The Alpha Esquires Program Application

The Alpha Esquires Program Application

Alpha Phi Alpha Fraternity, Inc. Kappa Psi Lambda Chapter Kalamazoo Michigan
Deadline to apply is Sunday May 31st, 2026 11:59pm

Eligible grades: 7th- 11th grade

Prepare a 250 word written essay on Why you Want to Be an Alpha Esquire? What do you hope to gain from the Alpha Esquire program? And What are your academic and career goals?

Please Submit your Essay Below
Full Name*

First NameLast Name
Alpha Esquire Essay*

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Photo Headshot*

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Date of Birth*

MonthDayYear
Date
Age*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
E-mail*
example@example.com
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Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current School*
7th Grade8th GradeFreshmanSophomoreJuniorSenior
Current GPA*
Parent/Guardian Information*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Medical Information/ Does the applicant have any medical condition(s) or take any medication(s)?*
I consent for the release of any media production related to my voice, picture and/or likeness and reproductions in any form with or without alterations or omissions by Alpha Esquires program of Kalamazoo, for the purpose of advertising, purpose of trade or for such purposes of a similar nature as it may be deemed necessary and advantageous. This release is irrevocable.
I understand that involving my son in the community is an integral part of programming for the Alpha Esquires program. I grant permission to the staff to take my son into the community for educational, vocational, and social/recreational activities. This may include the use of various transportation modes including but not limited to public transportation, chartered bus, or agency vehicle. I understand notices will be sent to me regarding each scheduled activity. If there is a specific event, I do not want my son to participate I may call or write to revoke my permission. My permission as expressed in this release is valid for the duration of my child’s enrollment in the Alpha Esquire program.
Applicant Signature*

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Parent/Guardian Signature*

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