Local Scholarship Application Form

West Chester-Coatesville Chapter of Kappa Alpha Psi Fraternity, Inc. - Academic Scholarships

The West Chester-Coatesville Chapter of Kappa Alpha Psi Fraternity, Incorporated is committed to helping African American high school seniors pursue and maintain academic excellence. We believe in ensuring that young peoople have access to financial resources required to obtain a college degree. The West Chester-Coatesville Scholarship Program offers up to three annual scholarship awards. Scholarships are available to students attending a public high school within Chester County, PA. To be eligible to receive an award, recipients must have (1) a grade point average of at least 2.5 (based on a 4.0 scale) and (2) enroll in a full-time program at an accredited college, university or trade school during the 2024-2025 academic year. Additional qualification details are included within the application. We are pleased to present the 2024 West Chester-Coatesville application to you!
APPLICATION - BASIC INFORMATION

SUBMISSION DEADLINE IS FRIDAY, APRIL 26, 2024 ; ONLY ELECTRONIC APPLICATIONS WILL BE ACCEPTED.
Student's Full / Legal Name*

First NameLast Name
Student Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Phone Number*
Student E-mail*
example@example.com
Student Birth Date

MonthDayYear
Academics
Academic GPA *
Current copy of your high school transcript

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Schools to which you are applying
School 1
School 2
School 3
PERSONAL DATA:
REFERENCES:

Please provide two letters of recommendation: 1) from a teacher, counselor, principal, minister, employer, or organizational sponsor and (2) from a community leader, volunteer leader, or organizational sponsor. The same category is not eligible to be used for both letters.
Reference 1 Name (Position,Phone Number, email)
Reference 2 Name (Position,Phone Number, email)
SCHOOL / COMMUNITY ACTIVITIES / WORK / EXPERIENCE/SPORTS/AWARDS/ETC:

List name of club, etc. and years of participation. If you volunteered, list the name of organization and the number of hours, weeks and years that you volunteered. If you worked, list the company, hours per week and length of time. Attach an additional sheet or resume if necessary.
School Activities (not sports)
School Activities (not sports)
School Activities (not sports)
Community Service / Volunteer Activities 1 (at school)
Community Service / Volunteer Activities 2 (outside of school)
Community Service / Volunteer Activities 3 (outside of school)
Sports Participation 1
Sports Participation 2
Will you be participating in a sport(s) this year?

YesNo
Travel Experience or Unusual Experiences (study abroad, etc.)
School / Community Awards and Honors 1 (no matter how small) CSF, GSE, National Honor Society, Girl/Boy Scouts, 4-H, Governor’s Scholar, etc.
School / Community Awards and Honors 2
School / Community Awards and Honors 3
EMPLOYMENT 1: List past and present work and length of time employed.
EMPLOYMENT 2: List past and present work and length of time employed.
Attach an additional sheet or resume

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Please include information below for your parents or caregivers.
Father/Guardian Name
Father/Guardian Employer and Occupation
Mother/Guardian Name
Mother/Guardian Employer and Occupation:
First generation to attend college?

YesNo

SCHOLARSHIP RECEIVED TO DATE 1
AMOUNT 1
SCHOLARSHIP RECEIVED TO DATE 2
AMOUNT 2
STUDENT STATEMENT: In a few sentences, describe yourself .*

Please upload below a one page essay highlighting your community service, leadership activities, and college and career goals uploaded upon submission of your application. The essay shoud be typed with size 14 Times New Roman font and one inch margins.
File Upload

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Student Signature

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Parent Signature

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West Chester-Coatesville Chapter of Kappa Alpha Psi Fraternity, Inc. - Academic Scholarships

APPLICATION - BASIC INFORMATION

Academics

Schools to which you are applying

PERSONAL DATA:

REFERENCES:

SCHOOL / COMMUNITY ACTIVITIES / WORK / EXPERIENCE/SPORTS/AWARDS/ETC:

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