Athens Alumnae Chapter Scholarship Application

Athens Alumnae Chapter Scholarship Application
- Name*
  
  First NameLast NameSuffix
- Email*
  example@example.com
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Parent/Guardian Name*
  
  First NameLast NameSuffix
- Parent/Guardian Address if Different From Above
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Is your mother/stepmother a member of Delta Sigma Theta Sorority, Incorporated?*
  
  YesNo
- High School Name*
- High School Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Counselor's Name*
  
  First NameLast Name
- Counselor's Email*
  example@example.com
- What county is your school in?*
- Grade Point Average (GPA)*
  Unweighted GPA on a 4.0 scale
- Post-Secondary Plans
  
  Please list in order of preference the top four colleges to which you have applied or plan to apply
- School #1*
- School #2*
- School #3*
- School #4*
- What course of study do you plan to pursue?*
- Essay: What challenge in your community are you most passionate about addressing, and how do you hope to make a difference in the future? Essays should be 500 words, double-spaced, 12 point Times New Roman font, one inch margin on all sides, and name typed in the upper right-hand corner of each page.*
  
  Cancelof
- Please download, complete the template, and upload for your application.*
  
  Cancelof
- Professional Headshot*
  
  Cancelof
- References can be a teacher, administrator, counselor, minister, employer, community leader, etc. Please note that one letter of reference must come from a teacher or administrator.
- Reference #1 Name*
  
  First NameLast Name
- Reference #1 Email*
  example@example.com
- Reference #2 Name*
  
  First NameLast Name
- Reference #2 Email*
  example@example.com
- I acknowledge that I will submit an official, sealed high school transcript as required. The transcript will be sent directly from my high school or provided in an unopened, sealed envelope to maintain its official status. I understand that transcripts opened prior to submission cannot be accepted as official records by Athens Alumnae Scholarship Committee.*
  
  Yes
- Please type your full name to attest to the following statement: All information provided in this application is correct to the best of my knowledge. If I receive a scholarship award, I hereby permit the Athens Alumnae Chapter of Delta Sigma Theta Sorority, Inc. to utilize my name, photo, and scholarship award in any publicity/marketing materials.*
- Should be Empty:

Athens Alumnae Chapter Scholarship Application

Post-Secondary Plans

References can be a teacher, administrator, counselor, minister, employer, community leader, etc. Please note that one letter of reference must come from a teacher or administrator.