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Delta Sigma Theta Sorority, Inc. Cincinnati Alumnae Chapter P.O. Box 37285 Cincinnati, Ohio 45222 (513) 852-0424 A Sisterhood Called to Serve Dear Community and School Partner: Each year the Cincinnati Alumnae Chapter of Delta Sigma Theta Sorority, Inc. awards scholarships to deserving African-American females. Delta Sigma Theta Sorority, Inc. is a private non-profit organization that was established on January 13, 1913, by twenty-two visionary women at Howard University in Washington, D.C. The organization s mission is public service with a focus on scholarship, service and sisterhood. Today, Delta has over 250,000 members and over 900 graduate and undergraduate chapters worldwide. The Cincinnati Alumnae Chapter is one of the 900 chapters and has been providing programs and services to the greater Cincinnati community for over 55-years. We are proud to announce the start of our 2012-2013 scholarship application process. In order to qualify, applicants must be African-American females, graduating seniors, college bound with a minimal 2.750 cumulative grade point average. In addition, the applicant must also possess good character, references from both the school and community, and demonstrate financial need. Letters of recommendation MUST be written by individuals not related to the applicant and must be addressed to Delta Sigma Theta Sorority Cincinnati Alumnae Chapter. Letters must be prepared between November 12, 2012 and January 31, 2013 and contain appropriate signatures and dates. Upon receipt of complete applications, official transcript with GPA, typed one page essay, and two letters of recommendation, the Scholarship Committee will evaluate eligible candidates. Factors to be considered in the evaluation process include leadership, community involvement, academic achievement, financial need, character and citizenship. Complete application packages should be mailed to the following address: Delta Sigma Theta Sorority, Cincinnati Alumnae Chapter, Attention: Scholarship Committee, P.O. Box 37285, Cincinnati, OH 45222. All application materials must be received by January 31, 2013 to be considered. For additional information, please contact our 2012-2013 Scholarship Committee Chairperson, Judi Fletcher at (513) 894-4588 or (513) 258-6372. Sincerely, 2012-2013 Scholarship Committee Tina A. Welch Danelle Carter Shawnda DeRamus Ligaya West Kim Hull Chemere Merrida Carla Howard Andrea Turner President First Second Third Corresponding Recording Financial Treasurer Vice President Vice President Vice President Secretary Secretary Secretary

LETTER OF RECOMMENDATION INSTRUCTIONS On behalf of the Cincinnati Alumnae Chapter of Delta Sigma Theta, Inc. we appreciate your time in submitting a letter of recommendation on behalf of the high school senior requesting to be considered for a scholarship. Your recommendation will serve as a valuable resource in helping the student to qualify for this award. We would like to provide you with a brief summary of the information that must be included in the letter of recommendation to insure that all submissions meet the requirements of the chapter and so that a recommendation letter is not disqualified. If you feel that you are unable to satisfy this request, please let the applicant know so she can request the support of another reference. FOR YOUR RECOMMENDATION TO BE ACCEPTED, PLEASE READ CAREFULLY: All letters of recommendation must be submitted on official letterhead from the school and/or community/public service organization and should be authored by an official of the organization. All letters of recommendation must be addressed to: Delta Sigma Theta Sorority, Cincinnati Alumnae Chapter, Attention: Scholarship Committee, P.O. Box 37285, Cincinnati, OH 45222. All letters of recommendation must be signed and dated between 11/14/12 and 1/31/13. All letters of recommendation must be from individuals who are not relatives of the applicant. All letters of recommendation must include the length of time you have known the applicant AND must include the capacity in which you have known the applicant. All applicants have been asked to submit two letters of recommendation. One letter must be from a counselor or teacher. One letter must be from a community leader. Please note if you are a counselor/teacher who has served in the capacity of a community leader on behalf of the student, you will need to decide which role you will serve in submitting one letter. (In this case, the applicant must receive a second letter of recommendation from another individual). If you are providing the counselor or teacher recommendation, please include the scholastic achievements and/or leadership involvements you believe qualify the student for this award. If you are providing the community leader recommendation, please include the community service activities you have witnessed the student be involved in supporting.

SCHOLASTIC ACHIEVEMENT AWARD HIGH SCHOOL SENIORS (TYPE or PRINT ALL Information with a Black Ballpoint Pen) PERSONAL DATA Name: Last First Middle Address: Number Street City, State Zip Code DOB: / / Home Phone: Cell: E-mail address: High School: Address: Number Street City, State Zip Code Dates Attended: From: To: Current GPA: out of *Must be 2.75 or higher Voluntary Self Identification - If you choose not to disclose your application is still valid. Circle selection below. American Indian or Alaskan Native Black or African American Native Hawaiian or Pacific Islander Asian Hispanic or Latino White II. ORGANIZATIONAL INVOLVEMENT, HONORS & SPECIAL INTERESTS (Include all leadership activities, special programs, internships, etc. that you have been involved in.) 1. List the organizational memberships and offices you have held in your school. Organizations Office(s) Held and Year Cincinnati Alumnae Scholarship Application 2012-2013 1

