Alpha Kappa Alpha Sorority, Incorporated Psi Alpha Omega Chapter 2019 Scholarship Application

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Dear Student,, will award several academic scholarships to graduating seniors who reside in or attend school in the Clayton and Henry County areas. Qualified applicants must have a minimum 2.5 overall grade point average, and plan to attend an accredited college or university. Visit http://www.psialphaomega.org/scholarships/ for more information and to download the application. All application packets must include the following: Completed Application (Typed) Application Essay (Typed 500 words or less) Unofficial Transcript* SAT or ACT Scores 1 Recommendation Letter (Academic) 1 Recommendation Letter (Character) College Acceptance Letter(s) to an accredited four year college/university, if received The academic recommendation letter must be completed by an academic teacher, counselor or administrator of the school in which you currently attend. The second recommendation may be from an individual familiar with your character, school activities, or community involvement. Applicants will be judged on: scholarship, character, school and community activities, and essay. Scholarship packets must be submitted electronically by February 15, 2019 to scholarship@psialphaomega.org. *An official transcript must be postmarked by March 9, 2019 and mailed to: c/o Scholarship Committee P.O. Box 2626 Stockbridge, GA 30281 Thank you for your cooperation. Educationally, Shana M. Rooks President, Psi Alpha Omega Scholarship Committee Deborah Norman, Co Chairman Felicia Perry, Co Chairman 1 P age

Directions: Please type all requested information. APPLICANT INFORMATION First Name Middle Name Last Name Street Address City State Zip Home Phone Cell Phone Email Address Date of Birth Gender Female PARENT / GUARDIAN INFORMATION 1) Parent / Guardian Name Relationship Male Phone Number Email Address 2) Parent / Guardian Name Relationship Phone Number Email Address HIGH SCHOOL INFORMATION High School Currently Attending Overall GPA Address City State Zip COLLEGE ASPIRATIONS Colleges / Universities You Applied To Or Plan to Apply Intended Major or Field of Study 3 P age

EXTRA CURRICULAR / COMMUNITY ACTIVITIES Name of Group / Activity Grade (Check boxes that apply) 9 th 10 th 11 th 12 th Positons Held (if applicable) Were you a member of any mentoring programs sponsored by Alpha Kappa Alpha Sorority, Incorporated, or the Southern Crescent Pearls Foundation? YES NO HONORS / AWARDS / RECOGNITIONS Award If Yes, please list the program and date(s) of participation: Grade (Check boxes that apply) 9 th 10 th 11 th 12 th Source / Reason for Award 4 P age

ESSAY In five hundred (500) words or less, please share why you should be considered for the Alpha Kappa Alpha Sorority, Incorporated, Scholarship. How does your life s purpose connect to the ideals of Alpha Kappa Alpha Sorority, Incorporated? Please use the space provided. 5 P age

SIGNATURES I have provided truthful and complete information in this application and understand the requirements of this program. I understand that if I am a recipient of this scholarship award, that my awarded amount will be submitted on my behalf to the accredited four-year college/university in which full-time enrollment has been verified. I forfeit the awarded amount if I do not attend an accredited four-year college/university and I am not enrolled as a full-time student. Applicant s Signature (electronic signature sufficient) Date Parent / Guardian s Signature (electronic signature sufficient) Date 6 P age