2023 Delta Omega Chapter Scholarship Application
Thank you for your interest in the 2023 Delta Omega Chapter Scholarship Application. Deadline for submission is March 30, 2023 at 11: 59 pm.
Date Picker Icon
Street Address Line 2
State / Province
Postal / Zip Code
Cell Phone Number
Home Phone Number
Name of Father/Guardian
Prefer not to say
Employment Company Name
Name of Mother/Guardian
Employment Company Name
Number of brothers in your household and ages
Number of sisters in your household and ages
High School Attending *
Thomas Dale HS
Lloyd C Bird HS
Appomattox Regional Governor's School
Prince George HS
Sussex Central HS
Colonial Heights HS
If other HBCU; please list below
Extracurricular activities, special skills, awards, accomplishments:
List of honors, scholarships, and special recognitions:
List of community service activities and leadership roles held:
List of organizations you are involved in and leadership positions held:
Personal Goal Statement: Please write a short essay of not less than 150 words about your future career aspirations and how this scholarship will enhance your opportunity to meet your goals. Please be specific.
The following items must be attached or included to this application for the application to qualify to be reviewed by the scholarship committee. Check to be sure you have attached or included each item as required.
Three (3) professional letters of recommendation.
Most recent official high school transcript.
Federal Student Aid Report (SAR) or copy of family's most recently completed Federal Income Tax
Personal Goal Statement (Essay)
College you plan to attend
Virginia State University
Virginia Union University
Norfolk State University
Virginia University of Lynchburg
Moral Statement of Accuracy: I certify that I have considered each question carefully and that my statements are true and complete to the best of my knowledge. I understand that my request for a scholarship may be disqualified if any information is found to be untrue. I hereby understand that if chosen as a scholarship winner, according to Alpha Kappa Alpha Sorority, Incorporated®, Delta Omega Chapter policy. I must provide evidence of enrollment /registration at the college or university of my choice before the scholarship will be paid to the institution of higher learning. I understand this scholarship shall only be used for college related expenses. I also consent that my picture may be taken and used for any purpose deemed necessary to promote the Alpha Kappa Alpha Sorority, Inc. Delta Omega Chapter Scholarship Program. (Please Type Your Full Name Below)
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform