Alpha Phi Alpha Fraternity, Inc. Omicron Alpha Lambda Chapter Historically Black Colleges and University Scholarship 2017 Application

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Historically Black Colleges and University Scholarship 2017 Application Dear Scholarship Applicant, The of would like to offer financial assistance to deserving high school male/female seniors in celebration of their academic excellence and contributions to their school and community. This assistance is in the form of a one-time scholarship award in the amount up to $1,000.00 from the Omicron Alpha Lambda Historically Black Colleges and University Scholarship. Over the past 25 years, the fund has awarded over 100 individual scholarships to deserving students. Attached you will find a scholarship application, including eligibility criteria and detailed instructions for completing the application package. Please note that testaments of character, financial need, and participation in extracurricular activities along with the completion of the essay question on page three of this application will all be considered in conjunction with the applicant s academic performance. It is recommended that all information entered onto this application be typed. All completed applications should be mailed to: ATTN: Dr. James Copeland P.O. Box 1870 Spotsylvania, VA 22553. Please do not hesitate to contact me for further information or with any questions or concerns. I can be reached at James.Copeland@apaoal.com. We look forward to working with you as we invest in our future leaders. Sincerely, Dr. James Copeland Director of Education The Omicron Alpha Lambda Endowment Fund respects the privacy of all applicants. The fund does not collect, share, or sell any of the information you provide. Please direct any questions you may have to: Historically Black Colleges and University Scholarship P.O. Box 1870 Spotsylvania, VA 22553 Email: James.Copeland@apaoal.com

Historically Black Colleges and University Scholarship 2017 Application, the first intercollegiate Greek letter fraternity established for black students, was organized at Cornell University, Ithaca, New York, December 4, 1906. Alpha Phi Alpha Fraternity was born out of the desire for maintaining close association and unified support for members of this small minority group. Our fraternity s vision of academic excellence and social achievement resulted in an organization which encompasses the ideals of scholarship, manly deeds, and love for all mankind. The seven founders, whom we respectfully call the "Jewels," aspired to create a fraternity dedicated to social purpose and social action. Currently, Alpha Phi Alpha continues to grow and promote these ideals through such nationally mandated programs as "Project Alpha," "Go To High School, Go To College," "A Voteless People Is A Hopeless People," and others, which are maintained on both the undergraduate and graduate level. The fraternity has grown steadily in influence throughout the years. It has been interracial since 1945 and has expanded tremendously to the extent that there are now approximately 800 chapters located throughout the United States, Caribbean Islands, Africa, West Indies, Europe, and Asia. Some of the more prominent sons of Alpha include the Rev. Dr. Martin Luther King, Jr., W.E.B. DuBois, Paul Robeson, Thurgood Marshall, Mayor David Dinkins, Adam Clayton Powell, Jr., John H. Johnson, Duke Ellington, Jesse Owens, Hill Harper, and Stuart Scott. Early in 1984, brothers of Alpha Phi Alpha Fraternity Inc., whom had recently moved into the Fredericksburg area began to meet regularly. The first, meetings were informal, primarily opportunities to share in the Brotherhood that is Alpha. As the number grew, so did the desire to form a local chapter. On June 28, 1984, The Rappahannock Chapter of Alpha Phi Alpha Fraternity, Inc. was founded; making a difference in the community while maintaining a steadfast commitment to manly deeds, scholarship, and love for all mankind. Omicron Alpha Lambda, Alpha Phi Alpha Fraternity Inc. Historically Black Colleges and University (HBCU) Scholarship, provides scholarships to prospective college students planning to attend a HBCU. The Omicron Alpha Lambda scholarship committee respects the privacy of all applicants. The fund does not collect, share, or sell any of the information you provide. Please direct any questions you may have to: Historically Black Colleges and University Scholarship, P.O. Box 1870 Spotsylvania, VA 22553 Email: James.Copeland@apaoal.com

Historically Black College and University Scholarship 2017 Application APPLICATION INSTRUCTIONS Please read all instructions carefully before completing this application. Provide answers to all requests for information. Do not leave any request blank. If the request does not apply to you, please indicate by filling the space with NA. Failure to complete and/or follow instructions could result in an unfavorable rating. I. Eligibility This scholarship award is open to any graduating high school senior(s) that: 1. 1) Lives within the Rappahannock Area (Stafford, Fredericksburg, King George, Spotsylvania, Caroline, Westmoreland) 2. 2) Possesses a cumulative Grade Point Average (GPA) of 2.5 or better on 4.0 scale 3. 3) Plans to attend a four-year college or university Dependents of members of the of Alpha Phi Alpha, Incorporated are not eligible to apply for this scholarship. II. Official Transcript Please provide an official transcript from your high school counselor or principal. Make sure it indicates the most current GPA. Your high school counselor or principal must certify documentation in the appropriate space. III. Recommendation Form Please provide two recommendations. Give the attached recommendation forms to a Teacher and a School Counselor to complete. IV. Essay Topic: Typed three/four page essay: Describe how you have demonstrated leadership ability in your school, work, or community. VI. Deadline All application packets must be postmarked by Friday, April 15, 2017. Applicants must submit completed application packets. Incomplete application packets WILL NOT be reviewed and will therefore eliminate you from the selection process. VII. Completed Applications Mail completed packets to: HBCU ATTN: Dr. James Copeland

