Form
Cynthia Porter Scholarship
Basic Information: Please print or type your answers. Incomplete applications will not be considered.
May apply for more than one:
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Undergraduate Student (any major)
Undergraduate Student at Chicago State University and/or any undergraduate universities
TAZ Offspring (this option for active chapter member children only)
Omicron Kappa Chapter (current member)
Name
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First Name
Last Name
Address (Must be an Illinois resident)
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Date of Birth
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Month
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Day
Year
Date
Parent or Guardian
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First Name
Last Name
Parent or Guardian phone number
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Please enter a valid phone number.
Current University/College
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Number of years attended
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Major
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Grade Point Average (GPA) - Applicant must have a minimum G.P.A of 2.75 (cumulative) on a 4.0 scale or minimum of 3.75 (cumulative) on a 5.0 scale.
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Proof of Enrollment: Must be from the above school and is required prior to receipt of funds.
I will be entering the above-mentioned university as a (selected one only)
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Freshman
Sophomore
Junior
1st Semester Senior
Official Transcripts (must be mailed or emailed directly from institution or school administrator attention to "Scholarship Committee")
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I will mail my sealed official transcripts to: Zeta Phi Beta Sorority, Inc. Tau Alpha Zeta Chapter P.O. Box 570, Richton Park, IL 60471
I will have my official transcripts emailed to: TAZSCHOLARSHIP1920@gmail.com (must be emailed by a school administrator and/or designee.)
Two Letters of Recommendation (please make sure your full name is included and the attention is made to "Scholarship Committee")
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I will mail my Letters of Recommendation to: Zeta Phi Beta Sorority, Inc. Tau Alpha Zeta Chapter P.O. Box 570, Richton Park, IL 60471
I will email my Letters of Recommendation to: TAZSCHOLARSHIP1920@gmail.com
Academic and Scholastic Information
Please type the following questions and corresponding answers.
Personal Essay (The essay should contain biographical (background) information to tell the reader about you and your scholarship need.
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500 words or less
0/500
List your academic honors, awards, and membership activities while in high school and college.
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List your community service activities, hobbies, outside interests, and extracurricular activities.
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What are your educational and professional goals and objectives?
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Select one of the topics below to address in your personal essay:
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How have you worked in your life to make a positive difference?
Where are you in your life now and where do you want to go?
What does sisterhood/brotherhood mean to you? Why do you feel this way?
What are your views on the social injustices in America and what changes, if any, do you think should be made?
I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I also consent that my picture may be taken and used for any purpose deemed necessary to promote the scholarship program. I hereby understand that if chosen as a scholarship winner, per Zeta Phi Beta Sorority, Inc., Tau Alpha Zeta Chapter policy, I must provide evidence of enrollment/registration at the post-secondary institution of my choice.
Signature
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Forfeit of Scholarship: Tau Alpha Zeta Chapter will provide funds directly to the institution. If selected to receive this scholarship and a different full scholarship is received, this scholarship will be forfeited.
Submit
Submit
Email
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example@example.com
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