Zeta Phi Beta Sorority, Inc. Upsilon Nu Zeta Chapter Lancaster, Texas. Dr. Joyce Teal and Dr. Mary Beck Scholarship Application

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1 Lancaster, Texas Dr. Joyce Teal and Dr. Mary Beck Scholarship Application Deadline: April 9, 2016

2 Lancaster, Texas Upsilon Nu Zeta Dr. Joyce Teal and Dr. Mary Beck Scholarship Application Application must be postmarked by Saturday, April 9, 2016 Eligibility High School Seniors (male or female) who reside or attend high school in the cities of Cedar Hill, Desoto, Duncanville, or Lancaster. Children of financial Zeta Phi Beta-Upsilon Nu Zeta members that live outside of the Best Southwest Cities. Applicant must have at least a 2.5 Cumulative Grade Point Average on a 4.0 scale or its equivalent in order to qualify for a scholarship. Applicant must plan to enroll in an accredited 2 or 4-year college or university during the academic year. Applicant must have an SAT score of at least 820 (math/reading combined only) or 17 composite score on the ACT. The application packet shall consist of: 1. Completed, signed and dated application. Application Requirements 2. Essay on the topic below: See application for essay requirements. The presidential election is currently underway as the candidates tackle pressing topics during their campaign. What are the top 3 concerns that you feel you would address if running for president and why? 3. Scholarship Funds Disbursement Disclaimer signed by a parent or guardian. 4. Three recommendations forms and/or letters (sealed) must be submitted. See the guidelines below. One teacher-a recommendation form and/or letter may be submitted. One counselor-a recommendation form MUST be submitted Other person-a recommendation form and/or letter may be submitted 5. Official high school transcript that includes first semester grades of the senior year enclosed in a sealed envelope.

3 Deadline The completed application, essay, funds disbursement disclaimer, and official transcript must be mailed together as one complete packet to be considered. The packet must be POSTMARKED by April 9, Mail To: Scholarship Committee P.O. Box 563 Lancaster, Texas Awarding Complete application packets will be evaluated by the Scholarship Committee based on all items submitted in the application packet. The Scholarship Committee will award two (2) $ scholarships. If selected as a scholarship recipient, please plan to attend an awards ceremony in May (Date to be determined). Scholarship recipients will be asked to provide a current photograph to be used in publicity and marketing materials in addition to a mini biography describing your educational and career plans and goals. Scholarship recipients will be notified by April 30, For additional information, contact scholarship@upsilonnuzeta.org.

4 Upsilon Nu Zeta Scholarship Application SECTION I: PERSONAL INFORMATION Please clearly print or type all information in black ink. Name Date of Birth Sex Address City State Zip Code Phone Number Address Father s Name Employer Phone Number Occupation Mother s Name Employer Phone Number Occupation Guardian s Name Phone Number Employer Occupation SECTION II: SCHOOL INFORMATION High School School Address City State Zip Code College or University you plan to attend City/State Anticipated Major

5 SECTION III: ACTIVITIES, SERVICE AND HONORS (Attach additional sheets if necessary.) Extracurricular Activities Activity Description Dates of Activity Volunteer Work and Community Service Organization Description of Service or Work Dates of Service Honors and Awards Honor/Award Description Date Received

6 SECTION IV: ESSAY On a separate sheet of paper, type a minimum 500 word essay the topic below: The presidential election is currently underway as the candidates tackle pressing topics during their campaign. What are the top 3 concerns that you feel you would address if running for president and why? You will be assessed on your ability to communicate your thoughts. The essay should be doublespaced, 12-point Times New Roman font, one inch margins on all sides, with your name typed in the upper right-hand corner of each page. SECTION V: SIGNATURES I certify that all information provided in this application packet is true, complete and accurate, and that the essay is of my own work. A scholarship award from the of Zeta Phi Beta Sorority, Inc. may be denied or revoked if any information contained herein is found to be inaccurate. Should I receive an award, I hereby give the of permission to utilize my name, biography, photograph, and award amount in publicity and/or marketing materials. I fully understand that if I am unable to satisfy all requirements listed, I forfeit all rights to the scholarship. Applicant Signature Parent/Guardian Signature Date

