Delta Sigma Boulé Foundation Scholarship Application

Delta Sigma Boulé Foundation Scholarship Application

Applications being accepted until March 31st
The Frederick J. Carter Scholarship will be awarded to a graduating African-American male high school senior entering an accredited four-year college. $2,500 will be paid each year to the winner, over the course of four enrolled years of college. This scholarship is open to all African-American male high school seniors in the south suburban area of Chicago, Illinois and northwest, Indiana.

Selected students must demonstrate academic excellence and awards are based on GPA, class rank, extracurricular activities, and leadership.

CANDIDATE CRITERIA:
1. African-American Male.
2. You must be a graduating High School Senior of a South Suburban Chicago, Illinois or Northwest Indiana High School entering an accredited four-year college.
3. Proof of college enrollment will be required before any monetary amount is paid to the recipient.
4. You must have at least a 3.25 average GPA in high school and maintain a minimum 3.00 average GPA on a 4.0 scale while in college.

APPLICATION REQUIREMENTS:
1. One college acceptance letter.
2. List of extracurricular activities, community involvement, honors and awards.
3. List all scholarships received, if any.
4. Official academic transcript and ACT/SAT scores
5. Two letters of recommendation from former or current teachers describing why you should be selected for this scholarship.
6. An autobiographical essay; no more than 300 words.
7. One (1) School Counselor/Representative Letter: Verifying: Class Rank, GPA, ACT/SAT Scores.
8. A recent photo must be provided.

Visit our website for more information regarding our scholarships.

Delta Sigma Boulé Foundation Scholarship Application

Please be sure all fields are completed before hitting submit
Applicant's Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number*

Area CodePhone Number
Home Phone Number*

Area CodePhone Number
Email*
example@example.com
Current School Attending*
Current School Phone Number*

Area CodePhone Number
Current School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Highest SAT or ACT Score(s): you may include one (1) or both scores*
Cumulative GPA using 4.0 scale*
Must match your transcript GPA/ must be 3.25 or higher
Class Rank Size*
*If rank is not available, please approximate position to the nearest 10th from the top of the class.
List your extracurricular activities, community involvement, honors and awards.*

0/250
List scholarships you have received if any. Please indicate N/A if not applicable.*

0/250
In space below provide an autobiographical essay. *

0/300
Copy of HS Transcript*

Browse Files

Cancelof
College Acceptance Letter*

Browse Files

Cancelof
Two (2) Current/Former Teacher References *

Browse Files
Both letters must include addresses, telephone numbers and signatures of persons providing the reference. Cancelof
One (1) School Counselor/Representative Reference*

Browse Files
Letter must include address, telephone numbers and signature of persons providing the reference. Cancelof
15. Please provide a current photo of yourself*

Browse Files

Cancelof
Applicant Parent/Guardian Information
Father/Male Guardian PLUS Occupation*
Please write in N/A if not applicable
Mother/Female Guardian PLUS Occupation*
Please write in N/A if not applicable
Combined Adjusted Gross Income (Previous year IRS 1040)*
Number of siblings attending college next year*
Signatures

Please read and sign below
Media Disclosure: Submitting this application and if successful in receiving a scholarship, I agree that my information including photo may be sent to news outlets to showcase the achievements of local students.

I attest that I am the person listed above, and that the information is correct. I understand that any falsification will result in disqualifying my application.
Applicant's Signature*

Clear
Use your mouse or key pad to sign not your keyboard.
We certify the information provided is true and complete to the best of our knowledge. If required, we agree to provide proof of this information, including hard copies of income tax returns. We realize that if documentation is not provided, the applicant may be deemed ineligible for this scholarship.
Parent/Guardian Signature*

Clear
Use your mouse or key pad to sign not your keyboard.
Please note in order to submit your application all required fields (*) must be completed first.

If you have any questions please contact ??? or visit our website deltasigmafoundation.com.

Deadline to apply is March 31st.
Should be Empty:

Delta Sigma Boulé Foundation Scholarship Application

Delta Sigma Boulé Foundation Scholarship Application

Applicant's Information

Applicant Parent/Guardian Information

Signatures