JMAC Youth Initiative Application

Educational Development: Who Are We?

Please complete and mail applications to:

Delta Sigma Theta Sorority, Inc.

Jackson (MS) Alumnae Chapter

Attention: Delta Academy/GEMS

P.O. Box 96 Jackson, MS 39205- 0096

OR

Email complete applications for

Delta Academy and GEMS to deltaacademy_gems@jacksonmsalumnae.org

Email EMBODI applications to

embodi@jacksonmsalumnae.org

If you have any questions, please email the appropriate email address above.

COMPLETED APPLICATION MUST BE SUBMITTED NO LATER THAN May 18, 2025, TO BE CONSIDERED FOR THE 2025-2026 DELTA SIGMA THETA SORORITY, INC. YOUTH INITIATIVE PROGRAMMING YEAR.

Dear Applicant,

The Dr. Betty Shabazz Delta Academy is a national initiative of Delta Sigma Theta Sorority, Inc. coordinated on the local level to support the development of young females ages 11-14. The goal of Delta Academy is to help young girls avoid the perils of academic failure, low self-esteem, and crippled futures. We have planned monthly activities with trained volunteers to augment educational development through engagement in STEM activities, personal and cultural development events, leadership opportunities, and public service. The program is designed to prepare young girls for full participation as leaders in the 21st Century.

Dr. Jeanne L. Noble GEMS Institute is geared toward the development of adolescent girls ages 14-18. The Delta GEMS program provides a framework for achieving goals and dreams through the development of a “can do” attitude and important academic and life skills. It is designed to grow compassionate, caring, and community-minded young women. We have planned monthly activities with trained volunteers to focus on goal-setting, college-and-career planning, individual growth, and self-reflection.

The EMBODI (Empowering Males to Build Opportunities for Developing Independence) Program is designed for adolescent boys, grades 6th - 12th, to refocus the efforts of Delta Sigma Theta Sorority, Inc., with the support and action of other major organizations, on the plight of African-American males. Both informal and empirical data suggest that the vast majority of African-American males continue to be in crisis and are not reaching their fullest potential educationally, socially, and emotionally. EMBODI addresses these issues through dialogue and recommendations for change and action. EMBODI addresses issues related to STEM education, culture, self-efficacy, leadership, physical and mental health, healthy lifestyle choices, character, ethics, relationships, college readiness, fiscal management, civic engagement, and service learning.

The Delta Academy/Delta GEMS Subcommittee and EMBODI Subcommittee will be busy planning exciting, fun-filled sessions, and events to promote the personal and academic growth of our youth to begin this fall.. We look forward to receiving your applications soon!

Sincerely,

Kenya L. Horn
Educational Development Chair

What To Do:

◊       Complete the application in its entirety.

◊       Submit application no later than May 18, 2025, by 11:59pm CST.

◊       If selected, ensure you (participant and parent/guardian) attend one (1) Parent Orientation.

◊       Ensure you have access to electronic devices and the internet to use for virtual programming.

By signing below, I understand, if my child is selected for participation, Parent/Guardian Orientation is mandatory for both parent and child. I also understand that my child must NOT miss more than two (2) scheduled activities. Orientation will be scheduled in October 2025.

Which program are you applying:*

Delta Academy (Middle School Aged Females Rising 6th – 8th Grade)Delta GEMS (High School Aged Females Rising 9th – 11thGrade)EMBODI (Middle and High School Aged Males Rising 6th - 11th Grade)

Have you participated in either program before?*

YesNo

Are you related to a member of Delta Sigma Theta Sorority, Inc.?*

YesNo

How are you related?*

Name*

First NameLast Name

Date of Birth*

Date

Gender*

Grade*

T-shirt Size*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone Number*

Please enter a valid phone number.

Youth's mobile number*

Please enter a valid phone number.

Youth's Email Address*

example@example.com

What are your (Youth Applicant) career goals?*

School Name*

Allergies (Food):*

Parent/Legal Guardian's Name*

First NameLast Name

Cell Phone*

Please enter a valid phone number.

Work Phone*

Please enter a valid phone number.

Parent Email*

example@example.com

Parent/Legal Guardian's Name*

First NameLast Name

Cell Phone*

Please enter a valid phone number.

Work Phone*

Please enter a valid phone number.

Parent Email*

example@example.com

Emergency Contact #1*

First NameLast Name

Emergency Contact Number*

Please enter a valid phone number.

Emergency Contact Relationship to Student*

Emergency Contact #2*

First NameLast Name

Emergency Contact Number*

Please enter a valid phone number.

Emergency Contact Relationship to Student*

PERSONAL STATEMENT OF INTEREST 1. Please explain in 200 words or less: Whywould you like to join the Delta Academy/GEMS/EMBODI of the Jackson (MS)Alumnae Chapter of Delta Sigma Theta Sorority, Inc? Whatdo you hope to gain or learn by participating in this program?*

0/200

PERSONAL STATEMENT OF INTEREST 2. Please explain in 200 words or less: If you could design an event/program of yourchoosing for Delta Academy/GEM/EMBODI , what would it be and how would itimpact the community?*

0/200

You may upload your Personal Statements of Interest here, if you choose. Please be sure to name them Personal Statement of Interest 1 and Personal Statement of Interest 2.*

Parent/Guardian Signature*

Participant's Signature*

Jackson (MS) Alumnae Chapter Delta Sigma Theta Sorority, Incorporated 2025-2026 Youth Initiative Application

COMPLETED APPLICATION MUST BE SUBMITTED NO LATER THAN May 18, 2025, TO BE CONSIDERED FOR THE 2025-2026 DELTA SIGMA THETA SORORITY, INC. YOUTH INITIATIVE PROGRAMMING YEAR.