Jabberwock Scholarship Program C/o Tiffany Wright 6621 Marissa St. Canal Winchester, Ohio 43110

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1 Delta Sigma Theta Sorority, Inc. Columbus (OH) Alumnae Chapter Jabberwock Scholarship Program Application Packet

2 Dear Prospective Debutante, Thank you for your interest in The Columbus (OH) Alumnae Chapter of Delta Sigma Theta Sorority, Inc. s Jabberwock Scholarship Program and Cotillion. Jabberwock debutantes are young ladies who exemplify poise, leadership, scholarship and respect within their schools and community. If you are invited to participate, you will have the opportunity to engage in various social, educational and community service activities that encourage future success. At the end of the Jabberwock season, we will celebrate with a grand ball for your family and friends. Being a debutante requires time, hard work, and dedication, but will reap great rewards- including the opportunity to receive college scholarships and a variety of program incentives. Therefore, significant contributions are expected from each young lady. Before applying, please consider the following minimum requirements. A prospective debutante must: be classified as a high school senior by the Fall of 2013 possess and maintain a cumulative grade point average of 2.75 (C+) or better on a four point scale exhibit high moral and ethical standards pay a $500 program fee by June 15, 2013 ($50 of fee will be for application) raise a minimum of $1000 through individual fundraising efforts throughout the course of the program. These include, but are not limited to, recruiting sponsors for the souvenir booklet. sell a minimum of 2 tables for the Cotillion attend monthly program events, workshops, and cotillion rehearsals select a reliable young male escort (ages 16-19) and an adult male escort (father or father-figure) for the cotillion. Delta Sigma Theta Sorority, Inc. Columbus (OH) Chapter P.O. Box Columbus, Ohio Charlene E. Greene, President Jabberwock Program Kennetha Peebles, Chairperson Contact: Key Dates: Informational Meeting: April 9, 2013 Application Deadline: April 26, 2013 Applicant Interviews: May 18, 2013 Acceptance Letters: May 31, 2013 Orientation: June 15, st Program Fee Installment Due: June 15, 2013 We will be holding an informational meeting on April 9, 2013 at 7:00p.m. at the Livingston Library Branch located at 3434 Livingston Ave. If you are interested in becoming a debutante and able to meet these minimum requirements, please complete and send in the Jabberwock Application Packet including essay, transcripts, application fee of $50 and recommendation forms by April 26, Once the application packets are reviewed and it has been verified that the minimum requirements have been met, you will be invited to meet with the Jabberwock committee for a candidate assessment interview on May 18, Incomplete packets will not be reviewed. Following the completion of all interviews, applicants will be notified of their acceptance into the program. Young ladies that accept our invitation to participate are required to attend a mandatory orientation meeting on June 15, The first program fee installment of $200 is due on or before that time. Meeting details will be included in the program acceptance letter. Documents and fees should be returned by April 26, 2012 to: Jabberwock Scholarship Program C/o Tiffany Wright 6621 Marissa St. Canal Winchester, Ohio We are honored you have considered becoming a debutante and look forward to reviewing your application!

3 APPLICATION CHECKLIST Ensure the application is complete by verifying that each item on the list below is included. Submit all elements of the application in the same envelope. Incomplete applications will not be reviewed. Application Fee- $50.00 (payments in the form of cash or money order made out to CAC-DST) Completed Application 250- word Essay Official Transcript 2 Letters of Recommendation FINAL DEADLINE April 26, Only complete applications will be reviewed. (NOTE: Qualified recommenders include teachers, community leaders, employers, and mentors. Relatives and members of the Jabberwock Scholarship Committee are not acceptable.)

4 Eligibility Requirements In order to participate in the Jabberwock, all participants (escorts included) MUST meet and maintain the following requirements throughout the entire Jabberwock season: Must be a resident of the Columbus, Ohio area Debutantes must be a high school senior for the school year (Escorts may be between the ages of 16-19) Must have and maintain at least a cumulative 2.75 g.p.a. on a 4.0 scale (verified by official transcript) Demonstrate goals, aspirations, and plans to pursue an education beyond high school. Demonstrate interest and involvement in public service and community related activities. Show and maintain evidence of good moral character, which includes but is not limited to: o No record of poor discipline at school or in the community o No criminal, misdemeanor, or court record of any kind o Must maintain good moral character when using Social Media Networks (i.e. Facebook, MySpace, Twitter, Instagram, etc.) o No indication or public hint of pregnancy o Must not be a parent (If you are currently pregnant or become pregnant during the Jabberwock program season you will become ineligible and not allowed to continue participating in the Jabberwock Scholarship Program activities and presentation) Must not have previous or current employment in places of entertainment including bars, clubs, etc Attend all related personal development functions and activities held throughout the program which includes workshops, rehearsals, retreats, and any other planned activities associated with the program. If you are unable to attend, you must contact a committee member to obtain an excused absence. (i.e. Mandatory school activity, illness, death) Each debutante will be allowed 2 excused absences. At the discretion of the committee, if you are not prepared for the event you will be asked not to participate in the culminating event) Submit all required forms by the deadlines stated. Must pay the required application and program fees, raise the minimum of $1000 in ad sales through individual fundraising efforts, and sell the minimum of 2 tables for the Cotillion Ball.

