Marie Mallory Ackord Golden Legacy Charter Members Scholarship Application

Marie Mallory Ackord Golden Legacy Charter Members Scholarship Application
Each applicant must:
- be of African descent and a graduating senior from any Lee County or Charlotte County High School,
- have a GPA of 3.0 or better on a 4.0 grading scale,
- have been accepted to and will attend either a trade/vocational school, 2-year post-secondary school, four-year university or will attend a community college, and
- submit the completed application form and supplemental document by the deadline date.
Key Dates:

Application Deadline - April 15, 2026
Finalists Notified - by April 22, 2026
Interviews for Finalist - April 27- May 1, 2026
Scholarship Awards Ceremony - May 16, 2026

For more information regarding the Scholarship Program, please contact Mrs. Annette Booker at fmacscholars@gmail.com.

To learn more about our national organization, go to www.deltasigmatheta.org.

* ALERT: Applicant, remember to review your application to make sure that it is completed in its entirety before submitting. Incomplete applications will not be accepted.
*PART I: PERSONAL DATA
FemaleMale
Name*

First NameMiddle NameLast Name
Mobile Number*

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Name(s):*
Parent/Guardian Email:*
example@example.com
Parent/Guardian Name(s) and Phone Number: *
Please include name and phone number.
*PART II: LEADERSHIP ROLES, EXTRA CURRICULAR and COMMUNITY SERVICE ACTIVITIES

Briefly describe any leadership roles and extracurricular and community service activities in which you have been involved. Please specify the position or office held, if any, and number of years of participation.
*PART III: HONORS, AWARDS, and RECOGNITIONS

Please list and provide a brief description of each. (Indicate N/A if none)
*PART IV: SHORT ESSAY

Your essay should be 300 - 500 words in length. You should address these points:
- Your college goals and choice of a major
- Why a scholarship is important to you
- Any academic and non-academic accomplishments
- Personal characteristics, or experiences that make you UNIQUELY worthy of consideration for the Golden Legacy Scholarship
Close your essay with an answer to this question: What kind of Legacy do you hope to leave to your community?
*PART V: OTHER UNIQUE INFORMATION THAT YOU WISH TO SHARE ABOUT YOURSELF THAT SHOULD BE CONSIDERED IN SCORING YOUR APPLICATION.

Note: Award recipients are selected on the Basis of Academic Merit and Achievement, not financial need. (If none indicate)
*PART VI: HIGH SCHOOL INFORMATION

Note: Award recipients are selected on the Basis of Academic Merit and Achievement, not financial need. (If none indicate)
Expected Graduation Date:*
Most recent cumulative GPA*
Name of School*
* PART VII: PLEASE UPLOAD THE INFORMATION LISTED BELOW
Transcript *

Browse Files

Cancelof
ACT/SAT/CLT score*

Browse Files

Cancelof
Acceptance letter from a college/university or post-secondary institution*

Browse Files

Cancelof
Letter of recommendation from school official (on school letterhead)*

Browse Files

Cancelof
Letter of recommendation from a person in the community. Letter must include name, title, affiliation with applicant (not a relative), and contact information.*

Browse Files

Cancelof
Year Book Photo or Professional Headshot with signed waiver for release of photo (if needed for publication)*

Browse Files

Cancelof
* ALERT: Applicant, remember to review your application to make sure that it is completed in its entirety before submitting. Incomplete applications will not be accepted.
Should be Empty: