Delta Academy Application

2026-27 Delta Academy Application

Applicant: Thank you for your interest in our Delta Academy youth program! Fill in and/or respond to every section of this application for consideration as a participant in this year's programming. Do not leave any section blank. Your parent/guardian's information is also required. Please note, you will automatically be dismissed from participating in Delta Academy programming if you accumulate two (2) absences from session workshops. No exceptions. Application Deadline: Saturday, October 17, 2026
How did you hear about Delta Academy?
Applicant Name

First NameMiddle NameLast Name
Applicant Address

Street Address

Street Address Line 2

CityState

Zip Code
Birth Date

MonthDayYear
Gender
Applicant Mobile Number
Format: (000) 000-0000.
Applicant Home Phone Number
Format: (000) 000-0000.
Applicant E-mail
example@example.com
Identification Preference
What school do you attend?
Grade Level
Are you a past Delta Academy participant?*
Do you have any dietary restrictions? If yes, please list them below*
Please list your school involvement (i.e. clubs, committees, groups, societies, sports, etc.):
Please list your hobbies or interests outside of school:
Parent/Guardian Name

First NameLast Name
Parent/Guardian Address

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Home Number
Format: (000) 000-0000.
Parent/Guardian: Can they receive text messages on their cellular device?
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Email
example@example.com
Are you related to someone who is a member of Delta Sigma Theta Sorority, Inc.?
If yes, please share the Delta's name and your relation.
Why are you interested in Delta Academy programming and what are you expecting to gain from your participation?
Parent/Guardian: Academy participants can miss no more than two (2) sessions. Extenuating circumstances, such as medical issues, COVID-19 exposure and/or quarantine, the death of a close relative/family friend, are considered excusable by the Chair and Co-Chair. Non-extenuating circumstances, such as over involvement in activities or part-time work are not excusable, and will not be approved by the Chair and Co-Chair. Do you understand and acknowledge this attendance expectation for your student?
Attendance is an important factor in your participation. Please indicate below the Delta Academy sessions you WILL NOT be able to attend. Reminder: Participants can miss no more than 2 workshops.
Should be Empty:

2026-27 Delta Academy Application