Request for CJA Scholarship Funds

Request for CJA Scholarship Funds
READ INSTRUCTIONS CAREFULLY

Please complete the form and attach an official bill from your university. A screen shot is insufficient evidence. We recommend downloading your record as a PDF or image file and upload it to this form. You may submit your request for funds as soon as you receive the bill; however, checks will be written starting mid-September. If you do not respond with the appropriate documents by November 15, your scholarship will be rescinded.

If you have an issues or questions, please contact us immediately at cjascholarship@gmail.com

Scholarship Committee Co-Chairs

Cenrtal Jersey Alumane Chapter

Delta Sigma Theta Sorority, Inc.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please upload your semester bill from the university. A screen shot is insufficient.
Upload Semester Bill*

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