Scholarship Application

Martinsville Alumnae Chapter

Delta Sigma Theta Sorority, Inc.
Delta Sigma Theta Sorority, Incorporated was founded on January 13, 1913 by 22 collegiate women at Howard University. These students wanted to use their collective strength to promote academic excellence and to provide assistance to those in need. Delta Sigma Theta Sorority, Incorporated is an organization of college educated women committed to the constructive development of its members and to public service with a primary focus on the Black community. Since its founding more than 200,000 women have joined the organization. The organization is a sisterhood of predominantly Black, college educated women. The sorority currently has 1,000 collegiate and alumnae chapters located in the United States, England, Japan (Tokyo and Okinawa), Germany, the Virgin Islands, Bermuda, the Bahamas, Jamaica and the Republic of Korea.

The Martinsville Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated was established in November of 1951. We serve the Martinsville and Henry County communities with various activities that support the organizations five programmatic thrusts: Educational Development, Economic Development, International Awareness and Involvement, Physical and Mental Health, and Political Awareness and Involvement.

Each year the Martinsville Alumnae Chapter awards three $1000 scholarships to the local high schools to a qualifying high school senior who will attend a 4-year institution (1 senior at Bassett High School, 1 at Magna Vista High School, and 1 at Martinsville High School).

Scholarship Criteria:
- Local High School seniors planning to attend an accredited 4-year college or university.
- Children of active members of the Martinsville Alumnae Chapter are not eligible for this scholarship. However, extended family and friends of Chapter members are eligible for this scholarship.
- Male and Female students are eligible for this scholarship.
APPLICATION PROCESS

The scholarship application package includes:
1. Submission of online Scholarship Application. The online scholarship is available by clicking Next at the bottom of the page.
2. Official Transcript - Sent electronically from Parchment to Cynthia Preston at martinsvilledst.vp@gmail.com or sealed copy mailed by the applicant to the address below:
  
  Martinsville Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated
  P.O. Box 1089
  Martinsville, VA 24114
All application materials must be post marked by February 28, 2022 (by midnight Eastern Standard Time.)

NOTIFICATION OF WINNERS

Scholarship recipients will be notified via email, or mail if email not available, by the end of March, 2022. Scholarship proceeds will be sent directly to the applicant's school.

Tax returns, essays and other application documentation will not be returned. Documents must be filed for 5 years within our chapter and then the chapter will shred them.

SCHOLARSHIP PAYMENTS

Scholarship payments are made to the recipients' college in $500 increments. Each semester students must provide the chapter with proof of enrollment, printed on the college letterhead with the college seal. Often this can be completed by the college registrar or bursar's office. The student must be enrolled as a fulltime student each semester. Verification of enrollment for second scholarship payment must be received by February 5th. In the event a recipient of the scholarship were to transfer to another college/university from the initial college/university where enrollment verification is provided, the scholarship funds will not be transferred to the new college/university.
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HELPFUL REMINDERS
1. Please ensure that you complete the entire application. All information must be typed. Handwritten applications will not be accepted. If you need additional space, then information may be continued on additional pages and attached to the application.
2. Document your involvement in School and Community activities over your high school years. Include awards received and work experience during the same time period.
3. Request transcripts from parchment early to ensure they arrive by the deadline. Transcripts must be post marked by February 28, 2022 (by midnight Eastern Standard Time). Remember, only Official Transcripts are accepted.
4. The student should send the most current transcript available. The information populated in the application should align with the transcript.
5. Please ensure essay meets the 600 word limit explaining your college choice and financial need. Explain why you are applying for this scholarship. The essay must be typed. Please proofread your essay for grammatical accuracy.
6. Include two character reference letters with original signatures on official letterhead. (one reference letter must be from a faculty member of your high school and one letter must be from a community leader, e.g. pastor, scout leader, volunteer supervisor, etc.). These letters may be mailed with your transcripts or uploaded to this online application. If you mail the letters please indicate that on Page 5 as 'Other' on the application checklist.
7. Carefully review the application for accuracy before it is submitted.
8. All application materials must be received by February 28, 2022 (by midnight Eastern Standard Time).
9. The online application will remain active as long as your browser is open. If you close your browser prior to submitting the application, your information will be lost.
10. Upload your completed School Counselor form containing the signature of your School Counselor.
11. Upload a recent professional photograph (Example – formal senior picture. Proofs are not acceptable.) Standard headshot at least 2.5 X 3.5 inches in size. Picture should be suitable for publication.
12. Sign and upload the photo release form located on page 5 which grants permission to the sorority to use your picture in publicity and media releases.
13. Upload a copy of your parent or guardian’s tax transcript indicating Adjusted Gross Income and Family size. Please black-out all social security numbers. The tax transcripts may be mailed with your school transcripts or uploaded to this online application. If you mail the tax transcripts please indicate that on Page 5 as 'Other' on the application checklist.
It is the student’s responsibility to return your completed application with requested components either online or mail to the following address:

Martinsville Alumnae Chapter of
Delta Sigma Theta Sorority, Inc.
P.O. Box 1089
Martinsville, Virginia 24114

The postmark deadline is February 28, 2022.
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APPLICANT INFORMATION:
First Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Applicant's Phone Number *

Area Code Phone Number
Applicant's E-mail Address *
Applicant's Daytime Phone Number *
Emergency Contact Name

First Name Last Name
Emergency Contact's Phone Number

Area Code Phone Number
RElationship to applicant
EDUCATION:
Are you currently a High School Student? *

Yes No
School Name (Currently Attending): *
Cumulative GPA (rounded to nearest 100th i.e. 3.95). For High School students please provide actual GPA. The scholarship committee will convert to 4.00 scale if necessary.): *
College/School Planning to Attend: *
Have you been accepted? *

Yes No
Anticipated Major and Career Goals
Family and Household Members
Father/Guardian   First Name   Last Name
Employer/Position
Mother/Guardian   First Name   Last Name
Employer/Position
Combined Family Income (Annual)   $
Including you, number of children in family
List the names, relationship and age of all members of your family (in your household)     First Name   Last Name   relationship   Age
First Name   Last Name   relationship   Age
First Name   Last Name   relationship   Age
First Name   Last Name   relationship   Age
First Name   Last Name   relationship   Age
Number of children in college
List the colleges they attend
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EXTRACURRICULAR ACTIVITIES / WORK EXPERIENCE:
Academic Honors
List School Related Activities
List Community and/or Church Related Activities
List any jobs you have held and dates of employment
ESSAY QUESTION:
Tell us about yourself. In your essay, please explain your college choice, education goals, career goals and financial need. Explain why you are applying for this scholarship. (must be 600 words)
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School Counselor Form
Photo Release Form
UPLOAD YOUR COMPLETED AND SIGNED Character reference letters, parents/guardians tax transcripts, recent professional photo, PHOTO RELEASE AND SCHOOL COUNSELOR FORMS BELOW:

Browse Files

Cancel of
APPLICATION CHECKLIST:
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APPLICANT CERTIFICATION:

I certify that the information in this application is true, correct and that the essay was written by the applicant. I understand that falsification of any information will result in disqualification of this application. I agree that this application becomes the property of the Martinsville Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated. I understand that this application will be assessed based on the information provided and submission of it does not guarantee that I will receive a scholarship. I agree that in the event I am a scholarship recipient, this form also serves as a release to use my name, photographs, and biographical information in press releases, etc. announcing and promoting this scholarship program.
Student/Applicant Signature *

Clear
Parent/guardian Signature *

Clear
Date:
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Should be Empty:

Martinsville Alumnae Chapter