2026-2027 Delta G.E.M.S. Application

“GROWING & EMPOWERING MYSELF SUCESSFULLY”
Tulsa Alumnae Chapter

Delta Sigma Theta Sorority, Inc.

Dear Prospective Delta G.E.M.S. Participants:
Thank you for your interest in our esteemed program to assist young ladies growing and empowering themselves successfully. The Dr. Jeanne L. Noble Delta G.E.M.S. program is an extension of the Dr. Betty Shabazz Delta Academy program. Delta G.E.M.S. was created to “catch the dreams” of teenage girls aged 14-18 and/or grades 9th-12th. Delta G.E.M.S. provides the framework to actualize those dreams through the performance of specific tasks that develop a “CAN DO” attitude.

The goals for Delta G.E.M.S. are:

∆ To instill the need to excel academically

∆ To enhance the girls’ skills to achieve high levels of academic success

∆ To assist girls in proper goal setting and planning for their futures, including high school and beyond; and

∆ To create compassionate, caring and community minded young women by actively involving them in service learning and community service opportunities

The G.E.M.S. framework is composed of eleven major components, forming the road map for college and career planning. Topics within these components are designed to provide interactive lessons and activities that provide opportunities for self-reflection and individual growth.

The components are:
- Self-Awareness
- Skills for Success
- Leadership Development
- Socialization
- Healthy Lifestyle Habits
- Financial Preparation
- Financial Achievement
- Educational Preparation
- Career Preparation
For consideration into the Delta G.E.M.S. program, all applicants must complete the online application. The application and forms must be completed in their entirety and be submitted online with an electronic signature by October 8th.

Space is limited, and late applications will not be considered. Only accepted applicants into the Delta G.E.M.S. program will be notified. The Delta G.E.M.S. program is scheduled to meet once per month beginning in November. All meetings, except for the Parent/Guardian Orientation, which will be held in October, will be held in person. For the orientation, we will use Zoom, and participants will need access to a device with internet capability to attend.

Thank you for your interest in Delta G.E.M.S., and we look forward to building lifetime relationships and implementing exemplary programs.

Eligibility Requirements:
All participants must meet the following criteria:
- Submit a completed Delta G.E.M.S. application by October 8, 2026.
- Submit all signed forms, which are attached.
- Display consistent attendance at monthly meetings and scheduled activities.
- Display a positive attitude and follow the guidelines as set forth by the Delta G.E.M.S.

Meeting Dates

October 4 @ 3:30 pm via Zoom		Parent/Guardian Orientation
November 7
December 5
January 2
February 6
March 13		Community Service
April 3
May 1

*Schedule may be modified throughout the year.

The meeting location(s) will be announced. The meetings are scheduled to be held on the first Saturday of each month except for March, which will be our community service activity. Meetings begin at 10 am and end at noon.

Attendance is important. Please verify prior to submitting this application that you will be able to attend the above meetings, because attendance is required for successful completion of the program. Successful completion of the program is attendance at 6 out of the 7 scheduled sessions.

If you are unable to attend a meeting, please contact the following individual at least 48 hours prior to the activity: Crystal Green at dsttulsagemsacademy@gmail.com

Participant Information
Participant Name

First NameLast Name
Participant Email
example@example.com
Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
New or Returning Participant
T-shirt Size
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Participant Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred contact method

Parent Information
Parent Name

First NameLast Name
Parent Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred contact method

School Information
School Name
Grade
Student Involvement and Goals
Extracurricular Activities
List extracurricular activities (including community, church activities, school, public service projects and interests) you are involved in. Be certain to include position held and/or meeting days and times.
Goals & Ambitions
What are your goals or plans after high school?
Honors & Special Interests
Please list any honors, awards, hobbies or special interests you have.

Emergency Contact Information

In the event of an emergency, contact the individuals below.
Emergency Contact #1 Name

First NameLast Name
Home Number
Please enter a valid phone number.Format: (000) 000-0000.
Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship
Emergency Contact # 2 Name

First NameLast Name
Home Number
Please enter a valid phone number.Format: (000) 000-0000.
Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship
Student Signature
Parent Signature

Instructions:

DOWNLOAD the attached PDF fillable files, COMPLETE them (in their entirety), SIGN AND UPLOAD ALL DOCUMENTS in the File Upload section below.
File Upload

Cancelof
Should be Empty:

2026-2027 Delta G.E.M.S. Application

Tulsa Alumnae Chapter

Dear Prospective Delta G.E.M.S. Participants:

Eligibility Requirements:

Meeting Dates

Participant Information

Parent Information

School Information

Student Involvement and Goals

Emergency Contact Information