Asian American High School Scholars

Scholarship Application

To qualify for this scholarship, you must be a senior at a local high school and be in good academic standing. This application is due on or before March 1st, 2012.

Sponsored by the Mayor’s Asian American Advisory Board Scholarship Committee Members:
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Mai Dinh Keisling, Sophal Nou, Jasper Xu, and Jo-Anne Yau

Mayor’s Asian American Advisory Board
Asian American High School Scholars Application
Complete the application below. It must be mailed by March 1st, 2012. You must be a senior in good standing at a local high school, private or public, to be considered for this scholarship.

Section I: Student Contact Information
Last Name Address Phone Email First Name City Middle initial State Birth Origin Zip Code

Section II: Parent Contact Information
(Mr., Mrs., Ms.) Last Name initial Address if different than student: Street Phone Email First Name Middle


State Birth Origin

Zip code

Section III: Student Information
High School Currently Attending School Address G.P.A. (Verified) SAT- Verbal – Math Writing City ACT Score State Zip Grade level Phone

Community Service Hours

Please have your school’s guidance staff confirms your Grade Point Average and Community Service Hours and sign below:

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Name Title


Mayor’s Asian American Advisory Board
Scholarship Application (continued)
Section IV: Leadership roles / Accomplishments
Please list all leadership roles you have held, organizations in which you are involved and any special awards, achievements, or accomplishments in academics, arts, ROTC, and sports that you have been honored with. (may provide a separate list)

Section V: College and Career Plans
a. Which college(s) do you plan to attend?

In which field(s) do you plan to major?

c. Which career field do you plan to enter?

Section VI: Essay- The essay should have a maximum of 500 words, and must be
typed and double- spaced, two pages maximum.
a. Respond to the following topic in an essay.

“How has being an Asian American helped you to be who you are today and helped to influence your future plans?”
b. Please include any hardships, challenges that you have experienced and explain your actions to overcome them

Section VII: Letter of recommendation
Please provide one letter of recommendation from a teacher, church leader, coach, or other person of your choosing to recommend you for this scholarship. This letter must be typed, one page only.

Please send application to: MAAAB - City of Jacksonville 11605 Bayou Road

Jacksonville, Florida 32246 Scholarship committee Members
Mai Dinh Keisling (chair), Sophal Nou, Jasper Xu, and Jo-Anne Yau

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Sponsored by the City of Jacksonville

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