Psi Alpha Chapter 2026 College Scholarship Application
Deadline to Apply- March 15, 2026
Student Information
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date of Birth
-
Month
-
Day
Year
Date
Gender
Please Select
Male
Female
Upload Student Photo (Headshot)
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Parent Information
Parent/Guardian Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Parent/Guardian Email
example@example.com
Parent(s) Occupation
Family Information
Number of Dependents in the Household Under age 22 (Including applicant)
Family Annual Income
Please Select
Less than $50,000
$50,000 - $100,000
$100,000 - $150,000
$150,000+
Student High School Information
Name and Address of High School
Name of High School Guidance Counselor
First Name
Last Name
Grade Point Average
Class Rank
List of Scholarships You Have Been Awarded
Special Awards and Honors
Extra-Curricular Activities (List all activities and offices held from (9th-12th Grade)
Student Plans for College
College/University you Plan to Attend
Upload College Acceptance Letter (If applicable)
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College Acceptance Letter
Please Select
Applied and awaiting acceptance letter
Intended Field of Study
Upload a Scanned Copy of your High School transcript
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Reference Letter (1) (High School Guidance Counselor)
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Reference Letter (2)
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Reference Letter (3)
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Student Goals and Objectives
In essay format, write your Goals and Educational Objectives (200-250 words). (Must be in Word format).
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Student Autobiography (Write a brief essay describing your journey through K-12 Schooling and your Plans for Future Success (150-250) words. (Must be in Word format)
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Required Signatures
Student Signature
Parent Signature
Submit
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