Higher Education: WHERE ARE WE NOW & WHERE ARE WE GOING?” Dear Colleague: We request your financial support through the purchase of space in our program booklet for your personal, institutional, or business advertisement. Your contribution will help to support seven scholarships in the amount of $1000 each which are awarded annually to talented undergraduate and graduate students in the Commonwealth of Pennsylvania. The Conference also awards two $1000 scholarships to high school students who are planning to attend colleges or universities in Pennsylvania. We solicit your support and appreciate your kind contribution to help us provide needed financial support. Students from your school may be winners. Help ensure that you and your school or organization is represented among the supporting advertisers. With much appreciation, The Planning Committee Pennsylvania Black Conference On Higher Education, Inc. www.pbcohe.org Tax Id# 23-216-2416 46th Annual Conference Embassy Suites Philadelphia Airport, Philadelphia, PA March 3 – 5, 2016 ADVERTISEMENT FORM (One form per advertisement - - You may copy this form.) Affiliation: Cost: ________ College/University ________ Business/Agency ________ Organization ________ Personal ________ Full Page - $500.00 ________ ½ Page - $250.00 ________ ¼ Page ________ Business Card - $30.00 - $125.00 Total Amount Due: $ _________________ _______________________________________________ Institution/Organization ______________________________________ Authorizing Signature/Title Department (___)________________ Telephone No. ____________ Date Make Checks Payable to: PBCOHE, Inc. and return with the advertising form by 2/12/2016 to: Ms. Karla Roach c/o PHEAA Conference Booklet and Advertising 1200 North 7th Street, HQ3A Harrisburg, PA 17102-1444 717-720-2657 (office) 717-720-3919 (fax) [email protected] PHOTOS – must be submitted as JPEG, TIF, PDF or an actual photo (please send a self-addressed stamped envelope if you want the photo returned). Photos can be in black and white or color. Size of Ads: Full Page ½ Page ¼ Page 8 x 10 ½ or Full Bleed 8 ½ x 11 (please give .25 on each side) 8 x 4 7/8 3 7/8 x 4 7/8 Ads can be in black and white or color. JPEG, TIF, PDF (Please embed all fonts) Ads may be submitted in one of the following formats: Pennsylvania Black Conference On Higher Education, Inc. www.pbcohe.org 46th Annual Conference Embassy Suites Philadelphia Airport, Philadelphia, PA March 3 – 5, 2016 “Examining Institutional Barriers Towards Inclusion and Success in Higher Education: WHERE ARE WE NOW AND WHERE ARE WE GOING?” A Scholarship Note From Dr. Brenda Sanders Dédé, Chairperson PBCOHE, Inc. Scholarship Committee The Pennsylvania Black Conference on Higher Education, Inc. will award seven (7) $1000 scholarships to the most talented (6) undergraduate and (1) graduate African American students in the Commonwealth. We invite you to share the enclosed application with your students.* All completed applications are to be submitted to the address on the application on or before Friday, January 8, 2016. If any of the prospective applicants have questions, they are encouraged to contact me at their earliest convenience via e-mail at [email protected] or by calling 814-393-2223. Thank you in advance for your attention to this matter. *First semester freshmen students are NOT eligible. The Pennsylvania Black Conference on Higher Education will award seven $1000 scholarships at its 46th Annual Conference at the Embassy Suites Philadelphia Airport, 9000 Bartram Avenue, Philadelphia, PA 19153, March 3 - 5, 2016. SCHOLARSHIP WINNERS MUST BE IN ATTENDANCE AT THE ANNUAL AWARDS LUNCHEON WHICH WILL BE HELD ON FRIDAY, MARCH 4, 2016, TO RECEIVE THEIR SCHOLARSHIP AWARD. The scholarships and their respective criteria are herein listed: The K. Leroy Irvis Undergraduate Scholarship (3) One of these $1000 scholarships will be awarded in each of the regions (Eastern, Central & Western) in Pennsylvania to undergraduate students who meet these criteria. Outstanding Scholarship. Extracurricular activity participation. Leadership qualities. Interpersonal qualities as alluded to by the student’s references. Essay in no more than five typewritten, double-spaced pages on “Why I Should Receive a K. Leroy Irvis Scholarship.” 