Atlanta Metro Chapter - Southern University Alumni Federation - 2025 Scholarship Application for Current Students

Section 1: Student Information
Name*

First NameMiddle Initial Last NameSuffix
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Phone Number (Students)*
Email Address (Students) *
example@example.com
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleNon BinaryPerfer Not to Say
Parent(s)/Guardian(s) Name*
Is Parent(s)/Guardian(s) Address same as student?

YesNo
Parent(s)/Guardian(s) Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
# of Family Members in Household?*
# of Household members that attended college?*
Are Parent(s)/Guardian(s) Alumni of Southern University and A&M College?*

YesNo

SECTION 3: UNIVERSITY INVOLVEMENT
Please list the following. If your resume answers this section, please attach and move on to Section 4.
University Organization(s) and Involvement*
Type "See Attached" if submitting a resume.
Community Service Involvement*
Type "See Attached" if submitting a resume.
Honors/Awards Received*
Type "See Attached" if submitting a resume.

Section 4: Document Submittal
Essay Topic:
Please provide a 500-word essay on the following topic:

With the world rapidly changing, due to the new administration, how are you preparing for post-graduation, and how has your time at Southern University impacted your future?
Upload Essay - PDF ONLY*

PDF preferred.
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Upload Resume and Community Services Activities

Upload a PDF File if you did not fill in the information directly to the form.
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Upload Official SU Transcript*

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Upload Letter of Recommendation: School Staff Member*

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Upload Letter of Recommendation: School Organization or Community Service Leader*

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Student Consent and Photo Release
I hereby grant permission to Southern University Alumni Federation Atlanta Chapter to use photographs and/or videos of me, and my name in publications, new releases, online, and in other communications related to the mission of the Southern University Alumni Federation Atlanta Chapter.

Since anyone can download an image from the internet or make copies of printed material, I agree that Southern University Alumni Federation Atlanta Chapter is not responsible for the unauthorized use of the images.

I acknowledge that since my participation with Southern University Alumni Federation Atlanta Chapter is voluntary, I will receive no financial or any other compensation.
Student Signature*

Clear
Today's Date*

MonthDayYear
Date
Please upload a recent headshot or photo. *

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Should be Empty:

2025 Scholarship Application - Current Student