5 Applicant * This is an application of consideration and therefore my acceptance is not guaranteed Name Address First Last Middle (complete) Number and Street Apartment # City/State State Zip Code County Birth Date: Home Phone ( ) Cell Phone ( ) Favorite Quote or Personal Motto Parent/Guardian Parent/Guardian #1: Mother Father Other Name First Last Middle (complete) Address Parent/Guardian #2: Mother Father Other Name First Last Middle (complete) Address Parent/Guardian #3: Mother Father Other Name First Last Middle (complete) Address

6 Education School Name School District Current GPA (Chapter Use Only) Future College/University College/University City College/University State Anticipated Major Extracurricular Activities Please list your current (2012 to present) extracurricular, volunteer, and work activities in their order of importance to you. Use only the space available to provide details of your activities and accomplishments. All school and program acronyms and abbreviations should be spelled out completely to ensure information is transferred accurately. Start to End Date (mm/yy to mm/yy) School/Community/Work Activity Positions held or honors won Please list your hobbies and special talents

7 Acknowledgement of Responsibilities Have you ever participated in the Jabberwock Scholarship Program sponsored by the Columbus (OH) Chapter of Delta Sigma Theta Sorority, Inc.? YES NO (Prior recipients of scholarships through the Jabberwock Program are not eligible to receive additional scholarships) During the Jabberwock season (July 2013 April 2014), debutantes will be required to attend at least one character-building workshop each month. Workshops will primarily occur on the 3 rd Sunday of every month. Will your academic and/or extracurricular schedule permit active involvement in the Jabberwock Scholarship Program? YES NO Debutantes will be asked to solicit a minimum of $1,000 in sponsorships from family, friends and local businesses in support of their participation in this program as well as sell a minimum of 2 tables at the Cotillion Ball. Will you be able to recruit financial supporters? YES NO Have you been involved in any criminal incidents at school or in your community within the past 2 years? If yes, please explain. YES NO I understand that the Jabberwock Scholarship Committee reserves the right to dismiss a debutante from the program if she does not comply with the attendance policy, becomes disruptive within the program, is disrespectful to the program and its participants, or becomes pregnant during the debutante season. YES Essay NO This personal essay helps us to become acquainted with you as a person and a student. It will also demonstrate your ability to organize and express your thoughts. Please write an essay (250 words or less) answering one of the questions listed below. Indicate your topic by checking the appropriate box. Essays should be typed (12-point Times New Roman), double-spaced, and submitted with your application on a separate sheet of paper. Signatures If you were the next President of the United States, what would be your first priority? Describe a major issue within your community and two potential solutions. Describe a woman in a leadership role who has influenced your life. I have provided truthful and complete information in this application and understand the requirements of this program. Prospective Debutante Date My daughter has permission to participate in the Jabberwock Scholarship Program and Cotillion. I understand that participation is voluntary, and my child may refuse to participate at any time. I also acknowledge that the $ participation fee is non-refundable, and will not be returned regardless of my daughter s participation. Parent/Guardian Date

8 Transcript Release Form Delta Sigma Theta Sorority, Inc. Columbus (OH) Alumnae Chapter P.O. Box Columbus, Ohio Jabberwock Scholarship Program and Cotillion To Whom It May Concern: I give permission to have the transcript for my daughter,,forwarded to the Columbus (OH) Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated in connection with her application for the Jabberwock Scholarship Program and Cotillion. Parent/Guardian Date TRANSCRIPTS MUST BE RECEIVED BY APRIL 26, Please mail transcript to: Delta Sigma Theta Sorority Inc. - Columbus (OH) Alumnae Chapter Jabberwock Scholarship Program c/o Tiffany Wright 6621 Marissa St. Canal Winchester, Ohio 43110

9 Recommendation Form Delta Sigma Theta Sorority, Inc. Columbus (OH) Alumnae Chapter- Jabberwock Scholarship Program c/o Tiffany Wright 6621 Marissa St. Canal Winchester, Ohio Δ columbusohdeltas.org Δ Jabberwock Scholarship Program and Cotillion is applying to participate in the Jabberwock Scholarship Program and Cotillion presented by the Columbus (OH) Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated. Please complete the following form and return in a sealed envelope to the address above before April 26, 2013 How long have you known the applicant? What is your relationship to the applicant? Based on your experiences with the applicant, please check the box below that best represents the applicant s ability or character. Leadership Ability Self-Confidence Maturity Dependability Integrity Personable Personality Intellect Excellent Above Below No Opportunity to Observe Overall Impression of Applicant: Enthusiastically recommend Recommend Recommend with some reservations Do not recommend Please provide any additional relevant information about the applicant. Recommendation provided by Name (please print) Signature Date Telephone Number Address

10 Recommendation Form Delta Sigma Theta Sorority, Inc. Columbus (OH) Alumnae Chapter- Jabberwock Scholarship Program c/o Tiffany Wright 6621 Marissa St. Canal Winchester, Ohio Δ columbusohdeltas.org Δ Jabberwock Scholarship Program and Cotillion is applying to participate in the Jabberwock Scholarship Program and Cotillion presented by the Columbus (OH) Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated. Please complete the following form and return in a sealed envelope to the address above before April 26, How long have you known the applicant? What is your relationship to the applicant? Based on your experiences with the applicant, please check the box below that best represents the applicant s ability or character. Leadership Ability Self-Confidence Maturity Dependability Integrity Personable Personality Intellect Excellent Above Below No Opportunity to Observe Overall Impression of Applicant: Enthusiastically recommend Recommend Recommend with some reservations Do not recommend Please provide any additional relevant information about the applicant. Recommendation provided by Name (please print) Signature Date Telephone Number Address

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