College Scholarship Application Deadline: February 15, 2014

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1 College Scholarship Application Deadline: February 15, College Scholarship Application Requirements! Our Mission To develop and prepare a new generation of leaders by providing leadership development, scholarships, resources, opportunities and advocacy to students in our community. Our Goal: To provide financial assistance to outstanding male and female high school seniors in our service area. In addition to excelling in the classroom, these individuals show leadership potential in the community and exemplify the values of volunteerism and service. Scholarship Eligibility Requirements: High School Seniors (male and female) who reside in or attend a high school in one of the following areas: Stone Mountain (30083, 30087, 30086, 30088), Lithonia (30038, 30058), Pine Lake (30072), Ellenwood (30294), Conyers (30012, 30013, 30094), McDonough (30252), Covington (30014, 30016), Mansfield (30055), Oxford (30054), Newborn (30056), Porterdale (30014, 30016), Stockbridge (30281), Auburn (30011),Bethlehem (30620), Hoschton (30548), Winder (30680), Centerville (30078), Lilburn (30047, 30048), Loganville (30052), Snellville (30039, 30078), Good Hope (30641), Jersey ( 30018), Monroe (30655, 30656), Social Circle (30025), and Walnut Grove (30052) are eligible to apply. Application requirements: a) An official high school transcript which includes first semester grades of the senior year enclosed in a sealed envelope. b) Two letters of recommendation: one from a school official (administrator, teacher or counselor); and one from a community representative (not family members) who can substantiate your involvement regarding community service, work experience and/or leadership ability. Both must be in sealed envelopes and must be included in your packet. c) A completed, signed and dated application. The application must be typed. (No additional attachments will be accepted, e.g. Resume). d) A typewritten essay on one of the topics listed on the essay Instructions sheet, no more than two pages, typewritten, and double-spaced. e) The completed application review/checklist cover sheet. 1

2 Personal Information: U.S. Citizen Yes or No 2014 College Scholarship Application Name Parent/Guardian Name(s) Street Address City State Zip Telephone Number Address Number of Siblings Brother (s) Sister (s) Age(s) Prospective College Major List the names of the Colleges/Universities where you have applied. List the names of the Colleges/Universities where you have been accepted for Academic Information: High School Presently Attending Cumulative Grade Point Average Have you passed all sections of the GHSGT/EOCT? Yes or No Have you taken the SAT and/or ACT? Yes or No 2

3 Extracurricular Activities Activity Description Dates of Activity Community Service/Volunteer Work Activity Description Dates of Activity Employment Employer Position/Job Title Employment Dates Honors and Awards: Honor/Award Description Date Received 3

4 Essay Instructions On a separate sheet of paper, please type a word essay on one (1) of the three topics listed below. You will be assessed on your ability to communicate your thoughts. Your essay should be double spaced and attached to this sheet. It should also include your name at the top of the sheet. Be sure to indicate an X by the topic that you select. 1. Discuss a social issue of personal, local, or national concern and explain its importance to you and/or your peers. 2. What is the value and importance of volunteerism and community service in our society? 3. What is the greatest challenge that your generation will face? Discuss your ideas for dealing with the issue. Certification (Important: Your signature is required below! Without your signature, your application is incomplete and it may not be processed.) I certify that information provided in this application is true, complete and, accurate, and that all statements and essays are my own work. A scholarship award from the Stone Mountain-Lithonia Alumnae Chapter may be denied or revoked if any information contained herein is found to be inaccurate. Should I receive an award, I hereby give the Stone Mountain-Lithonia Alumnae Chapter permission to utilize my name and award amount in publicity and/or marketing materials. Name of Applicant (Please Print) Signature of Applicant Signature of Parent Date: Please mail completed application, essay response, letters of recommendation and official high school transcript to the : Stone Mountain-Lithonia Alumnae Chapter of Delta Sigma Theta Sorority, Inc. Attention: Scholarship Committee, P. O. Box 1184, Stone Mountain, Georgia

5 FINAL REMINDERS 1. Completed application, cover checklist, essay response, letter(s) of recommendation and official transcript must be mailed together in the same envelope and received by February 15, 2014 (NO EXCEPTIONS). 2. Applications that are not mailed as a complete packet will not be considered for review. Mail the completed application packet to: Stone Mountain-Lithonia Alumnae Chapter Attention: Scholarship Committee P. O. Box 1184 Stone Mountain, GA Completed applications will be reviewed and scored by the Scholarship Committee. The top scoring applicants will be granted an interview in March All scholarships will be awarded in May 2014 at our Annual Scholarship Reception. 4. Scholarship awardees must be present to receive the financial award. * ALL APPLICATIONS MUST BE RECEIVED BY FEBRUARY 15, 2014.* 5