2011 NATIONAL BLACK MBA ASSOCIATION

PITTSBURGH CHAPTER, INDIANA UNIVERSITY OF PENNSYLVANIA (IUP)  

SCHOLARSHIP SUPPLEMENT FORM

 

Requirements for Award:  

  1. The NBMBAA, Pittsburgh Chapter requires applicants to be African American (black) students enrolled at IUP and meet the registration requirements for applicable program.
  2. Students must complete undergraduate or graduate (Masters degree) NBMBAA, Pittsburgh Chapter scholarship application included in link below.  If you already completed the application for another scholarship, you do not have to complete it again, one application will be used for multiple scholarships. http://www.nbmbaapgh.org/Scholarship%20Program.htm
    3.  
  3. Students must complete information below to be considered for applicable IUP scholarship or award.
  4. Awardees are required to attend the Scholarship and Recognition Gala which will be held on October 22, 2011. Membership will be provided for graduate students if selected as scholarship recipient. 

Please complete all applicable information below.

Applicant:

Name

Last Name

 

 

 

First Name

Middle Initial

 

 

Address

Street Number

 

 

 

City

State/Zip Code

Home Telephone Number:

Work Telephone Number:

Email Address:

Social Security Number:

 Please check the business program that you are currently enrolled and for consideration of awards indicated.          

Program

Check Program

Commitment

Amount

Number of Awards

Total

MBA Program – On  Campus

1/2 tuition waiver/term 

$3,333

2

$6,666

 

 

$1,000 scholarship

$1,000

 

$2,000

 

 

Stipend/10 hours per week

$2,800

 

    $5,400**

 

 

 

 

 

 

Executive MBA – Monroeville

Scholarship over three semesters

$2,000

1

$2,000

 

 

 

 

 

 

Undergraduate Business Major – On Campus

 

$1,000

2

$2,000

 *All funds are payable directly to the accounts of students enrolled at IUP. 

**Stipend for work

     Please verify that you are enrolled at IUP and meet the registration requirements for applicable program.  Please sign below.  

 Signature                                                                                          Date                            

  We, The Pittsburgh Chapter of the NBMBAA, reserve the right to modify any of the above information as needed.

Please mail completed "Scholarship Supplement Form" to address below, or scan and email it to, nbmbaapgh@nbmbaapgh.org

National Black MBA Association, Pittsburgh Chapter

2011 Scholarship Program

Attn: NBMBAA, Pittsburgh Chapter - Education Director

P.O. Box 3502

Pittsburgh, PA  15230-3502