Student Recognition Scholarship Application

Transcription

1 Alpha Phi Alpha Fraternity, Inc Theta Zeta Lambda Chapter Ann Arbor, MI Theta Zeta Lambda Scholarship Fund 2012 Student Recognition Scholarship Application Submission Deadline: April 12 th 2012 Alpha Phi Alpha Fraternity, Inc Theta Zeta Lambda Chapter Attn: Director of Education PO Box Ann Arbor, MI 48113

2 Dear Scholarship Applicant, The Theta Zeta Lambda Chapter of Alpha Phi Alpha Fraternity, Inc. would like to offer financial assistance to deserving African-American male high school seniors in celebration of their academic excellence and contributions to their school and community. This assistance is in the form of a one-time scholarship award in the amount of $500 from the Theta Zeta Lambda Scholarship Fund. This Fund is a charitable cause of Theta Zeta Lambda Chapter. Attached you will find a scholarship application, including eligibility criteria and detailed instructions for completing the application package. All completed applications should be ed to: tzl_education@annarboralphas.org. If you do not have access to a computer, please mail completed applications to: Alpha Phi Alpha Fraternity, Inc Theta Zeta Lambda Chapter Attn: Director of Education PO Box Ann Arbor, MI Completed applications must be received on or before April 12 th. Any application received after April 12 th will not be considered. Those applicants selected to receive this scholarship will be notified no later than April 26, Each recipient is expected to attend Theta Zeta Lambda s Annual Student Recognition Luncheon on Saturday, May 12, 2012 at the Sheraton Ann Arbor. Complimentary tickets to this event will be provided for the recipients and their parents/guardians. Please do not hesitate to contact me for further information or with any questions or concerns. I can be reached at tzl_education@annarboralphas.org. We look forward to working with you as we invest in our future leaders.

3 History of Alpha Phi Alpha Fraternity, Inc. Since its founding on December 4, 1906, Alpha Phi Alpha Fraternity, Inc. has supplied voice and vision to the struggle of African-Americans and people of color around the world. Alpha Phi Alpha, the first intercollegiate Greek-letter fraternity established for African-Americans, was founded at Cornell University in Ithaca, New York by seven college men who recognized the need for a strong bond of Brotherhood among African descendants in this country. The visionary founders, known as the "Jewels" of the Fraternity, are Henry Arthur Callis, Charles Henry Chapman, Eugene Kinckle Jones, George Biddle Kelley, Nathaniel Allison Murray, Robert Harold Ogle, and Vertner Woodson Tandy. The Fraternity initially served as a study and support group for minority students who faced racial prejudice, both educationally and socially, at Cornell. The Jewel founders and early leaders of the Fraternity succeeded in laying a firm foundation for Alpha Phi Alpha's principles of scholarship, fellowship, good character, and the uplifting of humanity. History of the Theta Zeta Lambda Chapter The Theta Zeta Lambda Chapter of Alpha Phi Alpha Fraternity, Inc. is seated in Ann Arbor, Michigan and is home to brothers residing in Ann Arbor, Ypsilanti, and various cities within the Metro-Detroit area. The chapter was founded on January 23, The seven men, who established the Theta Zeta Lambda Chapter were Rev. Lyman S. Parks, John L. Ragland, John Mansfield, Dr. Thomas Bass, Rollins P. Greene, Booker Brooks, and Dr. Henry C. Bryant. The proud African American men rejected the discriminatory practices of the time and encouraged everyone to join in the fight for immediate civil rights. They encountered unfair resistance, just as Jackie Robinson had a decade before. Nevertheless, they persevered and with the assistance of others in the activist community, old restrictions against full employment and open housing for African Americans slowly began to fade throughout the Ann Arbor area. Theta Zeta Lambda Chapter continues to play a leading role in this community by providing tutoring, recognition for significant achievements as well as scholarships for our youth; by providing food for the truly disadvantage; and by providing voting assistance wherever it is needed. Student Recognition Scholarship Annually the Theta Zeta Lambda chapter awards four $ scholarships to graduating African-American male high school seniors who will be attending college in the following fall semester. The scholarship is nonrenewable. The scholarship award has been given to many deserving students throughout the area. The Theta Zeta Lambda Scholarship fund is a tax-exempt, nonprofit organization. Tax ID:

4 APPLICATION REQUIREMENTS On May 12, 2012, The Theta Zeta Lambda (TZL) Chapter of Alpha Phi Alpha Fraternity, Incorporated will award four $500 scholarships to deserving students in the Ann Arbor / Ypsilanti / Willow Run area. Please read the application carefully. Please complete each question. Please ask persons writing references, for you, to send their letters directly to me. If hand writing your essay, please first write your essay as a rough draft, make your corrections, and then write the essay onto the application form. Remember that neatness is a deciding factor. Please attach a copy of your high school transcript and your SAT or ACT scores. Your application will not be considered without a transcript and scores. Your counselor can help you secure official copies of these items. Please return the completed application and attachments no later than April 12, 2012 Completed applications must be received on or before April 12 th. Any application received after April 12 th will not be considered. Awardees will be honored guests of Alpha Phi Alpha Fraternity, Incorporated at the Fourteenth TZL Student Recognition Luncheon on May12, Refer any questions to tzl_education@annarboralphas.org APPLICATION PACKET CHECKLIST Please take your time and complete all forms necessary. This checklist is to help students and parents organize the forms needed to apply to the Ira Dorsey Scholarship Endowment Fund, Inc. Please submit completed forms below. Check off the following forms when completed. 1. Application. (Be sure it is complete and signed) 2. Essay. (800 words, double spaced, 12 point font) 3. (1) Teacher and (1) Counselor Recommendation Form 4. Photo (be sure applicant is alone in photo)

