SMM 2021 Scholarship Application

Dear Student

The men of Sigma Mu Mu (SMM) Chapter of Omega Psi Phi Fraternity, Inc. appreciate your interest and invite you to participate in the chapter's scholarship competition. We intend to award seven academic scholarships totaling $10,000 to deserving students. The scholarships will be awarded as follows: Two $2,000.00 scholarships, two $1,500.00 scholarships, and three $1,000.00 scholarships. This competition is open to all college-bound, Loudoun County, VA high school seniors except the sons and daughters of Sigma Mu Mu members.

It is important that you follow all instructions, provide all requested information, and submit your application by the specified deadline. For your application to be considered, it must be submitted (i.e. postmarked) by Friday, April 16th, 2021. Applications postmarked after April 16th will not be considered. This year we strongly encourage all applicants to apply for our scholarship via our online application for faster processing. All documents can be submitted via this online option via the following link: https://loudouncountyques.org/

If you choose, submit the application via mail, please follow these instructions when completing the application (It is

strongly recommended that you submit your application online for faster processing):

1. Complete the entire application (Failure to do so will result in disqualification from consideration 2. Sign the certification at the end of the application. 3. Include recommendation letters from up to three (3) non-relatives, including at least one school faculty member, who can attest to your academic work, community service, and personal character. 4. Include in a sealed envelope an official or unofficial transcript from your high school. 5. Send your completed scholarship application, including all requested information, to the following address:

Omega Psi Phi Fraternity, Inc. c/o Sigma Mu Mu Chapter Scholarship Committee PO Box 2538 Ashburn, Virginia 20146

Please contact me by phone or email if you have any questions about this scholarship opportunity. My phone number is 504.621.3575 and my email address is jtchilds67@gmail.com.

Again, thank you for your interest in our scholarship program and best wishes as you prepare to further your education.

Chairman, Sigma Mu Mu Chapter Scholarship Committee Omega Psi Phi Fraternity, Inc.

This form is designed to collect information about your academic performance and your future education/career plans. Your answers to these questions will be used only to evaluate your application for this scholarship competition. Please type or neatly print (in black ink) your responses/answers. If more space is needed for a particular response (e.g. essay), you may include an attachment. All questions and essays in each section must be answered. Failure to answer all questions may disqualify you.

PART I. PERSONAL INFORMATION:

1. Full Name *

2. Home Address *

3. City *

State *

Zip Code *

E Mail address *

example@example.com

4. Telephone: Home *

Other

5. Father's Full Name *

Is He Living? *

6. Mother's Full Name *

Is She Living? *

7. Number of Brothers *

Age(s) *

8. Number of Sisters *

Age(s) *

9. Number of Brothers and/or Sisters in:

Elementary School *

Middle School *

High School *

College/University *

PART II. ACADEMIC INFORMATION:

1. Name of High School *

2. Address of High School *

3. Principal's Name *

Telephone ( ) *

4. Counselor's Name *

Telephone ( ) *

5. Current Semester Grade Point Average (GPA) *

6. Cumulative Grade Point Average *

7. Class Standing (Rank) / Total Size of Class

(For Example: 27/100)

8. Graduation Date *

Date

9. Date of High School Awards Program *

Date

10. List Colleges and Universities to which you have applied. *

11. List Colleges and Universities at which you have been accepted. *

12. Planned Major *

PART III. BIOGRAPHICAL INFORMATION

What is your career goal? *

Be as specific as possible.

Describe current and previous jobs of responsibility, if any, that you have held. If you have experience in community service, please describe any contributions you made. Include dates and any leadership positions

A. List any significant high school leadership positions that you currently hold or have held.

B. List any honors or awards you have received.

C. Describe and comment on hobbies, recreational activities, and any other constructive uses of your time.

D. Describe family circumstances (e.g. hardships, challenges, etc that make this scholarship important for

PART IV. LETTERS OF RECOMMENDATION:

Provide name, address, and telephone number of up to three (3) non-relatives, including one faculty member from your school, who will write a Letter of Recommendation for you. These Letters of Recommendation must accompany this application in order to be considered for this scholarship award.

Faculty Member: Name *

Address *

Telephone Number *

Title or Position *

Letter Of Recommendation #1

Other Individual: Name *

Address *

Telephone Number *

Title or Position *

Letter Of Recommendation #2

Other Individual: Name *

Address *

Telephone Number *

Title or Position *

Letter Of Recommendation #3

PART V. PERSONAL ESSAYS (500 word maximum for each essay)

As a member of the graduating Class of 2021, you are the first to have witnessed the first Black President of the United States, the first female Black Vice President as well as the first female Speaker of the U.S. House of Representatives. Kamala Harris is also the first graduate of a Historically Black College and University (HBCU) to hold the position of U.S. Vice President. How do these monumental events inspire you to further your academic career?

Upload Your Essay *

Your Response *

I, *

Type your name in the box after I,

understand that withholding information requested on this form or knowingly giving false information may result in my ineligibility for financial assistance from the Omega Psi Phi Fraternity, Inc., Sigma Mu Mu Chapter. I certify that the statements I have made on this application are correct and complete to the best of my knowledge. I also grant permission for Sigma Mu Mu Chapter of Omega Psi Phi Fraternity, Inc. to publish myname, picture, amount of award, and personal biographical information in conjunction with annual reports filed by the Fraternity. (Please sign and date below):

Signature *

Clear

Date *

Date