LCAC DST Scholarship Application 2021-2022

LOUDOUN COUNTY ALUMNAE CHAPTER Delta Sigma Theta Sorority, Incorporated

Scholarship Application 2021-2022
Please note: Interviews will be conducted for scholarship applicant finalists.

You will not be able to save and continue this application at a later time, so please set aside one hour to complete it entirely now. Only one application per applicant.
Delta Sigma Theta Sorority, Incorporated is a private non-profit organization whose purpose is to provide assistance and support through established programs in local communities worldwide. Since 1913, more than 200,000 predominately African American college-educated women have joined this sisterhood. The Sorority currently has over 900 chapters located in the United States, England, Japan (Tokyo and Okinawa), Germany, the Virgin Islands, Bermuda, the Bahamas, and the Republic of Korea.

The Loudoun County Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated will award scholarships to chosen Black/African American students who demonstrate a high degree of scholarship, leadership, and community service.

The applicant must be a Black/African American resident of Loudoun County, Virginia, and a graduating high school senior with a cumulative 3.0 or higher grade point average on a 4.0 scale.

Please note, children of members of the Loudoun County Chapter of Delta Sigma Theta Sorority, Incorporated are not eligible to apply for chapter scholarships and awards.
A. General Information
Applicant Name *

First Name Middle Initial Last Name
Parent/Guardian Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State

Zip Code
Home Telephone
Cell Phone
E-mail *
example@example.com
US Citizen *

Yes No
Gender *

Female Male
High School *
Overall GPA *
(Must Be 3.0 or Higher On A 4.0 Scale)
College/University Aspirations
Intended field of study

Please list the top four (4) colleges/universities you applied to and asterisk (*) those to which you have been accepted.

	College/University	College/University
1
2

Financial Need (optional)
Financial needs may be considered in determining the award. What can you share with us about your financial need(s)? For example, if you have more than one (1) sibling already in college or a parent/guardian has been laid off or downsized.
B. Activities, Community Service, Honors, & Employment

List your involvement in school activities for the past 3 ½ years. Please include all sports, clubs, and organizations you participated in at school (i.e., BSA, choir, robotics, track, etc.).

	School (Club/Organization/Sport)	Leadership Position(s) Held	9	10	11	12
1
2
3
4
5
6
7

	School Club/Organization/Sport	Leadership Position(s) Held	9	10	11	12
1
2
3
4
5
6
7

List your involvement in non-school related activities for the past 3 ½ years. Please include all sports, clubs, and church activities you participated in through Loudoun County but not at school (i.e., Travel Soccer, Jack & Jill, church choir, etc.).

	Community non-school related (Club/Organization/Sport)	Leadership Position(s) Held	9	10	11	12
1
2
3
4
5
6
7

List your community service for the past 3 ½ years.

	Community Service	Leadership Position(s) Held	9	10	11	12
1
2
3
4
5
6
7

Include special honors/awards received for academic, philanthropic, athletic, and/or other achievements for the past 3 ½ years.

	Honors/Awards	9	10	11	12
1
2
3
4
5
6
7

List any paid employment received for the past 3 ½ years.

	Employer	Address	Position	Employment Period
1
2
3
4

C. ESSAY
Please answer the essay questions below. Your essay must be 250-500 words, double-spaced, one-inch margin, with 12-point Times New Roman font. "Should African Americans with financial wealth (such as professional athletes, celebrities, or others) use their platform to influence social justice in our society?" Why or why not? Provide an example. *

0/500
D. Photo and Name Authorizations
Please attach a recent wallet-size photo. Your name and photo will be used at future Award/Scholarship events and various communication, therefore no watermarks or proofs. By signing this application, you authorize the Loudoun County Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated to use this photo and your name. *

Cancel of
E. Recommendations
Two letters of recommendation must be submitted by February 19, 2022. It is preferred that the letters be on official letterhead and may be from a teacher, employer, volunteer supervisor, school counselor, principal, or vice-principal and directly emailed from the recommender to scholarlcacdst@gmail.com. Do not submit a recommendation from anyone who is a friend or related to you by blood or marriage.
F. Electronic Transcript
Submit an unofficial transcript from StudentVue, which includes the Fall 2021 semester of your senior year. Applications without a transcript will not be considered. The unofficial transcript can be emailed to scholarlcacdst@gmail.com and with the student’s name as the subject. Official transcripts in a sealed envelope with the signature of the school official across the raised seal may be requested at a later date.
I, blanks* (name) declare that the information I have provided in this application is correct and complete. I understand that omission or falsification of information will result in the rejection of this application and disqualification for the scholarship.
Applicant Signature *

Clear
Applicant Signature Date *

Month Day Year
Parent/Guardian Signature *

Clear
Parent/Guardian Signature Date *

Month Day Year
Use this checklist to ensure that your application packet is complete.

General Information Activities, Community Service, Honors & Awards, and Employment 250 -500 Word Essay Photo Applicant Declaration Requested two (2) individuals that will write and submit a letter of recommendation and provide submission information Requested Transcript to be submitted
Submit the completed application packet no later than Saturday, February 19, 2022. Direct any questions to scholarlcacdst@gmail.com.

HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED.
Should be Empty:

LOUDOUN COUNTY ALUMNAE CHAPTER Delta Sigma Theta Sorority, Incorporated

A. General Information

College/University Aspirations

B. Activities, Community Service, Honors, & Employment

C. ESSAY

D. Photo and Name Authorizations

E. Recommendations

F. Electronic Transcript

HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED.