Intelligence is the Torch of Wisdom

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Delta Sigma Theta Sorority, Incorporated South Middlesex County Alumnae Chapter 2017 Merit Scholarship Program Application Intelligence is the Torch of Wisdom The South Middlesex County Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated is accepting applications for its 2017 Merit Scholarship Program. In an effort to continue promoting educational development and scholastic achievement, we offer two scholarship awards totaling $3,500 to two deserving Black high school seniors entering accredited institutions of higher education. The scholarships and candidate criteria are as follows: 1. The Minerva Award - in the amount of $2,000, paid in two installments, is awarded to a Black female high school senior. The candidate must have been accepted into an accredited institution of higher education (2 or 4 years) and have a cumulative grade point average of at least 3.0 on a 4.0 scale. 2. The Torch Award - in the amount of $1,500, paid in two installments, is awarded to a Black male or female high school senior. The candidate must have been accepted into an accredited institution of higher education (2 or 4 years) and have a cumulative grade point average of at least 2.8 on a 4.0 scale. Candidates must live, or attend school, in the following towns: Ashland, Framingham, Hopkinton, Holliston, Marlborough, Natick, Sherborn, Sudbury, or Wayland. Please note: Award recipients are selected on the basis of academic achievement and merit, not financial need. 2017 Key Dates to Remember March 10, 2017 March 25, 2017 April 15, 2017 Application Deadline Interview Day* Award Recipient Notification Day * The interview is a mandatory part of the selection process; failure to participate in an interview will result in an incomplete application. If you will be unable to attend the interview on March 25 th, please let us know by March 15 th, 2017 by sending an email to smcacscholar@gmail.com.. 1

For more information regarding the Scholarship program, please contact Ms. Tracy R. Brown at smcacscholar@gmail.com. For more information about our local chapter, please visit www.smcacdeltas.org. To learn more about our national organization, go to www.deltasigmatheta.org. 2

SCHOLARSHIP APPLICATION NOTE TO APPLICANTS: Please complete the Scholarship Application accurately. Incomplete applications will not be considered. Please type or print clearly using black or blue ink only. PART I: PERSONAL DATA NAME: DATE OF BIRTH: ADDRESS: CITY, STATE, ZIP: HOME PHONE: MOBILE PHONE: APPLICANT S EMAIL ADDRESS PARENT S EMAIL ADDRESS: HIGH SCHOOL ATTENDED: EXPECTED GRADUATION DATE: PART II: LEADERSHIP ROLES, EXTRACURRICULAR OR COMMUNITY SERVICE ACTIVITIES Briefly describe any leadership roles or extracurricular or community service activities in which you have been involved. Please specify position/office held, if any, and number of years of participation. (You may attach a list of activities on a separate page if needed). I PART III: HONORS/AWARDS/RECOGNITION Please list any honors or awards that you have received. 3

PART IV: COLLEGES Please list college(s) to which you have applied and the status of your application. Educational Institution and Location Accepted Yes/No/Waiting Intended Major or Undecided PART V: SHORT ESSAY Below are two essay questions. Please respond to one, of the two, questions. Please attach an essay of 500 words or less that addresses one of the following questions: I. You have just been elected President of the United States of America! What would be your first action as President and why? II. If you could go back and witness one moment in history, where would you choose to go and why? The essay should be typed on a separate sheet of paper and attached to the Application. Please type your complete name on each page of the essay. 4

PART VI: OTHER UNIQUE INFORMATION YOU WANT TO SHARE ABOUT YOURSELF Please use the following space to provide information that should be considered in determining your merit. Please note: Award recipients are selected on the basis of academic merit and achievement, not financial need. PART VII: CHECKLIST 1. A complete and signed Application. 2. Three (3) letters of recommendation, of which at least two (2) recommendations must come from your high school teacher, counselor, or other school administrator. 3. Official high school transcript. Transcript must include first semester senior grades. Your counselor must mail the transcript in a sealed envelope to the address listed below. Also, the counselor should include an explanation of your GPA, if your GPA is not determined on a 4.0 scaling system. 4. Essay 5. Mail all required materials (except your transcript) in one packet so that they are received by March 10, 2017. *Transcripts should be mailed separately by the school (see #3 of Checklist). I have completed this Application truthfully and to the best of my knowledge. I understand that falsification of any of the information contained herein may result in the loss of consideration for the scholarship. Applicant Signature Date Parent or Guardian signature (if applicant under 18 years old) Please mail materials to: Delta Sigma Theta Sorority, Incorporated South Middlesex County Alumnae Chapter P. O. Box 1194 Framingham, MA 01701 Re: 2017 Scholarship Program 5