3.0 or above grade point average. Brief bio sketch and photograph (Photo for program booklet). The W. Terrell Jones Educational Equity Scholarship (1) ALL of the criteria listed under the K. Leroy Irvis Scholarship category and: Evidence of work and/or volunteer service in the area of educational equity. Essay in no more than five typewritten, double-spaced pages on “Why I Should Receive the W. Terrell Jones Educational Equity Scholarship.” *********** The John S. Shropshire Graduate Scholarship (1) ALL of the criteria listed under the K. Leroy Irvis Scholarship category and: Earned six graduate credits/hours of study (minimum) Essay in no more than five typewritten, double-spaced pages on “Why I Should Receive the John S. Shropshire Graduate Scholarship.” *********** The Robert D. Lynch Leadership Scholarship (1) ALL the criteria listed under the K. Leroy Irvis Scholarship category, with special emphasis on the student’s leadership skills and academic record, and: Must have attended the Robert D. Lynch Student Leadership Development Institute (SLDI). Essay in no more than five typewritten, double-spaced pages on “Why I Should Receive the Robert D. Lynch Leadership Scholarship.” *********** The Esther-Jafari Haymon International Student Scholarship (1) The successful recipient of this scholarship must meet the following criteria: Valid registration at a college or university in Pennsylvania as an International Student. Outstanding Scholarship. Be at least in sophomore year of matriculation. Student must demonstrate leadership skills and participation in co-curricular activities. Three letters of recommendation are required. One of the three letters of recommendation MUST come from a Director and/or Advisor of International Students. Essay in no more than five typewritten, double-spaced pages on “Why I Should Receive the Esther Jafari Haymon International Student Scholarship.” Brief bio sketch and photograph (Photo for program booklet). Pennsylvania Black Conference On Higher Education, Inc. www.pbcohe.org th 46 Annual Conference Embassy Suites Philadelphia Airport, Philadelphia, PA March 3 - 5, 2016 SCHOLARSHIP APPLICATION Page 1 Please place a check beside the scholarship for which you are applying. _____ The K. Leroy Irvis PBCOHE Scholarship ___ Western Region (1) ___ Central Region (1) ___ Eastern Region (1) _____ The W. Terrell Jones Educational Equity Scholarship (1) _____ The John S. Shropshire Graduate Scholarship (1) _____ The Robert D. Lynch Leadership Scholarship (1) _____The Esther-Jafari Haymon International Student Scholarship (1) This application should be accompanied by: ______ ESSAY not to exceed five typewritten, double-spaced pages on “Why I Should Receive a (name of scholarship) PBCOHE Scholarship Award.” ______ OFFICIAL college transcript. ______ THREE letters of recommendation. One letter must come from a college professor, but may also come from a counselor and/or any professional person who will discuss the candidate in relation to the following criteria: 1) Scholarship; 2) Interpersonal Skills; 3) Leadership; 4) Writing, speaking, computational skills; and 5) Any other observations about the candidate which may assist the Scholarship Committee in their evaluation of the candidate, and a brief bio sketch and photograph. First semester freshman are NOT eligible to apply. NO APPLICATION WILL BE CONSIDERED COMPLETE UNLESS AN OFFICIAL UPDATED TRANSCRIPT, ESSAY AND THREE LETTERS OF RECOMMENDATIONS ARE ENCLOSED PBCOHE Scholarship Application Page 2 Personal Background Information: Name: ___________________________________________________________________________ (Last) (First) (Middle) Home Address: ____________________________________________________________________ Number and Street _________________________________________________________ City _____________________ State Zip Code Home Phone: (_____) ______________________ Cell Phone: (_____) _____________________ E-Mail Address:__________________________________________________________ Social Security#: _______________ - ________________ - _______________ Please check: U.S. Citizen _____Yes _____No Veteran _____Yes _____No Full Name of Institution you are attending:_________________________________________________ Address: ___________________________________________________________________________ Box #, Dorm ____________________________________________________________________________________ City State Institution’s Region in Pennsylvania: _____Eastern Zip Code _____Central _____Western Please check present academic classification: _____Sophomore _____Junior _____Senior _____Graduate County of Institution: ________________________________________________________ Major Course of Study: ______________________________________________________ Minor: ____________________________________________________________________ Campus Telephone: (__________) _________ - ____________________ Please Return To: Brenda Sanders Dédé, Ed.D. Associate Vice President for Academic Affairs Clarion University of Pennsylvania 840 Wood Street Clarion, PA 16214 E-mail address: [email protected] Phone: 814-393-2223 Applications MUST be submitted on or before January 8, 2016