2. List the organizational memberships and offices you have held in your community. Organizations Office(s) Held and Year 3. List any Honors and Awards and the year you received them. 4. List your special interests. I. WORK EXPERIENCE (Option - You may attach a current resume) 1. Employer: Address: Job Title: Dates of Employment: 2. Employer: Address: Job Title: Dates of Employment: 3. Employer: Address: Job Title: Dates of Employment: Cincinnati Alumnae Scholarship Application 2012-2013 2

II. PROPOSED EDUCATIONAL PLAN 1. ESSAY REQUIREMENTS AND INSTRUCTIONS: Attach a one page typed essay entitled DST Scholarship Essay o Include the following information at the top of your one page document: 1. Your Name 2. Your Home Address 3. Your E-mail Address 4. Telephone Number (s) Begin Your Essay and You Must Address the following three topics: 1. Your short-term goals 2. Your long-term goals 3. How obtaining a scholarship from Delta Sigma Theta will be of benefit to you. 2. POTENTIAL SCHOOLS: In order of preference, please list the names and addresses of the schools to which you have applied, or will be attending for the period in which this financial assistance is requested. SCHOOL NAME SCHOOL 1 SCHOOL 2 SCHOOL 3 SCHOOL ADDRESS STATUS OF APPLICATION (Check one) TUITION BOOKS ROOM & BOARD PERSONAL EXPENSES TOTAL ACADEMIC SYSTEM (Check one) ANNUAL COST Cincinnati Alumnae Scholarship Application 2012-2013 3

III. FINANCIAL STATUS: 1. Parent(s) or Guardian (s): Father: Last Name First Name Street Address City, State Zip Code Occupation Job Title Mother: Last Name First Name Street Address City, State Zip Code Occupation Job Title 2. List all children dependent upon parental support: Name Age School Grade 3. ANNUAL TOTAL FAMILY INCOME (from all sources). Please indicate your family income range by checking the appropriate box below: $15,000 and below $41,000 - $60,000 $16,000 - $24,000 $61,000 - $80,000 $26,000 - $40,000 $81,000 - $100,000 $101,000 and above 4. FINANCIAL NEED: Please explain your financial need in the space below. (i.e., Do you have any special circumstances that you would like for the committee to know about? Is there anything that would keep you from receiving financial assistance?) Cincinnati Alumnae Scholarship Application 2012-2013 4

OTHER SCHOLARSHIP / FINANCIAL AWARDS IV. List any other scholarships or financial awards you have applied for, received or that are pending. Scholarship Term of Scholarship Award (1-yr., 4-yr., renewable, etc.) Total Amount of the Award Pending or Received LETTERS OF RECOMMENDATION INSTRUCTIONS: 1. Please submit two (2) Letters of Recommendation: 1. One letter must be from a Counselor or Teacher 2. One letter must be from a Community Leader. Both letters must be from individuals who ARE NOT relatives. Letters must appear on official letterhead from the school and/or community service organization and must be addressed to Delta Sigma Theta Sorority Cincinnati Alumnae Chapter and signed and dated between 11/12/12 and 01/31/13. Letter of Recommendation from Counselor or Teacher must appear on official letterhead and include: 1. Length of time they have known you and in what capacity 2. Scholastic achievements and/or leadership involvements that qualify you for this award Letter of Recommendation from a Community Leader must appear on official letterhead and include: 1. Length of time they have known you and in what capacity 2. Community service activities/involvement 3. Reference to your character 2. List names and occupations of each reference. Name Occupation Cincinnati Alumnae Scholarship Application 2012-2013 5

Important Information and Application Checklist! APPLICATION DEADLINE IS JANUARY 31 st Eligible applicants must be graduating high school seniors that are females who are college bound with preference given to women of African American descent. Factors considered by the Scholarship Committee in evaluating applications include leadership, community involvement, academic achievement and financial need. All application materials must be submitted in one packet and received on or before January 31, 2013. To be considered, candidates must submit a complete application package as follows: Five page application with signed Declaration below One page typed essay Official transcript with GPA in a sealed envelope Resume (Optional - to cover Part III Work Experience) Two Letters of Recommendation (one from a Counselor or Teacher and one from a Community Leader. Letter must appear on official letterhead from the school and/or community service organization and must be addressed to Delta Sigma Theta Sorority - Cincinnati Alumnae Chapter between 11/12/12 and 01/31/13 with appropriate signature and date. Note: Applications received after the deadline date will not be evaluated, opened transcripts will not be accepted, and application materials will not be returned! ALL APPLICATIONS SHOULD BE MAILED TO: Delta Sigma Theta Sorority, Inc. - Cincinnati Alumnae Chapter Attn: Scholarship Committee P.O. Box 37285 Cincinnati, OH 45222 SCHOLARSHIP INTERVIEW Applicants who qualify will be contacted by the Scholarship Committee and informed of interview date, time and location. Award recipients will be notified by May 1, 2013. DECLARATION I hereby declare that all of the above statements are true. I have also included with this application the necessary official transcript and letters of recommendation in sealed envelopes. I am willing to appear for a personal interview or to forward any additional information if necessary. I agree to accept the decision of the Scholarship Committee of Delta Sigma Theta Sorority, Inc. Signed: Date: / / Additional application forms may be obtained by writing to the address above or calling Judi Fletcher (513) 894-4558, Scholarship Chairperson. Cincinnati Alumnae Scholarship Application 2012-2013 6