Post Office Box 1870 Spotsylvania, VA 22533 Omicron Alpha Lambda HBCU Scholarship 2017 Application VII. Scholarship Recipients Those applicants selected to receive this scholarship will be notified no later than May 15, 2017. Each recipient is expected to attend Omicron Alpha Lambda s Annual Black and Gold Ball on Saturday January 20, 2017 at the Riverside Dinner Theater, Fredericksburg, VA. Complimentary tickets to this event will be provided for the recipient and their parents/guardians. VIII. Questions or Concerns Please address all questions or concerns to the Director of Education: Dr. James Copeland at email James.Copeland@apaoal.com Application Packet Checklist Please take your time and complete all forms necessary. This checklist is to help students and parents organize the forms needed to apply to the OAL HBCU Scholarship. Please submit completed forms below. Check off the following forms when completed. 1. Application. (Be sure it is complete and signed) 2. Official Transcript 3. Expected Family Contribution Worksheet 4. Essay. (800 words, double spaced, 12 point font) 5. (1) Teacher and (1) Counselor Recommendation Form 6. High quality photo (applicant must be alone in photo, no photo proofs will be accepted)

Omicron Alpha Lambda HBCU Scholarship 2017 Application General Information (Name)Last, First, MI Mailing Address Telephone# Email Date of Birth High School County Cumulative GPA Graduation Date Parent/Guardian Information Father s Name Father s Occupation Mother s Name Mother s Occupation Financial Information Please place a check on the line that best indicates your family s gross household income: $0 - $19,999 $20,000 - $39,999 $40,000 - $59,999 $60,000 - $79,999 $80,000 - $99,999 $100,000 + Please list any additional information that may impact your family s financial situation: (For example: medical expenses, single parent, unemployed parent, etc.)

Omicron Alpha Lambda HBCU Scholarship 2017 Application Standardized Test Information Have you taken the ACT or SAT? Yes No If so, what was your score? SAT ACT If not, what date do you plan to take either? College Admission Information List colleges or universities where you have been accepted for admission. College/University College/University College/University City State City State City State School and Community Clubs/Organizations List the student clubs or organizations you have been involved with over the last four years. Club or Organization Years of Participation Office Held (Include Dates) Club or Organization Years of Participation Office Held Club or Organization Years of Participation Office Held

Honors and Awards Omicron Alpha Lambda HBCU Scholarship 2017 Application List any honors or awards you have received within the last four years. Honor/Award Honor/Award Honor/Award Date Received Date Received Date Received School and Community Athletics List any sports you have participated in within the last four years. Sports Years of Participation Recognition Received (Include Dates) Sports Years of Participation Recognition Received (Include Dates) Sports Years of Participation Recognition Received (Include Dates) Employment List any jobs you have held within the last four years. Employer Employer Position &Date Position & Date

Omicron Alpha Lambda HBCU Scholarship 2017 Application Additional Information Below please indicate any additional information you would like the selection committee to consider while reviewing your application. How did you hear about this scholarship? Counselor College Fair Personal Contact Church Social Organization Certification I certify that the information given in this application is complete and correct to the best of my knowledge and that I have not attended any educational institutions other than those listed. I understand that I am responsible for forwarding my official transcript from the high school I currently attend. I understand that all materials submitted in my application package will become the property of the Omicron Alpha Lambda Scholarship Endowment. Signature of Applicant Date / / The Omicron Alpha Lambda Endowment Fund respects the privacy of all applicants. The fund does not collect, share, or sell any of the information you provide. Please direct any questions you may have to: OAL HBCU Scholarship, P.O. Box 1870 Spotsylvania, VA 22533 Email: James.Copeland@apaoal.com

COUNSELOR S RECOMMENDATION Historically Black College and University Scholarship Application Deadline: April 15, 2016. Please return to student in sealed envelope with your signature on the back of the envelope. Student s Name Counselor s Name Phone Please complete the following information about the above named student who is applying for the Omicron Alpha Lambda, Alpha Phi Alpha Fraternity Inc. Historically Black College University Scholarship. Category Top 5% Top 15% Average Below Average No Basis for Judgment 1. Academic Ability 2. Initiative 3. Ability to work independently 4. Ability to work with others 5. Self-Confidence 6. Originality and Creativity 7. Leadership 8. Respect of classmates 9. Respect of faculty 10. Other (Specify) How long have you known the applicant? Applicant s greatest strengths/comments Recommendation (Please Circle one): Strongly Recommend Recommend Not Recommended Counselor s Signature Date School Telephone

TEACHER S RECOMMENDATION Historically Black College and University Scholarship Application Deadline: April 15, 2006. Please return to student in sealed envelope with your signature on the back of the envelope. Student s Name Teacher s Name Phone Please complete the following information about the above named student who is applying for the Omicron Alpha Lambda, Alpha Phi Alpha Fraternity Inc. Historically Black College and University Scholarship. Category Top 5% Top 15% Average Below Average No Basis for Judgment 1. Academic Ability 2. Initiative 3. Ability to work independently 4. Ability to work with others 5. Self-Confidence 6. Originality and Creativity 7. Leadership 8. Respect of classmates 9. Respect of faculty 10. Other (Specify) How long have you known the applicant? Applicant s greatest strengths/comments Recommendation (Please Circle one): Strongly Recommend Recommend Not Recommended Recommender s Signature Date School Telephone