Form

DELTA SIGMA THETA SORORITY, INCORPORATED

New Orleans Alumnae Chapter

2018 Scholarship Application

S C H O L A R S H I P G U I D E L I N E S

Scholarships are awarded to New Orleans area high school seniors who plan to attend Delgado Community College, Dillard University, Loyola University, Southern University at New Orleans, Tulane University, University of New Orleans or Xavier University of Louisiana.

The following completed documents must be uploaded with the scholarship application:
- Two (2) letters of recommendation (example: counselor, teacher, administrator, etc.)
- Official transcript of coursework completed, including the cumulative GPA
- Copy of parent/guardian 2017 Form W-2 (Wage and Tax Statement) or 2 most recent check stubs – with Social Security Numbers removed.
Applications will be accepted between

PLEASE NOTE THAT THE APPLICATION DEADLINE HAS BEEN EXTENDED UNTIL FEBRUARY 2, 2018 FOR ONLINE SUBMISSIONS ONLY.

Due to the anticipated high volume of applicants, we strongly suggest that you complete your application as soon as possible.

Please email dstnoascholarshipsandawards@gmail.com with any questions, comments or concerns about this application.

Upon completion of initial screening, selected applicants will be contacted for a personal interview. The interviews are tentatively set for the week of February 19^th, 2018.
Student Information
Student's Full Name *

First Name Last Name

Student Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Cell Phone Number *

- Area Code Phone Number
Primary E-mail *

Confirmation Email
High School *
Education Information

School Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Counselor's Name *
Counselor's Email Address *
Academic GPA: *
Class Rank:
Official Transcript- Must be stamped and/or signed
Schools to which you are applying or have applied
The New Orleans Alumnae Chapter of Delta Sigma Theta Sorority, Inc. awards scholarships to 7 New Orleans Area colleges and universities. Scholarships will be awarded pending attendance at the college or university selected below. If the applicant is selected to interview but changes his/her intended university, he/she must notify the committee prior to interviewing. Once an applicant is scheduled to interview, he/she will only be considered for the college or university entered on this application.
Intended College/University *
Have you applied *
Application Confirmation or other proof of application submission
Have you been accepted *
Acceptance Letter
Will Live *
Estimated Tuition Per Semester *
Major(s) You Are Considering

In order of preference, list the major(s) you are considering .
Major 1 *
Major 2
SCHOOL / COMMUNITY PARTICIPATION and EMPLOYMENT INFORMATION

If any of the activities listed cannot be verified, then you will not receive any credit for this entire section.
School Extracurricular Activities

List names of clubs/activities you have participated in and years of participation.
School Activities / Offices Held 1: (not sports)
School Activities / Offices Held 2: (not sports)
School Activities / Offices Held 3: (not sports)
Community Service/Volunteer Activities

List the name of the organization, the number of years that you have volunteered and the estimated hours of service per year.
Community Service / Volunteer Activity 1
Years of Service and Estimated Hours per School Year
Community Service / Volunteer Activity 2
Years of Service and Estimated Hours per School Year
Community Service / Volunteer Activity 3
Years of Service and Estimated Hours per School Year
Community Extracurricular Activities

Dance, Theater, Creative Writing, Music, etc. List the activity, the name of the organization, & the number of years that you have participated in the activity
Community Extracurricular Activity 1 and Sponsoring Organization
Years of Participation and Estimated Hours per School Year
Community Extracurricular Activity 2 and Sponsoring Organization
Years of Participation and Estimated Hours per School Year
Community Extracurricular Activity 3 and Sponsoring Organization
Years of Participation and Estimated Hours per School Year
Sports Participation

List sports you have participated in and any leadership positions.
Sports Participation 1
Sports Participation 2
Sports Participation 3
School & Community Awards & Honors

List any awards and/or honors you have received.
School / Community Awards and Honors 1
School / Community Awards and Honors 2
School / Community Awards and Honors 3
Employment

