• 2026-2027 Youth Initiatives Program Application

    Lakeland Alumnae Chapter 

    Delta Sigma Theta Sorority, Incorporated

    DEADLINE: August 31, 2026 at 11:59 PM EST

    The Lakeland Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated is proud to present the following mentorship programs for Polk County youth:

    • The Dr. Betty Shabazz Delta Academy program aims to empower and support young ladies ages 11-14 to ensure a bright future.
    • The Dr. Jeanne L. Noble Delta G.E.M.S. program seeks to help African American girls grade 9-12 sharpen and enhance skills to achieve high levels of academic success; assist in proper goal setting and planning for the future.

    Please contact our youth initiative chairs if you have questions:

    Dr. Betty Shabazz Delta Academy - lacdstacademy@gmail.com 

    Dr. Jeanne L. Noble Delta G.E.M.S. - lacdstgems@gmail.com 

  • Program Expectations

    There is no cost associated with participating in our youth initiative programs. To ensure a positive experience for all participants and respect the hard work of our committee members, we do have some expectations for attendance and commitment. We'll discuss these in detail at the kickoff meeting.
    • Required Forms & Training: All youth must submit Risk Management Forms. Parents must complete mandatory risk management training. Date TBD, but we typically offer one in person and one virtual option. Please complete the packet linked on our website before starting the application—it cannot be saved mid-way. If you can't upload forms, email them to the appropriate program contact.
    • Welcome Meeting: All selected youth and one parent must attend a mandatory kickoff meeting. Details will be emailed after the application window closes
    • Monthly Meetings: Regular attendance is required. A calendar will be provided at the kickoff to help with planning.
    • Attendance Policy: More than 3 unexcused absences may lead to removal from the program.
    • Parent Involvement: All parents desiring to participate in events, including end-of-year celebrations and college tours, are required to participate in risk management training and a Level 2 background check. This is not mandatory for all parents, but highly encouraged. 

  • Student Information


  •
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
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  • Parent/Guardian Information

  • Format: (000) 000-0000.

  • Program of Interest

  • Please select one for the 2026-2027 school year*

  • Student Current Education

  • 0/750

  • Mandatory Welcome Meeting

    If selected to participate in our youth initiatives program, participants and one parent must plan to attend our mandatory welcome meeting [date TBD].
  • Please select yes to confirm*

  • Risk Management Forms

    Please carefully review the parent risk management forms. Once completed, please upload them below.
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  • Signatures

    As an applicant and parent\guardian, I hereby acknowledge that the information contained in this application is true and correct to the best of my knowledge. As a parent\guardian, I grant permission for my child to participate in the Lakeland Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated Youth Initiative Program(s).
  • Date
     - -
    2 digit month, 2 digit day, 4 digit year

  • INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED

  • Should be Empty: