Alpha Mu Scholarship Form 2020-21

Name*

First NameMiddle NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Date of Birth*

MonthDayYear

Email*

example@example.com

Expected Date of Graduation*

High School*

Address of High School*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Father/Guardian Name*

Father/Guardian Occupation/Job Title/Company*

Mother/Guardian Name*

Mother/Guardian Occupation/Job Title/Company*

How many persons are dependent on your parents?*

How many siblings will be in college next year?*

What work (for pay) have you done during the last year?*

What work (for pay) do you plan to do this summer?*

Name of your preferred college or university.*

Have you been accepted at the college/university of your choice?*

What is the approximate cost of attending the college/university of your choice next year?

List other colleges to which you have applied and their approximate costs. Please indiciate beside each school if you have been accepted or if you are still waiting for a response.*

	College Name	Approximate Cost	Accepted	Waiting
1.
2.
3.
4.

Have you applied for financial assistance through the college's Student Aid Office, through a need analysis form (FAFSA) and/or Profile?*

What is your intended major?*

List other scholarships for which you have applied.*

List any scholarships you have received and the amount of each.*

	Scholarship Name	Amount Awarded
1.
2.
3.
4.

List other financial aid assistance you have been awarded (including grants, tuition, etc.)*

	Financial Aid awarded	Amount awarded
1.
2.
3.
4.

Student Endorsement - Sign below to declare that, to the best of my knowledge, the foregoing statements are complete and correct. *

Parent/Guardian Endorsement - Sign below to declare that, to the best of my knowledge, the foregoing statements are complete and correct. I approve of my child's application for the NC Alpha Delta Kappa - Alpha Mu scholarship.*

Please submit the following items with your application.

1. RESUME - Please provide a typed resume that includes a list of your extracurricular activities (clubs, sports, fine arts groups, volunteer work, scouting, hobbies, jobs, internships, etc.). Include the years you participated and the number of hours per week devoted to each. Also, list awards or recognitions you have received.

2. TRANSCRIPT - Please send your official mid-year high school transcript showing courses taken, class rank, and GPS (weighted and unweighted).

3. PERSONAL STATEMENT - Please send a typed personal statement detailing your college plans, career goals, and your reason(s) for wanting this scholarship.

4. LETTER OF RECOMMENDATION - Please send a letter of recommendation from an adult in your school or community who is not related to you and who is familiar with your qualifications. The letter should outline the character traits, special talents and abilities, examples of leadership and service, etc. of the applicant. The letter can be emailed or mailed from the adult of your choosing to the below addresses.

If you have questions, please email Candace Odell at Candace_Odell@dpsnc.net. You may call me at 919.210.2447. Please leave a message with your name and number. I will return your call within 24 hours. Your application and all other items needs to be to Ms. Odell by Monday, May 3, 2021.

Address to mail items (if needed) - 2815 Broad Street, Durham, NC 27704.

Alpha Delta Kappa - Alpha Mu Chapter - Durham, NC