Clone of AKATeens of Detroit Application Form 2025-2026

AKATeens of Detroit Application Form

2026-2027 Program Year
Beulah T. Whitby Foundation

AKATeens of Detroit Leadership Program

Membership Application

Beulah T. Whitby Foundation is a non-profit organization that provides leadership and development programs for women and youth, promotes educational advancement, and supports enrichment initiatives in the area of health, cultural arts, and financial literacy to improve the quality of life for individuals and families through our community.

Established in 1981, the purpose of the AKATeens of Detroit Leadership Program is to promote leadership, to train teenagers for their role in society, and to become actively involved in civic and social activities within our community.

We provide a nurturing environment that encourages young ladies in grades nine through twelve to build confidence, character, and self-esteem as they explore:

● Community Service

● Financial Literacy

● Citizenship Building

● Health Awareness

● Life Skills

● Financial Aid & Scholarship

● Leadership, Ethic & Character Development

We also provide opportunities for the young women in our program to interact with community leaders, attend seminars, workshops, and conferences, along with social activities that provide friendship and fun.

We meet from September through April on the fourth Saturday, except in November 2026, December 2026, and March 2027, we meet on the third Saturday. We meet from 12:00 p.m. to 3:00 p.m. at the Beulah T. Whitby Foundation (formerly known as the Alpha Kappa Alpha Foundation of Detroit) building located at 1525 Howard Street, Detroit, Michigan 48216. Community Service occurs on separate days and may be in a different location.

Given the monthly frequency of our meetings, regular attendance is expected. We recognize that unforeseen circumstances may arise; therefore, teens are permitted up to two unexcused absences.

Each applicant MUST submit an electronic application. Incomplete applications will not be considered.

1. Completed application, including Health, Media, and Field Trip Release forms

2. An Unofficial or Official High School Transcript with an overall G.P.A. of 2.75 or higher on a 4.0 grading scale. Report cards will not be accepted from incoming 10th through 12th graders. If an 8th grader, entering into high school in the Fall, you must submit a copy of your last report card.

3. Two letters of recommendation (one must come from a teacher or counselor at your school).

4. A typed personal statement on “Why would you like to become a member of the AKATeens of Detroit Leadership Program?” (250 to 500 words)

Returning applicants need to submit personal information, unofficial or official transcript, and health, media, and field trip release forms, only. Applications are due by June 27, 2026, 11:59 p.m.

A fee of $75.00 is due upon acceptance into the program.

Ms. Gloria H. Polk, Chairman – Ms. Cydnei Henry, Co-Chairman –

Ms. Jennifer Hockenhull, Co-Chairman, AKATeens of Detroit Leadership Program

Ms. Freda Sampson, Vice President & Program Chairman,

Beulah T. Whitby Foundation

Ms. Lillian Diallo, President, Beulah T. Whitby Foundation

Personal Information

Please have an adult complete the application with you.
Please select if you are a new or returning applicant.
Applicant's Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Address

Street Address

Apt/Unit #

CityState

Zip Code
Applicant's Cell Phone Number
Format: (000) 000-0000.
E-mail
You are required to have an email as a form of communication, please do not list your parent/guardian's email. Make sure you have a valid email.
Education
High School
If you do not know what high school, please put N/A.
High School Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade in Fall 2026 (i.e. 9th)
Please enter your grade level for the Fall.
Overall GPA
Parent/Guardian Information
Name

First NameLast Name
Relationship to Applicant
(i.e. Mother, Father, Aunt, Guardian, etc.)
Address

Street Address

Apt/Unit #

CityState

Zip Code
Phone Number
Email
Please make sure this is a valid email address.
Name

First NameLast Name
Relationship to Applicant
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Emergency Contact, if possible please list someone other than parent/guardian

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Background Information

New applicants must answer all questions. Returning applicants please answer required questions.
How did you hear about the AKATeens of Detroit Leadership Program?
What community service activities have you been involved in?
List club membership(s) & office(s) held:
What talent(s)/skill(s) do you possess?
What is your most significant accomplishment?
What are your strengths and weaknesses?
What are your career interests?

Documents

New applicants must submit ALL documents. Returning applicants please submit high school transcript. Screenshots of grades will not be accepted.
Upload an official/unofficial High School Transcript -- transcript should show first semester of 9th grade all the way to first/fall semester of current grade (Current 8th graders upload report card)

Cancelof
Upload first letter of Recommendation

New applicants only - one of the recommendations must be from a teacher or school counselor.
Cancelof
Upload second letter of Recommendation

New applicants only
Cancelof
Upload your typed personal statement.

New applicants only
Cancelof

Forms
Social Media Release

Please fill out if you give permission for your teen to participate and appear in videos, photopgraphs, etc.
My daughter, full name , has my permission to participate and appear in videos or audio recordings, films, photographs, written articles, or on websites and social media sites. This consent includes the use and editing of my child's images, voice and name in media projects by Beulah T. Whitby Foundation to print, broadcast or post to social media outlets, such as newspapers, radio, and television stations and news websites.
Parent/Guardian Signature     Date
Parent/Guardian Signature   Date
Field Trip Permission Slip
My daughter,full name* , has my permission to participate in AKATeens of Detroit community service activities and field trips. I release Beulah T. Whitby Foundation from any liability, damages, claims or causes of action arising from my child's participation on field trips, except as otherwise provided by law. I assume full responsibility for my child.
Parent/Guardian Signature* Date
Parent/Guardian Signature Date
Health Form
Parent/Guardian's Name

First NameLast Name
Parent/Guardian's Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian's Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian's Email Address
example@example.com
Insurance Information
Company Name
Policy# and Exp. Date
Physician's Name
Physician's Phone Number
Please list allergies (food and seasonal). Also list all dietary restrictions (i.e. vegetarian, vegan)
Medical Information/History
Medical Conditions (Asthma, Respiratory problems, heart murmurs, etc.)
Injuries/pre-existing conditions
Surgeries
Are you currently taking any medications? If yes, please list.
Please list any additional information that would be helpful in case of an emergency
Confidentiality Agreement
I understand that in case of an emergency, the information provided above will be made available to medical personnel in order to provide my child with medical treatment. I will assume all liability for any accident or illness, which may occur during the course of the program. In addition, I give my consent for treatment by a licensed physician should it be required for any reason.

Parent/Guardian's Signature* Date
Parent/Guardian's Signature Date

Please make sure you have done the following BEFORE you submit your application. You can save your application before submitting by creating a free account.
Applicant's signature
Should be Empty:

AKATeens of Detroit Application Form

Personal Information

Education

Parent/Guardian Information

Background Information

Documents

Forms

Social Media Release

Field Trip Permission Slip

Health Form

Insurance Information

Medical Information/History

Confidentiality Agreement