Delta Gems Application

DELTA GEMS Membership Application

Application Deadline - September 7, 2025
Selection Process:
- Completed applications and a copy of an unofficial transcript MUST be received by September 7, 2025 or you will not be considered for participation. •
- If you have any questions, please email oscadstgems@gmail.com
If selected to become a member of the DELTA GEMS Program sponsored by Oklahoma Sooner City Alumnae Chapter of Delta Sigma Theta Sorority, Inc., I understand and agree to the following guidelines and expectations:
- Participation in the Membership Orientation is mandatory.
- Involvement and participation in all DELTA GEMS activities are governed under the auspices of Oklahoma Sooner City Alumnae Chapter of Delta Sigma Theta Sorority, Inc., DELTA GEMS Code of Conduct, Officers, and Committee Chairpersons.
- Participation is strictly voluntary and requires a strong level of commitment.
- Participants in good standing may continue membership until high school graduation.
- Attendance at all regularly scheduled meetings (currently the second Saturday in each month from 10:00 a.m.—11:30 a.m at the Belle Isle Library (5501 N Villa Ave, Oklahoma City, OK 73112) ; occasional Saturday workshops/community service times may vary) and other planned activities are expected.
- A 2.5 or better grade point average will be required and maintained. *Appropriate behavior becoming of a lady should be exemplified at all times.
I. Personal Data

Tell us about yourself
Full Name*

First NameLast Name
Birthdate*

MonthDayYear
Home Phone*
Cell Phone*
Email *
Where the confirmation will be send to
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current School
Grade
Current GPA
Do you work Part Time? If so, where and how many hours do you work per week?
If not, do you have plans to get a job?
Activities & Honors: Describe your involvement in extracurricular school activities and community service. Provide a brief overview of any special awards received for academics, philanthropic, athletic and/or achievements.

0/300
Parent(s)/Guardian(s) Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Is your mother/grandmother a member of Delta Sigma Theta Sorority, Inc.?
Have you participated in any other Delta GEMS program?
Do you currently have a sibling participating in a Delta GEMS program?
Have you participated with Delta Academy?
In 250 words or less, tell us what you can contribute to the program and what you hope to gain from the DELTA GEMS Program?
Medical Information
Name

First NameLast Name
Date

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact
Hospital Preference
Medications
Allergies
Other Pertinent Medical Information
Agreement to Participate
We have read and agree with the information provided for the DELTA GEMS Program sponsored by Oklahoma Sooner City Alumnae Chapter of Delta Sigma Theta Sorority, Inc. If (our/my) child is selected for membership into the DELTA GEMS Program, please accept (our/my) signature(s) as (our/my) consent to have her participate. You may count on (us/me) for support and assistance whenever appropriate.
Student Signature

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Parent/Guardian Signature

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Is your application complete? Please make sure you have all parts of your application packet listed below included before mailing:
- Application
- Unofficial Transcript
*Please email completed application by September 7, 2025 to oscadstgems@gmail.com

DELTA GEMS Membership Application

I. Personal Data

Medical Information

Agreement to Participate