Geraldine Battles Academic Scholarship

Geraldine Battles Academic Scholarship

The deadline is March 13, 2026 at 11:59pm. The information provided on this form will be reviewed by the Scholarship Committee of Silhouettes of Stockbridge-Jonesboro Alumni Chapter of Kappa Alpha Psi Fraternity, Inc. to select recipients for the scholarship. It is important that you give complete details concerning your academic success, extracurricular activities, and college/career plans.
Note:

Please fill out the entire form.
BASIC INFORMATION
Student's Full / Legal Name*

First NameLast Name
Student Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Phone Number*

Area CodePhone Number
Student E-mail*
Student Birth Date

MonthDayYear
Gender

TRANSCRIPT:

Please email your official high school transcript to the scholarship committee to sjacscholar@gmail.com no later than the application deadline of March 13, 2026.
I agree to submit my transcript timely. If it is not received by March 13, 2026 11:59 PM, my application will be disqualified.

REFERENCES:

Please list one educator and at least one community person who would recommend you for a scholarship.
Reference 1 Name, Position, Phone Number, and E-mail Address
Reference 2 Name, Position, Phone Number, and E-mail Address

SCHOOL / COMMUNITY ACTIVITIES / SPORTS/AWARDS/ETC:

List name of club, etc. and years of participation. If you volunteered, list the name of organization and the number of hours, weeks and years that you volunteered.
School Activities / Offices Held 1: (not sports)
School Activities / Offices Held 2: (not sports)
School Activities / Offices Held 3: (not sports)
Community Service / Volunteer Activities 1
Community Service / Volunteer Activities 2
Community Service / Volunteer Activities 3
Sports Participation 1
Sports Participation 2
Sports Participation 3
School / Community Awards and Honors 1 (no matter how small) CSF, GSE, National Honor Society, Girl/Boy Scouts, 4-H, Governor’s Scholar, etc.
School / Community Awards and Honors 2
School / Community Awards and Honors 3
EMPLOYMENT HISTORY

List employers (places worked as a senior in high school where received actual payment and taxes withheld)
List employer(s) with date of employment(s) along with a manager and contact phone number:

Directions

Complete the items that apply for another point of contact. The parent information is necessary for the remainder of the scholarship process.
Mother/Stepmother/Guardian Name
Mother phone number and email address
Father/Stepfather/Guardian Name
Father phone number and email address

How would you use your education to give back to your community:*

0/250
I understand the eligibility requirements for the GB Academic Scholarship.I understand that my transcript must be sent prior to the application deadline, March 13, 2026.I understand that if I am a scholarship finalist, I will be required to provide a video interview.I understand that if I am the scholarship winner, I will be required to attend the scholarship banquet. (Banquet date, time, and location will be announced to the winner(s) of the scholarship.)I understand that if I am the scholarship winner, I am required to provide proof of enrollment for college or a university.
Signature
Submission Time

MonthDayYearHourMinutesAM/PM Option
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