2024 -2025 Heroes Application

2024-2025 Salute to Our Young Heroes Application Pontiac Alumnae Chapter Delta Sigma Theta Sorority, Incorporated
Salute to Our Young Heroes Potential Participants and Parents/Guardians:

Delta Sigma Theta Sorority, Inc. is a private, non-profit organization whose purpose is to aid and support through established programs in local communities. Delta Sigma Theta currently sponsors several programs designed to promote the development of our youth including Delta Academy, Delta G.E.M.S and Salute to Our Young Heroes. Salute to Our Young Heroes is a program implemented by the Pontiac Alumnae Chapter of Delta Sigma Theta Sorority, Inc. whose primary focus is on African American males in the 11th or 12th grade.

To participate in the Salute to Young Heroes program interested young men must:
- African American Male High School Junior or Senior
- Reside in our Service Area: Auburn Hills, Bloomfield Hills, Bloomfield Township, Clarkston, Commerce Township, Independence Township, Keego Harbor, Lake Angelus, Lake Orion, Oakland Township, Orchard Lake,Orion Township, Pontiac, Rochester, Rochester Hills, Sylvan Lake, Troy, Walled Lake, Waterford, West Bloomfield, and Wolverine Lake
- Submit a completed application packet
- Submit all applicable consent forms to participate with parental signature
- Submit local and national Code of Conduct with applicant and parental signatures
- Participate in the virtual mandatory applicant/parent orientation
- Participate and be engaged in all meetings, assignments, and special events (Note that those who do not have regular participation, without approved justification, may become ineligible for the remainder of the program year and will not be eligible to attend year end festivities.)
PROGRAM GOALS:
- Instilling the need to excel academically.
- Providing tools that enable young men to sharpen and enhance their skills to achieve high levels of academic success.
- Fostering friendships and bonds among participants that support, challenge, and assist in navigating the pressures of young adulthood
- Assisting young men in proper goal setting when planning for their futures for high school and beyond.
- Creating compassionate, caring, and community minded young men and actively involve them in service advocacy and community service opportunities.
This application must be completed and submitted by SEPTEMBER 7, 2024

Parent and Youth Must Attend Parent Orientation on SEPTEMBER 29, 2024

*Failure to submit a complete application will exclude the application from consideration*

If you have any questions about the program, please feel free to contact Saluteyoungheroes@pontiacdeltas.com

Sincerely,

Jacquelyn A. McClinton, Pontiac Alumnae Chapter President

Cassandra Thomas, Salute to Young Heroes Chair

Andrea Transou, Salute to Young Heroes Co-Chair
Heroes Application

Please answer each of the questions below completely and accurately
Participant's Name

First NameLast Name
Participant's Email
example@example.com
Participant's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date

MonthDayYear
Date
Participant's Phone Number

Area CodePhone Number
Participant's School
Current Grade
Parent/Guardian 1 Name

First NameLast Name
Relationship to Applicant
Parent/Guardian 1 Phone Number

Area CodePhone Number
Parent/Guardian 1 Email
example@example.com
Parent/Guardian 2 Name

First NameLast Name
Relationship to Applicant
Parent/Guardian 2 Phone Number

Area CodePhone Number
Parent/Guardian 2 Email
example@example.com
Do you have an immediate family member of Delta Sigma Theta Sorority, Incorporated?
If yes, please provide name
What extracurricular activities are you involved in (school, community, church)?
Why do you want to participate in the Salute To Our Young Heroes program?
Hero's Polo Shirt Size

Permission Notice and Statement
My child, First Name Last Name has my permission to participate in the
Salute to Young Heroes Program youth enrichment program sponsored by the Pontiac Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated. I understand that if my son is accepted into this program, my son and I must attend the Parent Youth Orientation on September 29, 2024 to continue to participate in this program.
Parent/Guardian Signature (Use your mouse to sign your name)

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Date
I First Name Last Name , agree to actively participate in the Salute to Young Heroes Program that will provide me with enriching experiences and enhance my personal growth. I understand that if I am accepted into this program, I must attend Parent Youth Orientation on September 29, 2024 with my parent or guardian.
Youth Signature (Use your mouse to sign your name)

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Date

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2024-2025 Salute to Our Young Heroes Application Pontiac Alumnae Chapter Delta Sigma Theta Sorority, Incorporated

Heroes Application