Amarillo Alumnae Scholarship Form

Delta Sigma Theta Sorority, Incorporated

Amarillo Alumnae Chapter
2024- 2025 SCHOLARSHIP APPLICATION
The complete application packet must be completed by

Deadline March 22, 2025

SCHOLARSHIP APPLICATION PROCEDURES

The applicant must meet the following criteria in order to be eligible for a scholarship:
- Must be a high school senior graduating in May 2025 in Amarillo, Texas.
- Plans to enter a two-year college or four-year university as a full-time student by May 31, 2026. (This also includes technical or vocational school.)
- Student must be an African American
The following documents MUST be attached to your completed application form:
- High School Transcript. The transcript must: (1) cite the cumulative grade point average, (2) be signed by a school official.
- ACT or SAT Test Scores. The scores may be on your high school transcript.
- School Recommendation. One signed letter of recommendation from your current high school principal, counselor, or teacher on the high school’s official letterhead.
- Community Service Recommendation. One signed letter of recommendation from an organization verifying community service involvement. The letter must be on the organization’s official letterhead and should state your duties and show total hours earned.
- Typed Essay
  - One page essay to include academic and career goal
  - Community service involvement
  - Statement of why the scholarship is important to you
  - Discussion of financial need
- Scholarship application must be signed by the student and a parent or guardian.
A complete application package includes a completed scholarship application along with required documents. If any items are omitted, application will be deemed incomplete and will not be considered. All information provided is considered confidential. All materials become property of the Amarillo Alumnae Chapter of Delta Sigma Theta Sorority, Inc.

*********APPLICATION DEADLINE********
March 22, 2025

QUESTIONS:
Gloria Roberts (806) 674-2027or via email at amarillodeltas@gmail.com

Please fill out the form in its entirety, if a section does not apply, write N/A.
Applicant Information
Name*

First NameMiddle InitialLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Applicant's Email*
example@example.com
School Counselor's Email*
example@example.com
Date of Birth*

MonthDayYear
Date
FAMILY INFORMATION
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Parent/Guardian name:

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Please indicate parents combined income range according to most recent income tax returns (adjusted gross income).*

ORGANIZATIONAL INVOLVEMENT, HONORS & SPECIAL INTERESTS

(Include all leadership activities, special programs, extracurricular and community involvement activities) Mark N/A if not applicable
School Involvement: List the organizations, memberships, and offices held in your high school.*
Community Involvement: List the organizations, memberships and offices held in your community.*
Honors and Awards: List any honors and awards and year received.*
Additional Attachments (if applicable):

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COLLEGE INFORMATION
Please list the name and address of the university to which you have applied or will be attending for the period in which this financial assistance is requested.
College Name*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
First Semester to Attend: *

(REQUIRED ATTACHMENTS)
Upload Student Photo*

Upload a File

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Essay Requirements and Instructions
- Attach a one page typed essay entitled “DST Scholarship Essay”
  - Your Name
  - Your Home Address
  - Telephone Number(s)
- Address the following four topics within your essay:
  - Community service involvement
  - Statement of why the scholarship is important to you
  - Discussion of financial need
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School Recommendation: One signed letter of recommendation from your current high school principal, counselor, or teacher on the high school’s official letterhead.
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Community Service Recommendation: Community Service Recommendation. One signed letter of recommendation from an organization verifying community service involvement. The letter must be on the organization’s official letterhead and should state your duties and show total hours earned.
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Copy of Transcript:

ACT or SAT Test Scores. The scores may be on your high school transcript.
Attach Transcript Here*

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Is your ACT or SAT Score included in your transcript?*

YesNo (if no, please attach below)
Attach ACT or SAT test Scores here if not on Transcript:

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By signing below, I am confirming that all the information is truthful as presented at the time of application.
Student's Signature*

First NameLast Name
Date*

MonthDayYear
Date
Parent’s/Guardian’s Signature*

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty:

Delta Sigma Theta Sorority, Incorporated

2024- 2025 SCHOLARSHIP APPLICATION

Applicant Information

FAMILY INFORMATION

ORGANIZATIONAL INVOLVEMENT, HONORS & SPECIAL INTERESTS

COLLEGE INFORMATION

(REQUIRED ATTACHMENTS)