List past and present work and length of time employed.
Are you currently employed? *
Current Employer
Position
Average Hours Worked Per Week
Dates Worked
Past Employer
Position
Average Hours Worked Per Week
Dates Worked
Financial Information

Please consult with your parents in answering these questions.
To support the information below, please submit a copy of your 2017 Form W-2 (Wage and Tax Statement) or 2 most recent check stubs (if employed in 2017) and with your parent(s)' 2017 Form W-2 or 2 most recent check stubs. If your parent(s) did not work at all in 2017, please submit a proof of income form for all benefits that were received. Block out all Social Security numbers on submitted form prior to submission.

Please contact us immediately if your family's financial circumstances change after you have submitted this application.
With whom do you live? *
Parent 1's Name *
Parent 1's Employer and Occupation *
Average Hours Worked Per Week
Parent 1's Annual Salary *
Parent 1 2017 W-2 or Check Stubs
Parent 2's Name
Parent 2's Employer and Occupation:
Parent 2's Annual Salary
Parent 2 2017 W-2 or Check Stubs
Household Size: *
How many people are in your family?
Number in College: *
How many people will be in attending college?
Family's Annual Income: *
Other income that can be used for educational purposes?
Inheritance, college funds, etc.
Are there any special circumstances that you believe would help the committee in its decision?
Recommendations

Please submit recommendations from any TWO of the choices below. Letters must be addressed to the New Orleans Alumnae Chapter of Delta Sigma Theta Sorority, Inc. and should include knowledge of applicant, personal attributes and involvement in extracurricular activities.
Reference 1 *
Letter
Reference 2 *
Letter
Scholarships Received

List any scholarships you have received to date and its amount.
SCHOLARSHIP 1
SCHOLARSHIP 2
Personal Statement

Write at least one paragraph explaining why you are seeking this scholarship. Include any special circumstances or unusual hardships. Your student statement is very important and the Scholarship Committee relies heavily on this statement.
Essay: (maximum of 300 words) *

0/300
Proposed Educational Plan

Your Proposed Education Plan is a statement regarding your academic and career objectives, goals and aspirations. You should include the following: What are your educational and career goals? Why have you chosen these goals? How do you plan to achieve these goals? How do you envision making a contribution to your community after you complete your education?
Essay: (maximum of 1000 words) *

0/1000
Additional Information
Are you the first in your family or first generation to attend college? *
Are you a U.S. Citizen? *
Ethnicity: *
Other:
Disability
E-Signature
By signing (typing your legal name) in the space below, you and your parent/guardian are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please for your records and retain as verification of your application.
Student E-Signature: *
Please read before submitting:

All applicants must submit the following:
- Official High School Transcript
- Two letters of recommendation
- 2017 W-2 forms or 2 most recent check stubs for all employed household members.
If you are unable to upload the documents, copies should be scanned an emailed to dstnoascholarshipsandawards@gmail.com .We are no longer accepting documents that are not submitted electronically.

We have extended our deadline until 5pm CST on February 2, 2018 for electronic submissions only. All documents must be received by that time. We will not accept any supporting documents that are postmarked after January 31st.

If you have any questions about this application, please email dstnoascholarshipsandawards@gmail.com.
Parent/Guardian E-Signature: *
Should be Empty:

DELTA SIGMA THETA SORORITY, INCORPORATED

2018 Scholarship Application

S C H O L A R S H I P G U I D E L I N E S

Student Information

Education Information

Schools to which you are applying or have applied

Major(s) You Are Considering

SCHOOL / COMMUNITY PARTICIPATION and EMPLOYMENT INFORMATION

School Extracurricular Activities

Community Service/Volunteer Activities

Community Extracurricular Activities

Sports Participation

School & Community Awards & Honors

Employment

Financial Information

Recommendations

Scholarships Received

Personal Statement

Proposed Educational Plan

Additional Information

E-Signature