Bradenton Alumnae Chapter of Delta Sigma Theta Sorority, Inc Delta Academy Application - 2024-25
Application Deadline Friday, September 13, 2024
Academy Membership
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Returning Delta AcademyMember
New Delta Academy Member Applicant
1. Personal
Name
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First Name
Last Name
Date of Birth
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Month
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Day
Year
Date
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
CONTACT INFORMATION
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PARENT/GUARDIAN INFORMATION
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ADDITIONAL EMERGENCY CONTACT INFORMATION
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SCHOOL INFORMATION
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Special Interest and/or Skills:
Writing
Computers/Technology
Dance
Math
Music
Reading
Science
Sports
Theatre
Video Games
Other
Describe your involvement in extracurricular activities (including community/church/school activities, public service projects and interests).
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Essay
Write a short essay explaining what you hope to gain from being a participant of Delta Academy. (Essay not required for returning members).
Please provide a letter of recommendation from a non-family member.
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Name of person providing recommendation
First and Last Name
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and phone number
Phone number
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Signature
Release Authorization and Certification of Accuracy
I HEREBY AUTHORIZE RELEASE OF ANY INFORMATION SHOWN ON THIS APPLICATION, REFERENCES AS MAY BE CONTACTED BY THE SCHOLARSHIP COMMITTEE. I CERTIFY ALL INFORMATION PROVIDED HERE TO BE TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE.
Applicant Signature
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Parent/Guardian Signature
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