GAMMA THETA OMEGA SCHOLARSHIP APPLICATION

GAMMA THETA OMEGA SCHOLARSHIP APPLICATION
PART A – PERSONAL INFORMATION
First Name
MI
Last Name
Address
City
State
Zip code
E-mail
example@example.com
Mobile Phone
College/University Attending
Classification
GPA
Major
Community Service Organizations and Documented Hours
EXTRACURRICULAR ACTIVITIES
List All Extra Curricular Activities
List all Social/Community Groups
What leadership positions have you held in your school and community? Explain your responsibilities in each position.
Essay must be a minimum of 500 words and address the following topic.
Given the restrictions of the past year imposed by COVID-19, explain how you have continued to develop your leadership skills and provide service to your community.
Enclose one letter of recommendation from a school administrator, teacher, employer, community leader, or minister.
Signature of Applicant

Clear
Date Signed

Month Day Year
Date
Should be Empty: