HCAC 2025 Scholarship Application Form

HCAC Scholarship Application Form

Application Deadline: 2/9/2025
Read and follow the instructions carefully prior to submitting your application.

Delta Sigma Theta Sorority, Incorporated (DST) is a public service organization.

HCAC grants both needs-based and merit scholarships.

Henry County Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated will not accept or consider incomplete, late, emailed, or faxed copies of the application, or application packets containing unofficial transcripts and/or handwritten essays.

Children of members of Delta Sigmat Theta Sorority Incorporated are not eligible to apply.
Application Checklist
- Completed, signed and dated application
- Personal Data Sheet
- 1 Letter of Recommendation from a Teacher, Counselor or Administrator
- 1 Letter of Recommendation (Non-Related person of choice, not from school)
- Essay (1-2 pages typed, 12-pt font, double-spaced)
- Official transcript (first semester grades of senior year)
Scholarship Eligibility Requirements
Scholarship Eligibility Requirements
Applicants must be a graduating high school senior with a minimum 2.75 cumulative numerical grade point average and attend a public or private Henry County school.

Henry County Alumnae Chapter of Delta Sigma Theta Sorority, Inc. will only award scholarship funds upon receipt of official acceptance and enrollment documentation from a two or four-year accredited college or university. Enrollment must occur during the first semester of the upcoming school year.

A complete application packet should include the following:

1. Application/Personal Data Sheet— completed, signed and typed. Do NOT submit a handwritten application.

2. An Official High School Transcript— includes first semester grades of the senior year and the school official seal.

3. Two (2) Letters of Recommendation—One (1) letter from a teacher, counselor or administrator on official letterhead and one (1) letter from a non-related individual whom you select from your community.

4. ESSAY – 1-2 pages, typed using a 12-point font, and double-spaced.

Topic selected is one of the three choices below:
- My career goals and how they will impact my community.
- A person who has made a significant impact on my life and why.
- An obstacle that I have overcome and how the experience will assist in accomplishing my goals.
Children of members of Delta Sigma Theta Sorority, Inc. are not eligible to apply.
Scholarship Selection Process
Scholarship Selection Process
All complete application packets will be reviewed, evaluated, and rated by a panel committee.

Candidates will be rated on:
Academic Achievement, Educational Goals/Career Plans, Extra-Curricular Activities, Essay, Interview, Leadership and Community Service
Interview Attire

If you are selected for an interview, please be advised that business attire is required.
Scholarship Deadline
Application, documents and transcripts must be uploaded/submitted or mailed by

2/9/2025

Henry County Alumnae Chapter

Delta Sigma Theta Sorority, Inc.

P.O. Box 787

McDonough, GA 30253-0787
Instructions/Tips for completing this online application

A) Please ensure you thoroughly complete this application.

B) All documents must be uploaded at the time of submission.

C) There is no option to save your application and submit it later.

D) Multiple submissions will be disqualified.

E) For required [*] fields that do not apply to you, please place "N/A" in those fields.

If you have questions regarding submitting your scholarship application prior to completing it, please email: Scholarship@hcacdst.org
Check off this list BEFORE YOU SUBMIT!
- Completed, signed and dated application
- Personal Data Sheet
- 1 Letter of Recommendation (Teacher, Counselor or Administrator) on school's letterhead
- 1 Letter of Recommendation (non-related person of choice, not from school)
- Essay (1-2 pages typed, 12-pt font, double-spaced)
- Official transcript (first semester grades of senior year) school seal.
Scholarship Applicant Acknowledgement
Read and Understand the instructions.*

Yes, I have read and understand the instructions, checklist and scholarship deadline

I. Personal Information:

If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence, award agreements and awards will be generated from the personal information submitted below. Please ensure all information is accurate and current, using proper spelling, capitalization and punctuation.
Full Name*

First NameMiddle NameLast NameSuffix
High School : *
Social Security Number: (no dashes) *
Signature*

Clear
Please sign stating that you have read, understand and acknowledge that the use of your Social Security Number will only be for the purposes of the Henry County Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated Scholarship.
Place of Birth*
Birth Date:*

MonthDayYear
Home Number :*

Area CodePhone Number
Mobile Number :*

Area CodePhone Number
Alternate Number :*

Area CodePhone Number
Are you a US citizen?*

YesNo
Do you speak English as a second language?*

YesNo
E-mail :*
This email should be the email where your application confirmation will be sent to.
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Permanent Mailing Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact :*

