Chicago Defender Charities, Inc. 

Bud Billiken® Scholarship Application

Name *
Name
Address *
Address
Phone *
Phone
Date of Birth *
Date of Birth
Gender *
United States Citizen *
Illinois Resident *
Name of Parent(s)/Guardian(s) *
Name of Parent(s)/Guardian(s)
Address (if different from above)
Address (if different from above)
Parent Phone/Cell *
Parent Phone/Cell
Parent Work Phone
Parent Work Phone
Emergency Contact Phone *
Emergency Contact Phone
If none put N/A
If none put N/A
HS Phone *
HS Phone
High School Graduation Date *
High School Graduation Date
College/University Address *
College/University Address
Application Signature Date *
Application Signature Date

After submitting form,  please send the following materials before the deadline.

500-word essay on "What is the importance of community service?"

Most recent official High School transcript.

Two letters of recommendation. Must include academic and personal (non-relative)

Proof of 40 hours of community service

Financial Aid Award Letter (FAAL) or Student Award Report (SAR)

Proof of acceptance to a college/university (course schedule/ admission letter)

Proof of financial status/income (most recent tax return / SSI, public aid or unemployment)

Please send all documents at one time to:

Chicago Defender Charities 

700 E. Oakwood Blvd

Fifth Floor

Chicago, Il 60653