ALPHA PHI ALPHA FRATERNITY, INC. Theta Nu Lambda Chapter 115 East Cannon St LaGrange, GA thetanulambda.weebly.com

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Counselors, Mentors, Administrators and Pastors: Please make copies of the enclosed scholarship application and distribute it to qualified male students who are seeking sources of financial aid to attend College. Alpha Phi Alpha, the first intercollegiate Greek-letter fraternity established for African American Men, 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. Theta Nu Lambda chapter of Alpha Phi Alpha Fraternity Inc., in keeping with the traditions and goals of our founders the target audience for this particular scholarship are African American Males. Keep in mind that this organization does not discriminate any qualified applicants, but we are encouraged to reach our target audience. If additional information is needed, please contact: For the LaGrange/Troup Area Prof. Louis F. Shepard (Chair) LaGrange, GA Phone: (706) 756-4691 (work) (706) 442-0882 (cell) Email: louis.shepard@westgatech.edu or louiss1906@gmail.com For the Coweta/Newnan Area Bro. Alton West 1- (706-957-4018 Wesley_30241@yahoo.com Bro. Ronnie Jones 1- (678)9786583 Ronniej18@charter.net For the Greenville/ Meriwether Area Bro. Dexter Williams 1-(706) 957-0321 Dex1906@yahoo.com Alpha Scholarship Application Form FY11 Page 1 of 7

April 3, 2017 ALPHA PHI ALPHA FRATERNITY, INC. To: Applicants From: Scholarship Committee We are pleased to have you apply for the Alpha Phi Alpha Scholarship from the Alpha Phi Alpha Fraternity, Inc.,. Scholarships will be awarded to those male students who have a proven record of outstanding scholarship, leadership, community service and financial need. Two one-time scholarships in the amount of $500 and $1,000 (to be distributed in two payments in fall and spring semesters) along with other possible awards will be available for the 2016-2017 collegiate academic years. Applicants selected as finalists will be interviewed before our evaluation committee on April 26, 2017. A fifteen (15) to Twenty (20) minute scheduled interviews will begin at 5:30 pm at the Oliver Green Alpha Multipurpose Center located at reet, Every application must contain the following information: 1. A completed application form 2. A copy of your official school transcript 3. Three (3) letters of recommendation, one must be from guidance counselor 4. Typed 2 page essay of future goals 5. Documentation of estimated family income If you wish to submit your application electronically, please go to (link will be updated) and a blank application form (PDF format) can be completed. Please save and send as email attachment to louis.shepard@westgatech.edu or louiss1906@gmail.com (Please use West Georgia Pharaoh Scholarship in the subject block) Alpha Scholarship Application Form FY11 Page 2 of 7

Completed applications must be received No Later than Saturday, April 22, 2017. If mailed please send application to: Prof. Louis F. Shepard LaGrange, GA, 30240 louis.shepard@westgatech.edu For any concern Awards will or can be made at the recipient's high school awards recognition program. Scholarships will be sent to the student upon proof of enrollment in an accredited college or university. Please make certain that the student provide a valid email address as this will be the primary method of communication between the applicant and the scholarship committee. Recipients of scholarship must provide an Enrollment Verification Certificate from the college or university before scholarship checks will be issued. If you have any questions, please consult with your counselor or send email to louis.shepard@westgatech.edu, or your area reprehensive; For the Coweta/Newnan Area Bro. Alton West 1- (706-957-4018 Wesley_30241@yahoo.com Bro. Ronnie Jones 1- (678)9786583 Ronniej18@charter.net For the Greenville/ Meriwether Area Bro. Dexter Williams 1-(706) 957-0321 Dex1906@yahoo.com The scholarship winners must make contact with the scholarship chair or reprehensive of Theta Nu Lambda chapter of Alpha Phi Alpha the 1 st month following enrollment to verify award eligibility. The Alpha Phi Alpha Fraternity, Inc. understands that information contained in this application is of a personal nature. Information provided will be treated confidentially. Applications will be destroyed after the scholarship selection and award process has been completed Failure to provide all information as requested will invalidate the application. Incomplete applications Will NOT be considered. Scholarships funds will be disbursed to those selected during the early fall upon receiving an Enrollment Verification Certificate from an accredited college or university. Alpha Scholarship Application Form FY11 Page 3 of 7

SCHOLARSHIP APPLICATION NAME AGE PHONE ADDRESS CITY ZIP E-MAIL ADDRESS HIGH SCHOOL DATE OF HIGH SCHOOL HONOR S DAY / / CUMULATIVE GPA ACT/SAT SCORE RANK IN CLASS NAME OF COLLEGE APPLIED TO CHOICE OF MAJOR DEGREE SOUGHT RECORD OF SERVICE AND CITIZENSHIP AWARDS HONORS SCHOOL INVOLVEMENT (CLUB OFFICES/SPORTS) COMMUNITY AND CHUCH INVOLVEMENT NAME OF PARENTS OR GUARDIAN Alpha Scholarship Application Form FY11 Page 4 of 7

PARENT OCCUPATIONS NUMBER IN FAMILY *ESTIMATED FAMILY INCOME ADDRESS CITY ZIP *DOCUMENTATION IS REQUIRED FOR ESTIMATED FAMILY INCOME PLEASE INCLUDE A TYPED 2-PAGE ESSAY DESCRIBING YOUR FUTURE GOALS A COPY OF THE APPLICANT S SAT OR ACT SCORES MUST ACCOMPANY THE APPLICATION. Send or get the completed applications to: (No Later Than, 04/22/17) Prof. Louis F. Shepard LaGrange, GA, 30240 louis.shepard@westgatech.edu COMPLETED APPLICATIONS MUST BE RECEIVED BY MONDAY MARCH 18, 2013 WITH THE FOLLOWING INFORMATION INCLUDED: 1. SCHOLARSHIP APPLICATION 2. OFFICAL HIGH SCHOOL TRANSCRIPT 3. 2 PAGE ESSAY DESCRIBING YOUR FUTURE GOALS 4. THREE LETTERS OF RECOMMENDATION, ONE MUST BE FROM GUIDANCE COUNSELOR 5. DOCUMENTATION OF ESTIMATED FAMILY INCOME Alpha Scholarship Application Form FY11 Page 5 of 7

LETTERS OF RECOMMENDATION Alpha Phi Alpha is the world s oldest intercollegiate, multicultural fraternity founded by African-American Men. The fraternity s motto is First of all, servants of all, we shall transcend all. For 105 years, Alpha Phi Alpha has answered the call to leadership. In all walks of life and at all times in its history, Alpha men have set the standards for excellence and service. You have been asked to provide a letter of reference for a person who is seeking the Alpha Phi Alpha Scholarship. As a person who knows them very well, your letter of reference will be a very important part of the scholarship selection process. Please give candid and complete answers to the following questions and make sure that you have identified the candidate by name and signed your reference before sending it in. PLEASE NOTE THE CANDIDATE SHOULD NOT HAVE ACCESS TO THE CONTENT OF THESE LETTERS WITHOUT PRIOR CONSENT OF THE WRITER. Letters of recommendation are due no later than April 22, 2017 and should accompany the application or can be emailed to: Prof. Louis F. Shepard LaGrange, GA, 30240 louis.shepard@westgatech.edu GENERAL GUIDELINES FOR RECOMMENDATION LETTERS: Letters should be 1-2 pages single spaced in length. Address the student s academic performance or leadership in extracurricular engagements in detail with examples. Provide a context in which you know the applicant and what length of time. Discuss why the student would be a strong candidate for the Alpha Phi Alpha Scholarship. Be candid but not negative. Do not write a letter if you do not feel that you know the applicant well enough or you do not remember enough to provide a good letter. Alpha Scholarship Application Form FY11 Page 6 of 7

Scholarship Recipient Score Sheet Name of Recipient Areas of Competition Total Points Leadership 20 points (A) School Organizations/Club Participation 10 points (B) Church Participation 5 points (C) Civic and Community Activities 5 points Academic Achievement 50 points (A) SAT/ACT 1200-1000 50 points (B) SAT/ACT 999-900 40 points (C) SAT/ACT 999-800 30 points ACT Scores from 20-36 SAT Scores 950-1600 Financial Need 20 points (A) $30,001 and above 5 points (B) $15,001-$30,000 10 points (C) $12,001-$15,000 15 points (D) $12,000 to under 20 points Interview-10 points (A) Dress 2 points (B) Poise 2 points (C) Communication Skills 6 points Grand Total For Scholarship Committee Use Only Alpha Scholarship Application Form FY11 Page 7 of 7