Name

Street Address

CityState / Province

Postal / Zip Code
Emergency Contact Phone Number:*

Area CodePhone Number
Status at the time of application:

I will graduate from high school in May 2025I will be an incoming freshman graduating high school prior to 2025I am a GED graduate with no college credit hours

School Information
Name of High School : *
Grades Attended : *
Cumulative/Numerical Grade Point Average *
Weighted
Cumulative/Numerical Grade Point Average *
Unweighted
Do you currently have an Individualized Education Plan (IEP) or 504 Plan?*

YesNoOther
Do you have a disability?*

YesNoOther
If you have a disability, please explain here: *
High School Address : *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you attend a vocational school or are you participating in dual enrollment?*

YesNoOther
Name of Vocational or Dual Enrollment School/Program
If you answered 'Yes' to attending a Vocational School or Dual Enrollment, please list the address : *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Phone :*

Area CodePhone Number
School FAX :

Area CodePhone Number
Your Counselor's Name : *
Previous High School Attended (if different from current school) :
Place "N/A" in this field if it does not apply to you
Previous High School Address :

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Middle School you attended :*
Address of Middle School you attended : *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Work Experience
Please List Your Work Experience here starting with your most recent role (Role, Month/Year, Responsibilities) ex. Student Teacher May 2025-Present Responsible for student lesson plans and assisting lead teacher as needed) *
Place "N/A" in this field if it does not apply to you

Personal Data Sheet

For each year of high school, list the activities and clubs you have been involved in and any leadership positions you held. Include extra-curricular and community activities; honors, awards and recognition. Include any cultural experiences and/or activities, and work experience.
FRESHMAN*
SOPHOMORE*
JUNIOR*
SENIOR*

Essay

This section allows you to upload your 1-2 pages typed, 12-pt font, double spaced, Word document Essay. Do not upload any video files, graphical imagery, slideshows or website URLs. An upload of any document other than a Word file will automatically disqualify your scholarship application.
Your Essay should be: 1-2 pages typed, 12-pt font, double spaced Word document.

Topic selected is one of the three choices below:
- My career goals and how they will impact my community
- A person who has made a significant impact on my life and why
- An obstacle that I have overcome and how the experience will enhance my endeavors
Upload your WORD document Essay > Click Browse Files

Browse Files
All files must follow the following file name sequence: First Name Last Name_High School_Grade Level_DESCRIPTION OF FILE [i.e. Reference Letter, Essay etc.] Cancelof
Essay:*

Recommendations Upload Section

This section allows you to upload your: 2 letters of recommendations
Browse Files
All files must follow the following file name sequence: First Name Last Name_High School_Grade Level_DESCRIPTION OF FILE [i.e. Reference Letter, Essay, Lunch Letter etc.] Cancelof

Official Transcript Upload Section

This section allows you to upload your official transcript with the seal
Browse Files
All files must follow the following file name sequence: First Name Last Name_High School_Grade Level_DESCRIPTION OF FILE [i.e. Reference --Letter, Essay, Lunch Letter, Official Transcript etc.] Cancelof

Lunch Letter (if applicable)

This section allows you to upload your Free Lunch Letter on official letterhead [If you receive free or reduced lunch, upload a letter of verification on school letterhead from an administrator or cafeteria manager]
Browse Files
All files must follow the following file name sequence: First Name Last Name_High School_Grade Level_DESCRIPTION OF FILE [i.e. Reference --Letter, Essay, Lunch Letter, Official Transcript etc.] Cancelof

Applicant's E-Signature

By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
I certify that the information that I have provided in this application is true and complete to the best of my knowledge. I fully realize that omission and/or falsification of information will be sufficient reason for rejection of my application.
Name*

First NameMiddle NameLast NameSuffix
E-Signature*

Clear
Use your mouse to e-sign the signature box
You MUST click the button below in order to submit your HCAC DST Scholarship Application.
Henry County Alumnae Chapter is committed to equal opportunity in employment and education. HCAC does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
Should be Empty:

HCAC Scholarship Application Form

Application Checklist

Scholarship Eligibility Requirements

Scholarship Selection Process

Scholarship Deadline

Scholarship Applicant Acknowledgement

I. Personal Information:

School Information

Work Experience

College Plans

Parent/Family and Demographical Information

Personal Data Sheet

Essay

Recommendations Upload Section

Official Transcript Upload Section

Lunch Letter (if applicable)

Applicant's E-Signature