7 Scholarship Application Disclaimer Agreement for Disbursement of Scholarship Funds I, _, acknowledge and understand that any scholarship award received by my child will only be disbursed directly to the college/university identified by my child. The of will forward all funds to the institution identified to be placed in the student s account with the Financial Aid Office upon receipt of an official enrollment verification form. No checks will be issued directly to the award recipient. Two disbursements will be made to the university for the scholarship. One payment will be made in the Fall of 2016, and the second payment will be made in the Spring of An enrollment verification form must be submitted for EACH semester. The scholarship award must be claimed during the academic year, or it will be forfeited. No exceptions will be given. I recognize and accept these conditions for the disbursement of any scholarship award my child may receive. Parent/Guardian Signature Date

8 RECOMMENDATION FORM Please feel free to submit a letter of recommendation in addition to or in lieu of this form. STUDENT NAME YEARS KNOWN STUDENT: IN WHAT CAPACITY? PLEASE RANK THE STUDENT IN THE CATEGORIES LISTED BELOW BY CHECKING THE APPROPIATE BOX. Truly Excellent Good Average Below Average Outstanding Writing Skills Verbal Skills Analytical Ability Logical Reasoning Organization Skills Leadership Self-Discipline Ability to Work with others Maturity Integrity Initiative Judgment Comments: STRONGLY RECOMMEND RECOMMEND RECOMMEND/RESERVATIONS DO NOT RECOMMEND NAME POSITION/TITLE SCHOOL/ORGANIZATION TELEPHONE NO. ADDRESS CITY STATE ZIP CODE ADDRESS: Seal the completed recommendation form and/or letter in an envelope and sign your name across the seal. You may return the signed, sealed envelope to the applicant or send it directly to scholarship committee at the address below. The form and/or letter must be postmarked by April 9, P.O. Box 563 Lancaster, Texas

9 RECOMMENDATION FORM Please feel free to submit a letter of recommendation in addition to or in lieu of this form. STUDENT NAME YEARS KNOWN STUDENT: IN WHAT CAPACITY? PLEASE RANK THE STUDENT IN THE CATEGORIES LISTED BELOW BY CHECKING THE APPROPIATE BOX. Truly Excellent Good Average Below Average Outstanding Writing Skills Verbal Skills Analytical Ability Logical Reasoning Organization Skills Leadership Self-Discipline Ability to Work with others Maturity Integrity Initiative Judgment Comments: STRONGLY RECOMMEND RECOMMEND RECOMMEND/RESERVATIONS DO NOT RECOMMEND NAME POSITION/TITLE SCHOOL/ORGANIZATION TELEPHONE NO. ADDRESS CITY STATE ZIP CODE ADDRESS: Seal the completed recommendation form and/or letter in an envelope and sign your name across the seal. You may return the signed, sealed envelope to the applicant or send it directly to scholarship committee at the address below. The form and/or letter must be postmarked by April 9, P.O. Box 563 Lancaster, Texas

10 COUNSELOR SCHOLARSHIP RECOMMENDATION is an applicant for a scholarship. We would greatly appreciate your comments regarding the applicant s personality, character, academic achievement and leadership ability of this student. You may feel free to write a reference letter in addition to, but not in lieu of this form. HIGH SCHOOL STUDENT S GPA: ON A SCALE OF STUDENT S RANK IN CLASS OUT OF SAT Date: Reading: Math: Writing (if applicable): ACT* Date: Composite Score: Sum Score: Algebra 1 EOC Biology EOC English I EOC English II EOC U.S. History EOC EOC Scale Scores Date Taken Scale Score Met Standard or Did Not Meet Standard HOW WOULD YOU RECOMMEND THIS STUDENT AS HAVING THE APTITUDE AND ACADEMIC RECORD TO BE SUCCESSFULLY AT A COLLEGE OR UNIVERSITY? Highly recommended Recommended with reservation Unable to judge at this time Recommended Not recommended Prefer not to respond PLEASE MAKE ANY OTHER COMMENTS BELOW THAT YOU FEEL ARE PERTINENT. NAME POSITION TELEPHONE MAILING ADDRESS CITY STATE ZIP CODE ADDRESS SIGNATURE Seal the completed recommendation form and/or letter in an envelope and sign your name across the seal. You may return the signed, sealed envelope to the applicant or send it directly to scholarship committee at the address below. The form and/or letter must be postmarked by April 9, P.O. Box 563 Lancaster, Texas

11 Completed Application Checklist Before sealing your package, please make sure that all items listed below are included: Scholarship Application Essay (Typed) Disclaimer for Scholarship Funds Disbursement (Signed) Two Recommendation Letters and/or Forms (Sealed) (One letter must be from a teacher) Counselor Recommendation Form (Sealed) Official High School Transcript (Sealed) Missing any of the above items will result in an incomplete packet and will not be considered for an award.

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