DSTWAC Scholarship Application 2025

Westchester Alumnae Chapter

Delta Sigma Theta Sorority, Inc.

Scholarship Application 2024-2025

Application deadline is March 7, 2025
PERSONAL DATA

The cell # and email address used must be the applicant's personal contact; a school email address cannot be used.
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number (Home)*
Phone Number (Cell)*
Permanent Email Address (do not use your school email)*
example@example.com
PARENT/GUARDIAN INFORMATION

	Name	Email (example@example.com)	Phone (Indicate Home or Cell)	Occupation
Parent/Guardian
Parent/Guardian

POTENTIAL COLLEGE / UNIVERSITY

OTHER SCHOLARSHIPS/FINANCIAL AWARDS

List any other scholarships or financial awards applied for or received.

	Gifts, Awards, & Scholarships	Term of Award (1 year, 4 years, renewable)	Total Amount of the Award ($)
1.
2.
3.

COMMUNITY SERVICE ACTIVITIES

(All sections below must be completed)
In order of importance, list two community service activities in which you have been involved. Include dates of involvement, roles and responsibilities, and any leadership positions, or memberships you have held.

	Community Service Activity	Dates of Involvement	Frequency Ex: (Once, yearly, 2x/week)	Role/Responsibility/Office Held Ex: (tutor, member, president)
1.
2.

Financial Need Statement (Optional)

Please do not submit tax forms or FAFSA.
Optional:
Please use this link to upload a separate letter explaining your financial need or any special circumstances you would like the committee to consider. Be sure your name is on the letter.
Please confirm your choice for submitting a financial need statement:*
File Upload

Cancelof

I have included with this application all of the requested documents and forwarded the request(s) for the official transcript and letters of recommendation. If selected, I am willing to appear for a panel interview via in-person or videoconferencing. I agree to be photographed for the organization’s purposes only and will forward any additional information if necessary. I agree to accept the decision of the Scholarship Committee of Westchester Alumnae Chapter, Delta Sigma Theta Sorority, Incorporated. I hereby declare that all the above statements are true.
DECLARATION
Applicant's Signature*
Printed signature accepted as an electronic signature
Date Completed *

MonthDayYear
Applicant
Parent's Signature*
Printed signature accepted as an electronic signature
Date Completed *

MonthDayYear
Parent
Should be Empty:

PERSONAL DATA