Personal Information

First name

Last name

Date of Birth

Month

Day

Year

Phone

Email (Please use your .edu email)

Multi-line address

Country/Region

Address

City

Zip / Postal code

Are you a New Jersey resident, and can you provide proof of residency if selected for the scholarship? Please note this scholarship is for N.J. Residents ONLY.

Yes

Academic Information

University/College

Expected Graduation Year

GPA (on a 4.0 scale)

Academic Major- Field of Study

Your Experience

Resume

Please submit your resume highlighting academic achievements, leadership roles, community involvement, and relevant experience.

Upload Resume

Personal Essay

As part of our commitment to supporting the next generation of Black educators, we ask applicants to reflect on their role in shaping a more just and inclusive educational system. This essay allows us to understand your passion, experiences, and vision for equity in education.

Your essay should be 500-750 words and provide a thoughtful, well-structured response to the following prompt:

"Education has the power to transform society, yet historically, it has also been used to uphold systems of oppression that marginalize Black and Brown communities. As a future Black educator, how do you plan to make a meaningful impact in challenging inequities in education, advocating for truth in curriculum, and creating a more just and inclusive learning environment for all students? Share a personal experience or initiative you have led or participated in that demonstrates your commitment to educational equity."

Please Upload a PDF or Word document

Required Documents

Official Transcript

To submit your official transcript, request an electronic transcript through the National Student Clearinghouse. When prompted, enter Jūice: Se Lavi as the organization and use juiceselavi@gmail.com as the recipient email. Double-check all information before submitting to ensure your transcript is sent correctly. Processing times may vary, so complete this step early to meet the June 29, 2025, scholarship deadline.

I agree to send an electronic copy of my Official Transcript.

Letter of Reccomendation

Applicants must submit two letters of recommendation:

One from a university staff member (professor, advisor, or administrator) using their official .edu email.
One from a community member (employer, mentor, religious leader, or volunteer coordinator).

Recommenders must submit letters via JuiceSeLavi.com under the "Recommendations" tab before June 29, 2025.

I agree to ensure both letters are submitted on time, or my application will be incomplete.

Agreement

By checking you acknowledge that if selected for the opportunity, you will provide proof that any expenses funded through this award will be used specifically for tuition or other education-related expenses. These expenses may include, but are not limited to, tuition fees, textbooks, supplies, course materials, lab fees, or other costs directly related to your education.

I agree to provide proof that any expenses funded through this award will be used for educational expenses.