National Association of
National Association of Historically Black Colleges and Universities Title III Administrators, Inc. www.hbcut3a.org STATEMENT OF ACCURACY Statement of Accuracy I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I also consent that my picture may be used for any purpose deemed necessary to promote this scholarship program. Signature of scholarship applicant: Date: I, , certify that I have reviewed the application packet (Please Type or Print) and all items are complete to the best of my knowledge. Signature of Title III Administrator (Project Director): Date: REMEMBER • The deadline for the application to be received is Friday, September 3, 2021. • The completed application packet must be emailed to nahbcut3ascholarship@gmail.com.
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National Association of Historically Black Colleges and Universities Title III Administrators, Inc. www.hbcut3a.org STATEMENT OF ACCURACY Statement of Accuracy I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I also consent that my picture may be used for any purpose deemed necessary to promote this scholarship program. Signature of scholarship applicant: Date: I, , certify that I have reviewed the application packet (Please Type or Print) and all items are complete to the best of my knowledge. Signature of Title III Administrator (Project Director): Date: REMEMBER • The deadline for the application to be received is Friday, September 3, 2021. • The completed application packet must be emailed to nahbcut3ascholarship@gmail.com.