2023 Application Form - Scholarship Award

Thank you for your interest in applying for a $1,000 LTA Foundation Scholarship.
Please answer all questions prior to submitting your application.

The ideal candidate is one who demonstrates:

1. Academic success via a cumulative GPA no less than 2.8
2. Active involvement in making an impact on the community outside of their profession/job duties
3. Enrollment at a higher learning institution in Fall 2023

If selected, the following may be requested:

1. Participate in a phone interview
2. Provide a video testimonial
3. Be asked for documentation to support the data you provided in your application

While not required, recipients will be highly encouraged to attend the Lambda Theta Alpha National Convention Awards Ceremony during the 2023 National Convention taking place June 30-July 2 in Baltimore, MD.

Please note that all amounts awarded will be paid directly to the institution where the award winner is enrolled. No payments will be made directly to the award winner.

I have read and understand the instructions and understand that not following the directions provided and/or providing all information requested below will disqualify my application.*

Yes

Full Name:*

First NameLast Name

Pronouns:

Birthdate:*

MonthDayYear

Telephone Number:*

Area CodePhone Number

Mailing Address:*

Street Address

Street Address Line 2

CityState/Province

Postal/Zip CodeCountry

E-mail:*

Where the confirmation will be send to

Gender:

Race (Choose one or more):

Military Status (Check all that apply):

Are you the first in your family (between parents and grandparents) to attend college?

YesNo

Are you a member of Lambda Theta Alpha Latin Sorority, Incorporated?*

YesNo

If yes, provide the Chapter, Semester and Year initiated

Are you a member of another Fraternal Organization?

YesNo

If yes, please provide the name of the Organization:

Degree:

School Attended:

Year of Graduation:

ENROLLMENT STATUS (at the time of application):*

High School studentUndergraduate student enrolled full time (as determined by credit hours)Undergraduate student enrolled part time (as determined by credit hours)Graduate student enrolled full time (as determined by credit hours)Graduate student enrolled part time (as determined by credit hours)Doctoral student

School:*

Degree (Diploma, Ba/MS/PhD, etc):*

Major/Area of Study:*

Specialization:

Anticipated Date of Graduation:

Current GPA:*

Student ID:*

Student ID for the Institution you will attend in Fall 2023

Office of Registrar Email Address:*

Office of (intended institution) Bursar or Cashier address:*

Note: This address should be the full address of the institution to which payment will be mailed. If a full address is not provided you will forfeit your award.

School activities, honors, offices held, etc. *

Please Provide Specific Details On Your Community Involvement (300 Words Maximum) Note: Community Involvement should be outside the duties of your employment:*

How Do You Want To Impact The Community In The Future? (300 Words Maximum)*

What Would It Mean For You To Receive This Award? (300 Words Maximum)*

Submit Your Resume*

Submit Your Headshot*

Attach Transcript (unofficial or official)*

If You Would Like To, Submit A Short Video Describing How You Have Made An Impact Or How You Plan On Advancing Your Community

Upload video here

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.

The Lambda Theta Alpha Foundation, Inc. is committed to equal opportunity in employment and education. The Foundation does not discriminate on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.

The Lambda Theta Alpha Foundation's mission is to advance the community through humanitarian relief, educational programming, and scholarship. Please visit our website for additional information.

LTA Foundation Scholarship Application

I. Personal Data:

II. Highest Level Of Education Achieved:

III. Current Enrollment:

IV. Community Involvement:

V. Extras:

VII. Applicant's E-Signature