Southfield Kappa Foundation 2025

1

Please enter your First and Last name.* This field is required.

First Name

Last Name

2

Please enter the Email Address you would like us to reach you at.* This field is required.

example@example.com

3

Please enter the Phone Number that makes you easily reachable.* This field is required.

Please enter a valid phone number.

5

Please select which box most applies to you.* This field is required.

New Scholarship Applicant

Returning Scholarship Winner

Kappa Leaguer

Senior Kappa League Scholar of 2025

Brian Jefferson Memorial Scholarship Returning Scholarship Winner

I don't know

6

Please enter the full name of the high school you attend/attended.* This field is required.

7

If you are attending a college or university, please enter it's full name.

8

If you are attending a college or university, please select the option that will most likely apply to you.

In the Fall of 2025, I will be a Sophomore or 2nd Year in College

In the Fall of 2025, I will be a Junior or 3rd Year in College

In the Fall of 2025, I will be a Senior of 4th Year in College

I don't know

9

Please give the information of one Parent/Guardian.* This field is required.

Parent/Guardian First and Last Name

Parent/Guardian Phone Number

Parent/Guardian Email