COLLEGE SCHOLARSHIP APPLICATION

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MACON ALUMNAE CHAPTER DELTA SIGMA THETA SORORITY, INC. A Public Service Sorority 2018 COLLEGE SCHOLARSHIP APPLICATION Application Deadline: Wednesday, January 31, 2018 Must be postmarked by January 31, 2018 Late applications will not be accepted For more information contact: Allene Stanley, Scholarship Chairperson (478) 318-4262 ~ allene_stanley@yahoo.com

2018 College Scholarship Application Deadline: January 31, 2018 Scholarship Application Requirements SCHOLARSHIP ELIGIBILITY REQUIREMENTS: 1. African American High School Seniors (male and female) who reside or attend high school in Bibb, Jones, Wilkinson, Monroe or Twiggs Counties 2. African American GED recipients (male and females) who reside in Bibb, Jones, Wilkinson, Monroe or Twiggs Counties 3. African American Continuing education students whose permanent residential address is Bibb, Jones, Monroe, Wilkinson or Twiggs or currently attending an accredited college, university, or post-secondary institution with a permanent address in the service areas of Bibb, Jones, Wilkinson, Monroe or Twiggs Counties. 4. CHILDREN OF SORORITY MEMBERS ARE NOT ELIGIBLE FOR THIS SCHOLARSHIP AWARD. HOWEVER, RELATIVES OF SORORS MAY QUALIFY. (Reference: Per 2016 Region Conference/Chapter President). 1. APPLICATION REQUIREMENTS (please follow steps): a. Applicants must have at least a 2.75 Cumulative Grade Point Average on a 4.0 scale in order to qualify for a scholarship. Applicants are required to submit an official high school transcript which includes first semester grades of the senior year enclosed in a sealed envelope. b. Applicants who have a GED are required to obtain a transcript (official copy of GED scores) from the Georgia Department of Technical and Adult Education, Atlanta Georgia and submit in an enclosed and sealed envelope. c. Applicants who are currently attending an accredited college, university, or post secondary institution are required to submit an official transcript (including fall 2017 semester grades) with the seal of the college or university affixed in a sealed envelope. d. All applicants are required to submit two signed and sealed letters of recommendations. References can be a teacher, administrator, counselor, minister, employer, community leader, etc. Please note that one letter of reference MUST come from a teacher or administrator. See instructions to be given to references on page 9. Page 1

e. All applicants are required to submit a completed, signed and dated application. The application MUST BE TYPED. Place N/A where not applicable. (No additional attachments will be accepted except where noted in the application.) The application is in editable format on the computer. f. All applicants are required to submit a typed essay that addresses the following statement: My most meaningful achievement and what impact it had on your community or mankind g. Selected applicants are required to participate in a panel interview in March 2018. Photo identification will be required prior to the interview. h. Parent/Guardian is required to sign a Scholarship Funds Disbursement Disclaimer. NOTE: Awards are to be used for educational purposes only and funds will not be distributed until winners return the Student Enrollment Verification Form. Funds will be disbursed in the name of the student AND the school. No personal checks will be issued to the student. Funds will be mailed directly to the school listed on the Student Enrollment Verification Form. i. Sorors children are not eligible for scholarship awards. However, relatives of sorors may qualify. (Reference per 2016 Region Conference/Chapter President). Incomplete packages will not be considered for an award. Please refer to checklist on page 8 prior to submitting application. 2. The completed application, essay response, letters of recommendation and official transcript must be mailed together as one complete packet to be considered. The package must be postmarked on or before January 31, 2018. (NO EXCEPTIONS) MAIL TO: Macon Alumnae Chapter Delta Sigma Theta Sorority Incorporated ATTENTION: SCHOLARSHIP COMMITTEE P.O. Box 5041 Macon, Georgia 31208-5041 3. Completed applications will be reviewed and scored by the Scholarship Committee. The top scoring applicants will be granted an interview in March 2018. All scholarship recipients will be notified by May 2018. 4. Scholarship funds WILL NOT be disbursed until Fall Semester 2018 or upon receipt of all Required documents have been received by the Scholarship Committee. 5. Scholarship awards must be claimed within 2 years from the date of award, or they will be forfeited. NO EXCEPTIONS. Page 2

