Kappa Alpha Psi Fraternity, Inc.

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Kappa Alpha Psi Fraternity, Inc. Denver Alumni Chapter The Denver Kappa Alpha Psi Scholarship Foundation MISSION To Provide Scholarships to Deserving African-American Young Men, Honor Past Achievements and Promote the Development of Good Citizenship. BOARD OF DIRECTORS Charles Thomas, Jr. President Odell C. Barry First Vice-President Daniel C. Brown Second Vice-President Michael Dennis Secretary Columbus Veasey, MBA, PhD Treasurer Damon Barry, Esq. K. C. Matthews Larry A. Williams, Esq. Steve Tutt Glenn Waller Emeritus 2012 Scholarship Application Stokes Anderson Advisor Ryan Ross, M.Ed. Polemarch P. Sterling Rowe, Jr. Civic Action Committee Chair Rev. 11/01/11 1

KAPPA ALPHA PSI FRATERNITY, INC. 2012 APPLICATION CHECKLIST Letters of Recommendations (Mandatory minimum of 3) 1. Employer (If Applicable. Otherwise, submit a second letter from a Teacher or Community Member.) 2. Teacher 3. Community Member (Non-Relative) Official School Transcript With Overall Grade Point Average (This transcript must include grades from your Senior fall semester 2011 with the raised seal of the school) One Page Essay On Career Plans and Future Goals Separate Brief Description explaining Why you should be selected as a 2011 Kappa Alpha Psi Honoree (No more than 40 words) Résumé which provides work history, extracurricular activities and accomplishments Photograph (Full-color or black & white head shot. Minimum size = 2 x 3. Label all photos in pencil on the back.) DECISION FACTORS The following categories will be considered when making a final determination of the 2011 Kappa Alpha Psi scholarship recipients. Grade Point Average: Leadership Potential: Though we encourage students with a cumulative G.P.A. of 3.0 or higher to apply for our scholarship, we will accept applications from any student who has demonstrated strong leadership skills and a record of community service. Our objective is to recognize achievement candidates who are well rounded and have demonstrated a willingness and capacity to be an asset to their community. Our goal is to identify candidates who understand how world affairs affect them and their community. The successful applicant will have a healthy understanding of local, state, and national political issues. He will be able to demonstrate the ability to analyze data, make effective decisions, and have the capacity and tenacity to follow through. Graduation: The successful candidate must be eligible for graduation from high school in the spring of 2012. College Admittance: Financial Need: Interview: The successful applicant will be accepted for admission to an institution of higher learning or be eligible and awaiting acceptance. While this scholarship is not based on family income, the applicant's ability to pay for their education will be a consideration. Following our initial screening for incomplete applications, selected candidates will participate in an interview by a sub committee of the Fraternity. ALL INFORMATION MUST BE RECEIVED BY SATURDAY, JANUARY 28, 2012! 2

KAPPA ALPHA PSI FRATERNITY, INC. 2012 ACHIEVEMENT SCHOLARSHIP APPLICATION Name Address City State Zip Home Phone # Cell Phone #: Sex E-Mail address: Birth date Ethnicity Parent s/legal Guardian s Name Parent/Legal Guardian s Occupation Address (If different from above) City State Zip Home Phone # Cell Phone # s ACADEMIC INFORMATION High School Cumulative GPA Top 3 College Choice(s) Major FINANCIAL INFORMATION Please estimate college expenses per year. Use the college catalog for cost figures. Include transportation costs, personal expenses, etc. Tuition $ Room/Board $ Fees $ Books $ Transportation $ Personal Expenses $ Scholarships Received $ Grants $ Loans $ Financial Aid $ Relatives $ Other $ Gross Family Income (circle one): Under $15,000 $15,001-$35,000 $35,001-$65,000 $65,001-$90,000 Over $95,000 Total Number in Household: Ages: Relationship: Do you have brothers or sisters attending college? YES NO If YES, what college(s)? Attach a typed one-page statement about your career plans and goals, including information on any employment, community or volunteer work. Additionally, attach a brief description outlining why you should be selected as a 2012 Honoree. 3

2012 COUNSELOR AND TEACHER EVALUATION SHEET MANDATORY FOR ALL FIELDS TO BE COMPLETED Student Name High School ACT Score SAT Score GPA RATING POINTS: POOR = 0, FAIR = 1, AVERAGE = 2, GOOD = 3, EXCELLENT = 4 RATING AREA POOR FAIR AVG GOOD EXCEL COMMENTS Mathematics Sciences English, Composition & Grammar Social Sciences Achievement Maturity Leadership Skills Discipline Motivation Financial Need Total Rating Counselor: COUNSELOR AND TEACHER COMMENTS (PLEASE ATTACH A SEALED COPY OF STUDENT S TRANSCRIPT) Teacher: Return this application, evaluation, and required attachments to: Kappa Alpha Psi Fraternity c/o Mr. P. Sterling Rowe, Jr. 2160 Downing Street Denver, CO 80205 *Note: This application must be postmarked or hand-delivered by Saturday, January 28, 2011. If you have questions contact P. Sterling Rowe, Jr. at prowejr@gmail.com Recommended By: 4 Name and Title Name and Title

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