Clone of Delta Academy/Delta GEMS 2023-2024 Application Template

Delta Academy/Delta G.E.M.S 2025-2026 Application Form

Delta Sigma Theta Sorority, Inc. Murrieta-Temecula Area Alumnae Chapter
RSVP for September 17th Orientation *
Delta Academy (girls 11-14) or Delta G.E.M.S (girls 14-18)
Applying for Program*
Delta Academy (girls 11-14) or Delta G.E.M.S (girls 14-18)
Participants Personal Information
Name*

First NameMiddle NameLast Name
Birthdate*

MonthDayYear
Date
Birthplace
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Participant Phone Number*

Area CodePhone Number
Participant Email*
example@example.com
Parents Information - Please enter Parents Informaiton ONLY Below
Parent/Guardian*

First NameLast Name
Parent/Guardian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parents Phone Number*

Area CodePhone Number
Parents Email*
example@example.com
Did YOU Enter Parents COntact Information ABove?*

YESNOPLEASE ENSURE PARENTS CONTACT INFORMATION IS LISTED ABOVE
School Information
Name of School*
Address of School*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
This upcoming year would be my: 1st 2nd 3rd 4th year participating in Delta Academy or Detla GEMS*
Is anyone in your family a member of Delta Sigma Theta Sorority, Inc.? Y/N*
T-shirt size: Adult S, Adult M Adult L, Adult XL Adult 2XL*
Emergency Contact
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Application Essay: Why do you want to be a part of Delta Academy/Delta G.e.m.s? What do you hope to learn or gain by participating in this program? (Please Type your essay in at least 150 words in the Field.) Note: Completion of the Essay is mandatory to participate in the program.*
Delta Sigma Theta Sorority, Inc. Murrieta-Temecula Area Alumnae Chapter
Delta Academy for young ladies ages 11-14 who are in Middle School

Delta GEMS for young ladies ages 14-18 who are in High School

2023-2024 Calendar

We Cover the Following Topics Below:

Economic Development
▪ Career Exploration and Money Management

International Awareness and Involvement
▪ Connecting with Women Around the World

Kwanzaa Celebration

Political Awareness and Involvement
▪ Know Your Rights/Social Action

Physical and Mental Health
▪ Knowing Me - Self Esteem /Decision Making/Vision Boards

Field Trip
▪ Young African American Women’s Conference (TBD)

Black College Expo

Educational Development

▪ Science Behind the Choices – Developing Me Body Image and Sexual Health

May
▪ Culmination Program
Should be Empty:

Delta Academy/Delta G.E.M.S 2025-2026 Application Form