Kappa Alpha Psi Jacksonville Foundation, Inc. 2023 Scholarship Application

2023 Scholarship Application

Deadline Tuesday, February 28, 2023
Kappa Alpha Psi Jacksonville Foundation, Inc.
“Guide Right, Scholarship and Youth Development”
Post Office Box 11225
Jacksonville, Florida 32239-1225
kappajaxfoundation.org
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
The application must be completed in one sitting. You do not have the ability to save the application and return to it later.

You will need the following pieces of information to upload to your application:
- Essay 1 – Why is education important to you? (300 words or less)
- Essay 2 – If you have just been elected President of the United States, then what would be the most urgent thing on your agenda and why? (300 words or less)
- Copy of ACT, SAT, or PERT Scores. An unofficial copy is acceptable.
- Copy of High School Transcript. An unofficial copy is acceptable for the application. An official copy will be required if selected for an interview.
- Two Letters of Recommendation
  - One from a teacher, counselor, or school administrator
  - One from a personal reference
- Résumé detailing employment and/or volunteer experience including the nature of the work performed
- A document detailing any extra curricular activities, scholastic honors and awards that you have received
- A Photo of you in Business or Semi-Formal Attire
Thank you for your interest in our scholarship program.

Dr. Mel Johnson-Norwood, Chair,
Scholarship Committee

JohnsonNorwood@outlook.com

Student Applicant's Name*

First NameMiddle NameLast NameSuffix
Student Applicant's Gender*
Gender
Home Phone Number*
Cell Phone Number
Place of Birth*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Date of Birth*

MonthDayYear
Date of Birth
Student's Email Address*
example@example.com
Are you now or have you ever been a member of the Jacksonville (FL) Alumni Chapter Kappa League Program?*
Kappa League

Household Information

The following questions pertain to your Parent(s)/Guardian(s) and other members of your household
Father/Male Guardian

First NameMiddle NameLast NameSuffix
Father/Male Guardian's Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Father/Male Guardian's Occupation
Occupation
Father/Male Guardian's Employer
Employer
Mother/Female Guardian

First NameMiddle NameLast Name
Mother/Female Guardian's Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Mother/Female Guardian's Occupation
Occupation
Mother/Female Guardian's Employer
Employer
Provide the Name, Age, and Relationship to you of all other members of your household.
Name, Age, Relationship
Discuss any special or extenuating circumstances that you would like the committee to consider.
Special Circumstances

Academic Information
List all schools attended during the past two years
Name of High School*
Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of High School
Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Highest ACT Score
ACT
Highest SAT Score
SAT
Cumulative Unweighted GPA*
GPA on 4.00 Scale
Cumulative Weighted GPA
GPA on a Weighted Scale
Number of Honors/AP/IB Courses Completed*
Advanced Courses
List up to three of the Colleges and/or Universities to which you have applied:
Name of School*
College or University
Location*

Street Address

Street Address Line 2

CityState

Zip Code
Field of Study*
Major
Have you been accepted to this school?*
Acceptance
Upload a copy of the acceptance letter or email.*

Browse Files

Cancelof
Name of School
College or University
Location

Street Address

Street Address Line 2

CityState

Zip Code
Field of Study
Major
Have you been accepted to this school?
Acceptance
Upload a copy of the acceptance letter or email.*

Browse Files

Cancelof
Name of School
College or University
Location

Street Address

Street Address Line 2

CityState

Zip Code
Field of Study
Major
Have you been accepted to this school?
Acceptance
Upload a copy of the acceptance letter or email.*

Browse Files

Cancelof

Upload a copy of your resume. This document should include your employment history, approximate hours per week, and nature of work. *
Resume
Upload a document detailing any extra curricular activities, scholastic honors and awards that you have received*
Activities
Prepare an essay of no more than 300 words per essay responding to the questions below.
Why is education important to you?*
Essay 1
If you have just been elected President of the United States, what would be the most urgent thing on your agenda and why?*
Essay 2

Upload a copy of your high school transcript. *
Transcript
Upload a copy of any ACT, SAT, or PERT scores.

Browse Files
Test scores Cancelof
Provide two letters of recommendation. One letter must be from a teacher or school administrator and one letter must be from a personal reference. Please be certain that each letter has the reference's name, address and phone number. References should also included how long they have known you and in what context.
Teacher or School Administrator Recommendation*
Recommendation 1
Personal Reference Recommendation*
Recommendation 2
Upload a Photo of you in Business or Semi-Formal Attire*
Photo

Statement of Understanding
I certify that everything I have stated and reported in this application is correct to the best of my knowledge at this time. I understand that the Kappa Alpha Psi Jacksonville Foundation, Inc. will retain this application and its enclosures whether or not I am successful in receiving a scholarship. I further agree that all decisions made by the selection committee will be final.

Additionally, I understand that I must attend the Scholarship Awards Ceremony in order to maintain eligibility for the award.
Signature of Applicant
Date*

MonthDayYear
Date
Signature of Parent/Guardian
Date*

MonthDayYear
Date
Should be Empty:

2023 Scholarship Application

Household Information

Academic Information

Statement of Understanding