Atlanta Metro Chapter - Southern University Alumni Federation - 2024 Scholarship Application for Incoming Freshman

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
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 attended college?*
Are Parent(s)/Guardian(s) Alumni of Southern University and A&M College?*

YesNo

Section 2: Education Information
Name of Current High School*
Number of Years Attended*
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cumulative Grade Point Average (GPA)*
ACT/SAT Score*
Class Rank*
Type N/A if you are not ranked.
Graduation Date*

MonthDayYear
Date
Please list the following. If your resume answers this section, please attach and move on to Section 3.
School Organization 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:

Planning for the future has never been more important, how do you plan to utilize the next 4 years to prepare for a career in your chosen field of study and how will Southern University be an instrumental part of your preparation?
Upload Essay - PDF ONLY*

PDF preferred.
Cancelof
Upload Acceptance Letter from Southern University and A&M College*

Cancelof
Upload Copy of Intent to Enroll confirmation from Southern University. (Screenshot Accepted)*

Cancelof
Upload Resume of High School and Community Services Activities

Cancelof
Upload Official High School Transcript*

Cancelof
Upload Letter of Recommendation: School Staff Member*

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

Cancelof

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. *

Cancelof
Should be Empty:

2025 Scholarship Application - Incoming Freshman