Phi Beta Sigma Fraternity, Incorporated
Omicron Alpha Sigma Scholarship Application
Scholarship Overview
Omicron Alpha Sigma Chapter of Phi Beta Sigma Fraternity Inc. will be awarding five $1000 scholarships towards the cost of tuition at an accredited two or four-year college/university to males that come from a low socioeconomic/disadvantage community from the Chicagoland area. To apply for this scholarship the following eligibility and requirements must be met: “B” average; male; current graduating high school senior; demonstrated community involvement (15 volunteer hours); short 250 word essay; official student transcript; letter of recommendation for community service; list of academic achievements, leadership and community engagement.
Name
First Name
Last Name
Email
example@example.com
Home Phone Number
-
Area Code
Phone Number
Mobile Phone Number
-
Area Code
Phone Number
Date of Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Educational Information
High School
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you a senior in high school
Yes
No
Grade Point Average
Anticipated Graduation Date
-
Month
-
Day
Year
Date
High School Leadership Experience
Community Engagement Experience
Academic Achievements
Upload your essay on "How your life has been impacted through community service involvement."
Browse Files
Cancel
of
Upload your student transcripts
Browse Files
Cancel
of
Upload your letter of recommendation to verify your community service involvement
Browse Files
Cancel
of
Back
Next
Parent/Guardian Information
Name of Parent/Guardian
First Name
Last Name
Parent/Guardian's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number
-
Area Code
Phone Number
Mobile Phone Number
-
Area Code
Phone Number
Back
Next
I CERTIFY THAT ALL STATEMENTS OR INFORMATION I HAVE PROVIDED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR THE APPROVAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING AGAIN IN THE FUTURE.
Applicant's Signature
Name of Applicant
First Name
Last Name
Date Signed by Applicant
-
Month
-
Day
Year
Date
Submit
Should be Empty: