Dear Sir or Madam: Click on the Omega Psi Phi Shield at the bottom of the page Then click on Programs Access the Scholarships link (XXXXXXX)
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1 Dear Sir or Madam: Each year, Upsilon Nu Chapter of the Omega Psi Phi Fraternity, Inc., through the Upsilon Nu Scholarship and Social Action Foundation, Inc. and its Kavansa B. Smith Memorial Scholarship Fund, awards scholarships to deserving students who desire to further their education at the college or university level. Recipients are selected from among students who attend high schools in the Richmond area who have requested and/or returned an application with the required documentation. The Scholarship Committee bases its decisions on the strength of the student s application and the following criteria: 1. The student s interest in continuing his/her education at the college/university level as evidenced by submission of a completed application and the information contained therein. Preference will be given to students who plan to attend or have been accepted at a Historically Black College or University, but students planning to attend other institutions are encouraged to apply; 2. The scholastic ability of the students as evidenced by his/her academic record with a minimum grade point average of 2.5 on a 4.0 scale and SAT or ACT scores; 3. The financial need of the student; 4. The strength of references from individuals qualified to attest to the character, disposition, financial need and/or the ability of the student to compete on the collegiate/university level. I have attached a cover letter explaining our scholarship criteria and application. Please feel free to forward it to any student you think might be interested in applying. The application and supporting documentation are due at the above address not later than April 23, Only completed applications postmarked by the deadline will be considered. An electronic version of the scholarship application is available on our website Click on the Omega Psi Phi Shield at the bottom of the page Then click on Programs Access the Scholarships link (XXXXXXX) If you have questions, please feel free to contact me at =0358 or me at dstone0813@gmail.com. Sincerely, David Stone, Chairman Scholarship Committee
2 KAVANSA B. SMITH MEMORIAL SCHOLARSHIP PROGRAM UPSILON NU SCHOLARSHIP and SOCIAL ACTION FOUNDATION, INC. APPLICATION for SCHOLARSHIP AWARD INSTRUCTIONS: The student must complete Sections I and II of this application which include his/her parent s/legal guardian s signature. Section III must be completed by his/her school s counselor. The student must provide the counselor with two references as well. The counselor should mail the application, references, an official copy of the student s academic record that includes the first semester grades and all other required information/attachments to the address listed at the bottom of the application. I. STUDENT S INFORMATION: Name Address Telephone City & Zip Code address High School Scholastic Awards, Recognitions/Honors Received: Extra-curricular activities in which you participated ( include offices held/ recognitions):
3 Community activities/services (include offices held/recognitions): Special interests/hobbies:
4 On a separate sheet, attach an essay of no less than 200 and no more than 300 words detailing your plans for the future, any circumstances that may affect your pursuit of a higher education, and your reasons for applying for this particular scholarship. Name and location of College/University you plan to attend. If you are applying to more than one, list in order of first, second choice,etc. If you have been accepted, please indicate that also. Have you applied to a Historically Black College or University (HBCU)? If yes, please list below. Amount of anticipated tuition and fees for the 2019/2020 school year. Amount of financial aid needed to attend for the year listed above. Have you applied for federal, state, or college based financial aid? Yes No If no, please explain: Are you eligible for such funding? Yes No If no, please explain: Please attach documentation (FASA Student Aid Report) showing your eligibility or non-eligibility. If you are not eligible, please explain.
5 CERTIFICATION II. FAMILY INFORMATION (NOTE: If student is in foster care or under the care of a guardian, please provide the appropriate information) Mother s name: Mother s occupation: Mother s annual income: Father s name: Father s occupation: Father s annual income: Total household income: Number of other children in household: Ages of each child: Number of children currently presently attending a college or university: Amount of family s contribution to the college or university:
6 CERTIFICATION We acknowledge that the information contained herein is true and correct to the best of our knowledge. We understand that the discovery of any inaccuracy or false information may result in the committee s refusal to consider this application. Student s signature: Student s printed name: Date: Parent s/ Guardian s signature: _ Parent s/guardian s printed name: III. COUNSELOR S INFORMATION (NOTE: Please attach a copy of the student s transcript and two references prior to mailing.) Student s GPA: Class Rank: Student s SAT/ACT scores Verbal: Math: Please provide any other pertinent Scholastic or tests information not included on the student s official transcript. I certify that the information contained herein is true and correct to the best of my knowledge. I understand that the discovery of any inaccuracy or false information may result in the committee s refusal to consider this application. Counselor s signature: Counselor s printed name: Date:
7 Please return this application and supporting documentation to the address below no later than April 22, UPSILON NU SCHOLARSHIP and SOCIAL ACTION FOUNDATION, INC. ATTENTION: SCHOLARSHIP COMMITTEE PO BOX RICHMOND, VA 23261
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