EMBODI Scholarship Award ORIGIN AND PURPOSE The purpose of this scholarship award is to provide financial assistance to an exceptional African American male student who participates in the Louisville Alumnae s EMBODI (Empowering Males to Build Opportunities for Developing Independence) program. EMBODI is designed to refocus the efforts of Delta Sigma Theta Sorority, Inc. on the plight of African American males. Through our local chapter, Louisville Alumnae, it s our goal to support our African American males by promoting and encouraging academic excellence. SCHOLARSHIP CRITERIA The EMBODI Scholarship Award is open to African American males who participated in Louisville Alumnae Chapter s EMBODI program who plan to enroll full-time in a post-secondary institution for a four-year degree. Applicant s legal guardian cannot be a member of Delta Sigma Theta. This scholarship award is a onetime scholarship of $1000 to students selected based on the following criteria: 1. Must be a male resident of Metro Louisville, KY 2. Must be a graduating senior with a cumulative GPA of 2.7 or above 3. Must display volunteerism through community/public service 4. Must submit a completed application packet 5. Must submit 5x7 head shot Page 1 of 5
EMBODI Scholarship Award APPLICATION PROCEDURE All applicants MUST submit the following: 1. Completed TYPED application. Hand written applications will not be considered. For a copy of application go to www.dstlouisville.org. 2. An official high school transcript (as of February) with GPA through the first semester senior year 3. TYPED, one-page autobiographical sketch including: academic/career goals, public service involvement, and a statement of why the scholarship is important and expected benefit 4. Verification of volunteerism provided by the organization in which volunteerism was performed or documentation from school counselor that verifies public/community service hours 5. 5x7 Headshot photo of the student 6. One letter of recommendation from someone that is not a family member 7. One letter of recommendation from school principal, counselor, teacher or varsity coach 8. Completed and signed EMBODI Scholarship Award Check List (pg. 5 of this application packet). Completed application and supporting documents must be submitted by April 1st to: Scholarship and Standards Committee Louisville Alumnae Chapter Delta Sigma Theta Sorority, Inc. P.O. Box 783 Louisville, KY 40201 For questions or electronic application contact: Vanta Lewis lacdstscholarships@yahoo.com www.dstlouisville.org All applications will be reviewed by the Scholarship and Standards Committee of the Louisville Alumnae Chapter of Delta Sigma Theta Sorority, Inc with a final selection being made by May 8 th. Page 2 of 5
EMBODI Scholarship Award Application I. APPLICANT INFORMATION (Street Address, Apt. Number) City: State: Zip: Home Phone: ( ) - Date of Birth: (Month/Date/Year) Alternate phone: ( ) - Email address: II. SCHOOL AND COMMUNITY INFORMATION: (If needed, you may attach additional pages) Name of School: Date of Graduation: GPA: No./Class Ranking: Senior Counselor: List: Honors/Awards Received (within the past 3 years): List: Extracurricular Activities and Office(s) held at school: List: Community/Church organization/activities and office(s) held: Page 3 of 5
List name(s) and location(s) of colleges/universities to which you have APPLIED: Name of School Location Intended college major: minor: III. SCHOLARSHIP AWARDS List all scholarship awards you have received or applied for: Scholarship Amount IV. FAMILY INFORMATION: Name of Parent or Legal Guardian: (Street Address, Apt. Number) (City) (State) (Zip) Day Phone: ( ) - Evening phone: ( ) - Is your legal Guardian a Member of Delta Sigma Theta: Yes No Page 4 of 5
EMBODI Scholarship Award Application Check List To complete the application process, submit all required items. Check off each item and include this signed check list with your application. Incomplete applications will NOT be considered. SCHOLARSHIP APPLICATION 1. EMBODI Scholarship Award Application Check List with signatures 2. Completed, TYPED, Alice Lucille Martin EMBODI Scholarship Award Application 3. TYPED, one-page autobiographical sketch 4. Verification of volunteerism 5. One letter of recommendation from someone that is not a family member 6. One letter of recommendation from principal, counselor, teacher or varsity coach 7. 5x7 Headshot 8. Official high school transcript CERTIFICATION I consent to my child s application for a scholarship and understand, if awarded, the funds will be payable to the recipient upon proof of full-time college or university enrollment. I understand it is the responsibility of the RECIPIENT to communicate with the Louisville Alumnae Chapter as it relates to payment of funds and enrollment verification. Additionally, I confirm that I am not a member of Delta Sigma Theta Sorority, Inc. I agree that the Louisville Alumnae Chapter may use my photograph and name for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. I certify that the foregoing documents and statements are correct and I understand the above information. Signatures: (Parent/ Legal Guardian) (Month/Day/Year) (Applicant) (Month/Day/Year) Page 5 of 5