5 GENERAL INFORMATION (Name)Last, First, MI Mailing Address Apt # City/State/Zip Telephone # Date of Birth High School County Cumulative GPA Class Rank Graduation Date PARENT\GUARDIAN INFORMATION Father s Name Father s Occupation Mother s Name Mother s Occupation Financial Information Please place a check on the line that best indicates your family s gross household income: $0 - $19,999 $20,000 - $39,999 $40,000 - $59,999 $60,000 - $79,999 $80,000 - $99,999 $100,000 + Please list any additional information that may impact your family s financial situation: (For example: medical expenses, single parent, unemployed parent, etc.)

6 STANDARDIZED TEST INFORMATION Have you taken the ACT or SAT? Yes No If so, what was your score? SAT ACT If not, what date do you plan to take either? COLLEGE ADMISSIONS INFORMATION List colleges or universities where you have been accepted for admission. College/University City State College/University City State College/University City State List colleges or universities where your application for admission is still pending. College/University City State College/University City State College/University City State

7 SCHOOL AND COMMUNITY CLUBS\ORGANIZATIONS List the student clubs or organizations you have been involved with over the last four years. Club or Organization Years of Participation Office Held Club or Organization Years of Participation Office Held Club or Organization Years of Participation Office Held HONORS AND AWARDS List any honors or awards you have received within the last four years. Honor/Award Honor/Award Honor/Award Date Received Date Received Date Received SCHOOL AND COMMUNITY ATHLETICS List any sports you have participated in within the last four years. Sport Years Participated Awards Received Sport Years Participated Awards Received Sport Years Participated Awards Received

8 EMPLOYMENT List any jobs you have held within the last four years. Employer Employer Position Position ADDITIONAL INFORMATION Below please indicate any additional information you would like the selection committee to consider while reviewing your application. CERTIFICATION I certify that the information given in this application is complete and correct to the best of my knowledge and that I have not attended any educational institutions other than those listed. I understand that if selected for the Theta Zeta Lambda Scholarship Fund - Student Recognition Scholarship, I am responsible for forwarding my official transcript from the high school I currently attend. I understand that all materials submitted in my application package will become the property of the Ira Dorsey Scholarship Endowment Fund. Signature of Applicant: Date: / / For submissions, please print your name above signifying your signature.

9 ESSAY TOPIC Alpha Phi Alpha Fraternity Inc., is the world s oldest historically African American male intercollegiate fraternity and as such we are concerned with the low academic achievement amongst African American male students. The most recent data from the Schott foundation for public education indicates that only 47% of African American male students are graduating from high school as opposed to 78% for white males. Please write an 800 word essay addressing why YOU BELIEVE countless young African American men are not graduating from high school. Please provide a recommendation(s) in your essay on what we, the Brothers of Alpha Phi Alpha Fraternity Inc., can do to address this crisis. (If necessary, this essay can be typed or written on another sheet of paper)

10 COUNSELOR S RECOMMENDATION Alpha Phi Alpha Fraternity, Inc. Theta Zeta Lambda Chapter Student Recognition Scholarship Application Deadline: April 12, Please this letter of recommendation to tzl_education@annarboralphas.org Student s Name Counselor s Name (please print) Phone Please complete the following information about the above named student who is applying for the Ira Dorsey Scholarship. Category Top 5% Top 15% Average Below Average No Basis for Judgment 1. Academic Ability 2. Initiative 3. Ability to work independently 4. Ability to work with others 5. Self-Confidence 6. Originality and Creativity 7. Leadership 8. Respect of classmates 9. Respect of faculty 10. Other (Specify) How long have you known the applicant? Applicant s greatest strengths / Comments

11 Recommendation (Please Circle one): Strongly Recommend Recommend Not Recommended Counselor s Name: Date: For submissions, please print your name above signifying your signature. School Telephone

12 TEACHER S RECOMMENDATION Alpha Phi Alpha Fraternity, Inc. Theta Zeta Lambda Chapter Student Recognition Scholarship Application Deadline: April 12, Please this letter of recommendation to tzl_education@annarboralphas.org Student s Name Teacher s Name (please print) School Phone Please complete the following information about the above named student who is applying for the Ira Dorsey Scholarship. Category Top 5% Top 15% Average Below Average No Basis for Judgment 1. Academic Ability 2. Initiative 3. Ability to work independently 4. Ability to work with others 5. Self-Confidence 6. Originality and Creativity 7. Leadership 8. Respect of classmates 9. Respect of faculty 10. Other (Specify) How long have you known the applicant? Course in which you taught/teach the applicant? Applicant s greatest strengths / Comments

13 Recommendation (Please Circle one): Strongly Recommend Recommend Not Recommended Recommender s Signature: Date: For submissions, please print your name above signifying your signature School Telephone