LOUDOUN COUNTY ALUMNAE CHAPTER DELTA SIGMA THETA SORORITY, INC.

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LOUDOUN COUNTY ALUMNAE CHAPTER DELTA SIGMA THETA SORORITY, INC. Delta Sigma Theta Sorority, Inc., founded in 1913, is a private non-profit organization whose purpose is to provide assistance and support through established programs in local communities throughout the world. A sisterhood of more than 200,000 predominately African-American college educated women, the Sorority currently has over 900 chapters located in the United States, England, Japan (Tokyo and Okinawa), Germany, the Virgin Islands, Bermuda, the Bahamas and the Republic of Korea. The major programs of the Sorority are based upon the organization's Five-Point Programmatic Thrust: Economic Development Educational Development International Awareness and Involvement Physical and Mental Health Political Awareness and Involvement The Loudoun County Alumnae Chapter of Delta Sigma Theta Sorority, Inc., will award scholarships to African-American female students who demonstrate a high degree of scholarship, leadership, and community service. Applicants must have a 3.0 or higher grade point average on a 4.0 scale. The applicant must also be a resident of Loudoun County, Virginia. The completed application must be postmarked no later than Wednesday, January 13, 2016 and mailed to: Loudoun County Alumnae Chapter Delta Sigma Theta Sorority, Inc. PMB 132 42020 Village Center Plaza, Suite 120 Stone Ridge, VA 20105 Information may also be found at the website: http://www.lcacdst.org

LOUDOUN COUNTY ALUMNAE CHAPTER DELTA SIGMA THETA SORORITY, INC. SCHOLARSHIP APPLICATION 2015-2016 Please note: Interviews will be conducted for scholarship applicant finalists. A. General Information NAME: PARENT/LEGAL GUARDIAN S NAME: ADDRESS: HOME TELEPHONE: CELL PHONE: EMAIL: HIGH SCHOOL: OVERALL GPA: (MUST BE 3.0 OR HIGHER ON A 4.0 SCALE) US CITIZEN: YES: NO: I have applied to or plan to apply to the following colleges/universities for the 2016 2017 academic year: Intended major area of study:

B. Extracurricular Activities, Employment, Community Service, Honors and Awards (No more than one (1) typed page, double-spaced) 1. Please list your involvement in school clubs, community service activities, volunteer activities and/or athletics for the past two (3) years. Highlight leadership roles and responsibilities. 2. Please list any paid employment for the past two (3) years. 3. List any honors or awards that you have received in the past two (3) years, including, academic, athletic, community activities, etc. C. Essay Please answer the essay questions below. Your essay must be no more than two (2) typed pages, doubled-spaced, using a 12 point font. What does the following statement mean to you? How does it apply to your life? Knowledge is the prime need of the hour. Mary McLeod Bethune D. Recommendations Two letters of recommendation must accompany the application in a sealed envelope with the author s signature across the seal. The letters must be on official letterhead and may be from a teacher, employer, a volunteer supervisor, school counselor, principal, or vice principal. Do not submit a recommendation from anyone who is a friend or related to you by blood or marriage (i.e., aunt, uncle, cousin, husband of an aunt, wife of an uncle, etc.) E. Transcript Please include an official transcript. Submit the transcript in a sealed envelope with the signature of the school official across the envelope seal. The guidance counselor or career center specialist can assist you with this requirement. F. Photo Please attach a recent wallet-size photo to the first page of this application.

G. Application Declaration I hereby declare that the information I have provided in this application is correct and complete. I understand that omission or falsification of information will result in the rejection of this application and disqualification for the scholarship. Applicant s Signature Date Submit completed application packet postmarked no later than Wednesday, January 13, 2016 to: LOUDOUN COUNTY ALUMNAE CHAPTER Delta Sigma Theta Sorority, Inc. PMB 132 42020 Village Center Plaza, Suite 120 Stone Ridge, VA 20105

CHECKLIST: Use this checklist to ensure that your application packet is complete. General Information Extra Curricular, Employment, Community Service, Honors & Awards Essay Recommendations (2) Transcript Photo Applicant Declaration