Omicron Lambda Education Foundation, Inc.

Omicron Lambda Education Foundation, Inc. SCHOLARSHIP APPLICATION 2014-2015 Omicron Lambda Education Foundation, Inc. ALPHA PHI ALPHA FRATERNITY, Inc. 2210 1st Ave North Birmingham, AL 35210 www.alphabirmingham.org

OMICRON LAMBDA EDUCATION FOUNDATION, Inc. APPLICATION GUIDELINES (Detach this page and keep it for your records) 1. The primary criteria used to select students include: scholarship application, personal recommendations, cumulative GPA of 3.0 or higher (official transcript), leadership in school and community service activities, financial needs, and other responsibilities will be considered. 2. The essay question response must be typewritten and double-spaced on white 8 ½ x 11 inch paper. Be certain to include your full name at the top of each page. 3. Attach additional pages to application only as necessary. Make certain that responses and page numbers are clearly notated. 4. The two enclosed personal reference forms should be completed by your high school principal, guidance counselor or other professional(s) who are knowledgeable about your: (A) Academic Record, (B) Potential for a Successful College Level Academic Immersion, (C) Financial Need. The completed reference forms must be submitted with your application. 5. The DEADLINE for complete applications is due in our office by Friday, March 6, 2015 6. All applicants will be notified in writing, regarding the Scholarship Committee s decision. Scholarship award checks will be written in the names of both the student and the institution. 7. Options to consider when mailing your application: 1. U. S. Postal Service - Certified mail: (You can ensure your application arrived at its destination with access to online delivery information.) 2. U. S. Postal Service - Signature Confirmation: (Gives you an added level of security by requiring a signature from the person who accepts your application.) IMPORTANT REMINDER: Incomplete and/or late applications will not be considered. Completion of application must include the following: Application signed and dated Official transcript Essay question Short response One photo HEAD SHOT HIGH RESOLUTION (3 x 5) on photo quality paper Acceptance letter from a college/university (required before award is made) Two personal reference forms MAIL APPLICATION TO: Omicron Lambda Education Foundation, Inc. ALPHA PHI ALPHA FRATERNITY, Inc. 2210 1st Ave North Birmingham, AL 35210 2

Name: Last, First, Middle OMICRON LAMBDA EDUCATION FOUNDATION, INC. APPLICATION Home Cell Email Address: Sex: M F Date of Birth/Age : Place of Birth (City, State): Academics GPA: Size of Graduating Class: Class Rank: SAT Score (if applicable): Current High School: Address: ACT Score (if applicable): College/University that you will attend: Address: Intended Major(s): Are you employed: Yes No If yes, how many hours per week: Employer: Job Responsibilities: FINANCIAL INFORMATION Position: Have you completed the FAFSA Application and Assessment? Yes No Have you, or will you, apply for a United States Pell Grant? Yes No Total Expenses: (approximate per year) Other source of Income: Father s Name: City: State: Zip : Occupation: Emergency Contact: Number of children in home: Tuition: Room & Board: Books: Family Contribution: Amount: Mother s Name: Occupation: Number of children attending college/university: 3

OMICRON LAMBDA EDUCATION FOUNDATION, INC. LEADERSHIP List your Leadership Positions & Activities Check (X) for the applicable grade(s) (use a separate sheet if needed): Activities 9 th 10 th 11 th 12 th Leadership Position(s) Hours/wk 4

OMICRON LAMBDA EDUCATION FOUNDATION, Inc. Essay & Short Response Questions Your response must be 300-400 words, typed and double-spaced on white 8 ½ x 11 paper. Be certain to include your full name at the top of each page. The essay must be enclosed with your completed application. Essay Demonstrate in your essay how you are becoming a well-educated and highly qualified individual ready to take a leadership role in a complex and diverse society. In addition, how would you reach back to confront the enormous needs and challenges in the African-American community. Short Response Questions (4 lines) 1. What is the most meaningful book that you have read in the last year? 2. Why was it meaningful to you? I hereby certify that the information provided in this application is complete an accurate and that the essay is my own work. Signature of Applicant Date 5

Name of Applicant: OMICRON LAMBDA EDUCATION FOUNDATION, Inc. PERSONAL REFERENCE FORM (This form is to be submitted with the completed scholarship application) As a personal reference for a scholarship applicant, please provide comprehensive responses to each of the following questions. If you need additional space, use the back of this form. Please type or write legibly. How long have you known the applicant? In what capacity? Why do you believe that the applicant will be successful in pursuit of a college degree? What is your assessment of the applicant s academic ability? What is your assessment of the applicant s community service and/or involvement? Are there any unique factors that you think make the applicant especially worthy of receiving academic support (special talents, demonstrated need for financial assistance, single parent, etc.)? Your Name: Position/Title: Address: Signature Date 6

Name of Applicant: OMICRON LAMBDA EDUCATION FOUNDATION, Inc. PERSONAL REFERENCE FORM (This form is to be submitted with the completed scholarship application) As a personal reference for a scholarship applicant, please provide comprehensive responses to each of the following questions. If you need additional space, use the back of this form. Please type or write legibly. How long have you known the applicant? In what capacity? Why do you believe that the applicant will be successful in pursuit of a college degree? What is your assessment of the applicant s academic ability? What is your assessment of the applicant s community service and/or involvement? Are there any unique factors that you think make the applicant especially worthy of receiving academic support (special talents, demonstrated need for financial assistance, single parent, etc.)? Your Name: Position/Title: Address: Signature Date 7

OMICRON LAMBDA EDUCATION FOUNDATION, Inc. Questionnaire (This form is to be submitted with the completed scholarship application) Applicant Name: College receiving funds: Dept. receiving funds: Will you attend college on a scholarship? Yes No If so, what does your scholarship pay for? Other (please list): How will you utilize the Scholarship? Other (please list): Books/Supplies Tuition Books/Supplies Tuition Room/Board Room/Board Do we need to specify on the check how the funds are to be utilized? Yes No Indicate what you would like us to list on the comment section on the check? 8