2026 Scholarship Application Form High School

Delta Sigma Theta Sorority, Incorporated

Birmingham Alumnae Chapter

P.O. Box 1842

Birmingham, AL 35201-1842

Phone: 205-923-4111

www.birminghamdst.org | Email: bhamdst@birminghamdst.org
HIGH SCHOOL SCHOLARSHIP APPLICATION FORM

Sponsored by Birmingham Alumnae Chapter of Delta Sigma Theta Sorority, Inc.
Applicants should have the following Credentials:
- Graduating high school senior in the Birmingham Metropolitan Area attending school in one of the following counties: Bibb, Blount, Chilton, Jefferson, Shelby, St. Clair or Walker
- Entering college as a freshman Fall 2026 or Spring 2027 term
- Cumulative GPA of at least 2.5
- Community Service Involvement
- Communication Skills
- Leadership Skills
To Apply:
- Complete and submit an application form online by 11:59 p.m. CST on March 1, 2026.
- Provide (1) Community Service Letter of Recommendation on Agency Letterhead or online.
- Please share the Letter of Recommendation form with the appropriate individuals.
- Submit a copy of your high school transcript by March 1, 2026.
- A photograph head shot for display and media purposes (required).
- Complete and submit a Media Release Form. Applicants who are 17 years of age must have their parent or guardian consent by having their parent or guardian sign the online form. Click this link to access the Media Release Form.
Notes:
- In order to receive the scholarship award, Final Grades will be verified before scholarship funds can be disbursed.
- Please note that it is the responsibility of the applicant to provide instructions to the community service official writing the Letter of Recommendation on their behalf.
Applicants who are awarded scholarships will be notified by April 15, 2026 and will be recognized by the Chapter on May 16, 2026.
NOTICE OF NONDISCRIMINATORY POLICY: POLICY: The Scholarship Committee of the Birmingham Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated does not discriminate on the basis of race, color, national origin, or ethnic origin in the administration or disbursement of scholarship awards. Individuals of all backgrounds are encouraged to apply and will receive receive equal access to all rights, privileges, programs, and activities associated with the scholarship process.
Date

MonthDayYear
Date
PART I: PERSONAL DATA
Full Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number*
Cell Phone Number*
E-mail*
example@example.com
Parent/Guardian Name(s)*
Parent/Guardian Name(s) Phone Number*
Please enter a valid phone number.
Is your parent a member of Delta Sigma Theta Sorority, Inc.?*
If yes, are they a member of the Birmingham Alumnae Chapter?
PART II: EDUCATIONAL BACKGROUND
Name of High School*
Name of School District*
GPA*
Cumulative/Unweighted GPA (4.0 Scale)
High School Graduation Date

MonthDayYear
Date
PART III: HONORS, AWARDS, & ACTIVITIES
Honors and Awards*
List any Honors and Awards you have received. Include scholarship awards, scholastic honors, athletic awards, and leadership awards.
Activities*
List all Community and Extracurricular activities, including church, explorer groups, student clubs, athletics, band, committees. Include any offices held and year.
Employment History
For each position, include the (1)Name of employer, (2) Job title or type of work , and (3) Dates worked (month and year). Use N/A if there is no Employment History.
Are you currently or have you ever participated in a DELTA Youth Initiative Program?*

YesNo
If yes, please list the name of the DELTA Youth Initiative Program and years of participation.
For consideration, you must include the name of the Program and years of participation.
PART IV: FUTURE PLANS
Colleges/Universities Accepted To*
List all Institution you have applied and been accepted to attend.
Intended Major*
Intended College*
List the name of the Institution you plan to attend when you graduate from high school.
PERSONAL STATEMENT

The purpose of the Personal Statement is to give the Scholarship Committee members an opportunity to learn more about you, your educational goals, and how the scholarship will help continue your education.
Please describe for the selection committee your educational goals and how receiving this scholarship will help you continue your education. (Statement should be 250 words or less.)*

Personal Statement in 250 words or less.0/250
Uploads
Upload your photograph.*

Head shot photographs only.
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Upload a copy of your high school transcript.*

Transcript must be submitted.
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Certification & Permission
- I certify that the information in this application is true, complete, and accurate, and that all statements are my personal work.
- I grant permission to Delta Sigma Theta Sorority, Inc. Birmingham Alumnae Chapter and its members to obtain a copy of my transcript, if necessary.
Applicant's Signature*

Clear
Your signature hereby constitutes an electronic signature for this document.
Name

First NameLast Name
Should be Empty:

HIGH SCHOOL SCHOLARSHIP APPLICATION FORM

PART I: PERSONAL DATA

PART II: EDUCATIONAL BACKGROUND

PART III: HONORS, AWARDS, & ACTIVITIES

PART IV: FUTURE PLANS

PERSONAL STATEMENT

Uploads

Certification & Permission