### White	House	Initiative	on Historically	Black	Colleges	and	Universities **Presents:** The 201 5 HBCU	ALL
- STAR	Student Program

PROGRAM	DETAILS The	appointment	period	will	last	approximately	one	year,	and	during this	time	students will	serve	as	ambassadors	of	the	White	House	Initiative	on	Historically	Black	Colleges	and Universities	by	providing	outreach	opportunities	and	communications	to	their	fellow students	about	the	value	of	education	and	the	Initiative	as	a networking	resource. Through social	media,	personal	and	professional	relationships	with	community
- based	organizations, student	will	share	promising	and	proven	practices	that	support	opportunities	for	all	young people	to	realize	their	educational	and	career potential. The	program	will	provide	an opportunity	to	participate	in	regional	and	national events,	as	well	as ,	web	chats	with Initiative	staff	and	other	professionals	from	a	wide	range	of	disciplines	that	support	a	spirit of	engagement	and	personal	and professional	development. ELIGIBILITY	AND	RULES 1. Nominee must	be	a **current** undergraduate, graduate ,	or	professional student	at	a Historically	Black	College	or	University	(HBCU)
. Student	must	be	enrolled	for	the 2015
- 2016	fall	semester. View	HBCU	Listing	by	State 2. Only **complete** applications	will	be	accepted .	This	includes	signed nomination form, unoff icial	transcripts,	short	essays,	resume and	endorsement letter **.** Review	Process 3. Submissions	entered	past	the	due	date	will not be	ac knowledged. Applications	must	be	submitted to **hbcuallstars@ed.gov** by **Sunday,	March	1 ,	2015,**  **11:59pm	EST .**  The White House Initiative on Historically Black Colleges and Universities (HBCUs) works to promote HBCU excellence, innovation, and sustainability . In 2015, the Initiative will recognize undergraduate, graduate, and professional students for their accompl ishments in scholarship, leadership, and civic engagement Do not underestimate the impact y ou make at your HBCU. Nominate yourself as a 2015 HBCU ALL
- STAR today !***All application materials must be submitted electronically as one**  **PDF document**  **to hbcuallstars@ed.gov**  **by Sunday, March 1**  **, 2015, 11:59pm EST .** * 

# 2 015 HBCU	ALL
- ST

AR	Student Nomination	F orm STUDENT	INFORMATION **Legal	Name	(Last)** ***** **Legal	Name	(First,	Middle	Initial )**  ***** **Gender:	Male Female**  **Hometown	(City,	State): College	or	University** * (No	Abbreviations) **:** **Year*:** (Example:	Freshman,	Sophomore,	etc.) **Social	Media	Handles** (Facebook,	Twitter,	LinkedIn) **Major** ***** (No Abbreviations) **: Primary**  **Mailing Address**  ***** **: City** ***** **: State**  ***** **: Zip**  ***** **: Phone:**  **Primary E**  **- mail**  ***** **:** *	REQUIRED

= =========================================================================== CAMPUS BASED MENTOR	INFORMATION Campus	based	mentors	commit	to	mentoring	and	supporting	the	student	during	their	All
Star	Appointment. Mentor	must	be	the	endorser	of	the	nomination form	and	letter. **Legal	Name	(Last)*** **Legal	Name	(First)*** **College	or	University*:** **Title	*:** **School	Mailing	Address*:** **City*:** **State*:** **Zip*:** **Phone: Primary	E**  **-** **mail*:** *	REQUIRED***All application materials must be submitted electronically as one**  **PDF document**  **to hbcuallstars@ed.gov**  **by Sunday, March 1**  **, 2015, 11:59pm EST .** * **2015	HBCU	ALL -**  **STAR	Student	Nomination	Form Part	A:**  **ESSAY	1** (To	Be	Completed	by	Nominee) In	750 words	or	less,	a nswer	the	following	q uestion
. What	makes	you	an	HBCU	All
- Star?	Provide	examples	of	your	scholarship,	leadership,	and	civic engagement involvement (i.e .	dean’s	list,	student government,	theatre,	community	service,	sports).

================================ ============== ============================= **Part	B:	ESSAY	2** (To	Be	Completed	by	Nominee) In	750	words	or	less ,	answer	the	following	question. HBCU	All
- Stars	serve	as	ambassadors	of	the	White	House	Initiative	on	HBCUs	by	providing	outreach opportunities	and	communications	to	their	fellow	students	about	the	value	of	higher	education	and the	initiative	as	a	networking	resource.	Based	on	your	knowle dge	and	experience	identify	a	specific federal	policy	and	tell	us	how	you	plan	to implement	th e policy at	your	HBCU?

============================================== ============================= **Part C**  **: ENDORSEMENT/COMMITMENT	LETTER**  (To	be	completed	by	campu s	based	mentor) P rovide	a signed written	nomination	of	the	Nominee 's	current	performance, potential	for	a leadership	and	your	endorsement. This	letter	also	serves	as	a	statement	from	the	endorser committing	to	mentoring	and	supporting	the	student	during	their	All
- Star	appointment. **Please	limit	your	response	to	no	more	than	1	page.**

============================================== ============================= **Part	D :	RESUME/	CURRICULUM	VITAE**  (To	Be	Completed	by	the	Nominee ) Required	with your	application is a	resume	or	curriculum	vitae **(no	more	than	3	pages)**

============================================== ============================= **Part	E :**  **SIGNATURES By	signing	this	application,	you	are	certifying	that	all	statements	are	your	own	and	are	true**  **and	accurate.** Nominee’s	Signature__________________________________________ Date	__________ **By	signing	this	application	you	certify	that	your	endorsement	of	the	nominee	is	true	and accurate**  **and	confirms	your	intent	to	serve	as	the	nominee’s	campus	mentor .**  Endorser 's	S ignature_________________________________________ Date	__________