Clone of Local Scholarship Application Form

West Chester-Coatesville (PA) Alumni Chapter of Kappa Alpha Psi Fraternity Inc. - Joseph "Jey" Bryant III Memorial Scholarship

The West Chester-Coatesville (PA) Alumni Chapter of Kappa Alpha Psi Fraternity, Incorporated is committed to helping high school seniors pursue and maintain academic excellence. We believe in ensuring that young people have access to financial resources required to obtain a college degree. The Joseph "Jey" Bryant III Memorial Scholarship Program offers annual scholarship awards in the amount of $1,000. Scholarships are available to students attending a public high school within Chester County, PA. To be eligible to receive an award, recipients must have (1) a grade point average of at least 2.5 (based on a 4.0 scale) and (2) enroll in a full-time program at an accredited college, university or trade school during the 2026-2027 academic year. Additional qualification details are included within the application. We are pleased to present the Joseph "Jey" Bryant III Memorial Scholarship application to you!
APPLICATION - BASIC INFORMATION

SUBMISSION DEADLINE IS Thursday, APRIL 30, 2026 ; ONLY ELECTRONIC APPLICATIONS WILL BE ACCEPTED.
Student's Full / Legal Name

First NameLast Name
Student Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Phone Number
Format: (000) 000-0000.
Student E-mail
example@example.com
Student Birth Date

MonthDayYear
Academics
Academic GPA
Current copy of your high school transcript

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Schools to which you are applying
School 1
School 2
School 3
PERSONAL DATA:
REFERENCES:

Please provide two letters of recommendation: 1) from a teacher, counselor, principal, minister, employer, or organizational sponsor and (2) from a community leader, volunteer leader, or organizational sponsor. The same category is not eligible to be used for both letters. Include the letters as attachments.
Reference 1 Name (Position,Phone Number, email)
Reference 2 Name (Position,Phone Number, email)
SCHOOL / COMMUNITY ACTIVITIES / WORK / EXPERIENCE/SPORTS/AWARDS/ETC:

List name of club, etc. and years of participation. If you volunteered, list the name of organization and the number of hours, weeks and years that you volunteered. If you worked, list the company, hours per week and length of time. Attach an additional sheet or resume if necessary.
School Activities (not sports)
School Activities (not sports)
School Activities (not sports)
Community Service / Volunteer Activities 1 (at school)
Community Service / Volunteer Activities 2 (outside of school)
Community Service / Volunteer Activities 3 (outside of school)
Sports Participation 1
Sports Participation 2
Will you be participating in a sport(s) this year?
Travel Experience or Unusual Experiences (study abroad, etc.)
School / Community Awards and Honors 1 (no matter how small) CSF, GSE, National Honor Society, Girl/Boy Scouts, 4-H, Governor’s Scholar, etc.
School / Community Awards and Honors 2
School / Community Awards and Honors 3
EMPLOYMENT 1: List past and present work and length of time employed.
EMPLOYMENT 2: List past and present work and length of time employed.
Attach an additional sheet or resume

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Please include information below for your parents or caregivers.
Father/Guardian Name
Father/Guardian Employer and Occupation
Mother/Guardian Name
Mother/Guardian Employer and Occupation:
First generation to attend college?

SCHOLARSHIP RECEIVED TO DATE 1
AMOUNT 1
SCHOLARSHIP RECEIVED TO DATE 2
AMOUNT 2
STUDENT STATEMENT: In a few sentences, describe yourself .

Please upload below a one page essay highlighting your community service, leadership activities, and college and career goals uploaded upon submission of your application. The essay shoud be typed with size 14 Times New Roman font and one inch margins.
File Upload

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Student Signature
Parent Signature
Should be Empty:

West Chester-Coatesville (PA) Alumni Chapter of Kappa Alpha Psi Fraternity Inc. - Joseph "Jey" Bryant III Memorial Scholarship

APPLICATION - BASIC INFORMATION

Academics

Schools to which you are applying

PERSONAL DATA:

REFERENCES:

SCHOOL / COMMUNITY ACTIVITIES / WORK / EXPERIENCE/SPORTS/AWARDS/ETC:

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