DELTA SIGMA THETA SORORITY CANNOT GUARANTEE THE DATE THAT THE SCHOLARSHIP IS POSTED AT THE COLLEGE/UNIVERSITY. IT IS VERY LIKELY THAT IT WILL NOT BE POSTED UNTIL AFTER YOUR TUITION DEADLINE IS DUE. BE ENCOURAGED TO PAY YOUR TUITION TO PREVENT ANY LATE FEES. SECTION I: IDENTIFICATION Name: Present Address: City: State: Zip Code: Permanent Address: City: State: Zip Code: E-Mail Date of Birth: Sex: Telephone: (home) (cell) Father s Name: First M.I. Last Father s Address: Employer: Occupation: Mother s Name: First M.I. Last Father s Address: Employer: Occupation: Guardian s Name: First M.I. Last Father s Address: Employer: Occupation: SECTION II: SCHOLARSHIP INFORMATION (Attach an additional sheet ONLY if necessary. High School: School Address: Page 3

City: State: Zip Code: College you plan to attend/attending: City/State: Anticipated Major: List all Scholarships applied for and awarded and all financial resources that are available to assist you with your college education: Examples: Pell Grant, Financial Aid, HOPE Scholarship, family church, loans, etc. SECTION III: EXTRA-CURRICULAR ACTIVITY (School/Non-School): List all extra-curricular school, church, or civic activities (attach an additional sheet ONLY if necessary) Activity Description Dates of Activity VOLUNTEER WORK AND COMMUNITY SERVICE (attach an additional sheet ONLY if necessary) Organization Description of Service or Work Dates of Service Page 4

HONORS AND AWARDS (attach an additional sheet ONLY if necessary) Honor/Award Description Date Received SECTION IV: Essay Instructions On a separate sheet of paper, type a 500 word essay On, My most meaningful achievement and what impact it had on your community or mankind. Your essay must be: Doubled spaced 12 Point Times New Roman font One inch margins on all sides Name typed in upper right hand corner of EACH page You will be assessed on your ability to communicate your thoughts. SECTION V: SIGNATURES I certify that information provided in this application is true, complete and accurate and that all statements and essay are my own work. A scholarship award from Macon Alumnae Chapter of Delta Sigma Theta Sorority, Inc. may be denied or revoked if any information contained herein is found to be inaccurate. Should I receive an award, I hereby give Macon Alumnae Chapter of Delta Sigma Theta Sorority, Inc. permission to utilize my name, photographs and award amount in publicity and/or marketing materials. Applicant Signature (Do Not Print) Parent/Guardian Signature Date Page 5

SCHOLARSHIP APPLICATION DISCLAIMER AGREEMENT FOR DISBURSEMENT OF SCHOLARSHIP FUNDS I, (Parent/Guardian) acknowledge and understand that the scholarship awards received by the winners will only be disbursed in a lump sum payment directly to the university/college identified by the scholarship recipient (Student s Name). Student Signature Parent Signature The Macon Alumnae Chapter of Delta Sigma Theta Sorority, Inc. will forward these funds to the institution upon receipt of the Official Enrollment Verification Form to be placed in the student s account with the Financial Aid Office. The Enrollment Verification Form shall be notarized with the institution s official seal and dated. I recognize and accept these conditions for the disbursement of any scholarship award that my son/daughter may receive. Parent/Guardian Signature Date Page 6

Application Check List Before sealing your package, please make sure that all items listed below are included: Scholarship Application (Typed) Essay (Typed) Two letters of recommendation (sealed) Official High School, GED or College Transcript (sealed) Disclaimer for Scholarship Funds Disbursement (signed) All applicable signatures *Missing any of the above items will result in an incomplete package and will not be considered for an award *Directions must be followed to be considered for an award Page 7

INSTRUCTIONS TO BE GIVEN TO REFERENCES Please have your references submit a typed letter of recommendation for you. These letters should be addressed to Delta Sigma Theta Sorority, Inc. Macon Alumnae Chapter and include: Name and address of reference Relationship to applicant How long reference has known applicant Information regarding why applicant should receive the scholarship award All Letters must be placed in a Sealed Envelope with their signatures before returning to the applicant and included in the application packet. Page 8