DELTA SIGMA THETA SORORITY, INCORPORATED BLOOMINGTON-NORMAL ALUMNAE CHAPTER 2017 SCHOLARSHIP APPLICATION PACKET

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1 DELTA SIGMA THETA SORORITY, INCORPORATED BLOOMINGTON-NORMAL ALUMNAE CHAPTER SCHOLARSHIP APPLICATION PACKET For Graduating High School Seniors APPLICATION DEADLINE Application packet must be POSTMARKED on or by March 31, 2017

2 SCHOLARSHIP APPLICATION PROCEDURES The applicant must meet the following criteria in order to be eligible for a scholarship: Must be an African-American high school senior residing in the Bloomington-Normal area and graduating in the spring of Must attend a Bloomington-Normal public, private, charter or parochial high school. Must plan to enter an accredited two or four-year University or College or an accredited trade school as a full-time freshman in the fall of Must have a grade point average of at least a 2.5 (on a 4.0 scale) or 3.5 (on 5.0 scale). Must demonstrate academic achievement and leadership ability evidenced through participation in extracurricular activities and/or community service. The following documents MUST be submitted with your completed application form: Official High School Transcript. The transcript must: 1) cite the cumulative grade point average, 2) be signed by a school official, and 3) be stamped with the official school seal. Schools should provide an explanation of grading system on official school letterhead if not following a 4.0 grading scale. Transcripts can be sent via to apalmer388@gmail.com. School Recommendation. One signed letter of recommendation from your current high school principal, counselor or major academic teacher/advisor highlighting academic achievement and school citizenship. The letter must be on the high school s official letterhead and include an original (pen & ink) signature. Community Service, Church OR Employment Recommendation. One signed letter of recommendation from an organization verifying current substantial or long-term community service or church involvement, or one signed letter of recommendation from a manager and/or supervisor of current employment. The letter must be on the organization s or employer s official letterhead and should state your duties/role(s) and length of service or employment, and hours involved/worked. Letters must include an original (pen & ink) signature. Essay. Complete and concise response to essay question provided. Must be typed, doubledspaced and a minimum of 250 words (not to exceed 500 words). Signature. Scholarship application must be signed by the student. Original signatures (pen & ink) are required. A completed 2017 Scholarship Application form, along with the above-referenced required items, MUST be submitted as one complete application packet (transcripts may be submitted electronically by the deadline). If any items are omitted or instructions are not followed, the application will be deemed incomplete/invalid and will not be considered. All application packets postmarked on or before the March 31, 2017 deadline will be screened and evaluated. Applicants not selected will be notified by . Application materials will not be returned. All information provided is considered confidential. All materials become the property of the Bloomington-Normal Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated.

3 MAIL COMPLETED APPLICATION TO: Delta Sigma Theta Sorority, Inc. Bloomington-Normal Alumnae Chapter P.O. Box 0022 Bloomington, IL ATTENTION: Angela Palmer For questions regarding the application process please contact: Angela Palmer Chair, Scholarship and Educational Development Committee Delta Sigma Theta Sorority, Inc. Bloomington-Normal Alumnae Chapter Phone: (309) We appreciate you taking time to apply for our scholarship!

4 Delta Sigma Theta Sorority, Inc. Bloomington-Normal Alumnae Chapter 2017 SCHOLARSHIP APPLICATION ***The entire application form and supplemental information MUST be typed*** APPLICANT INFORMATION: Name: Address: Last First MI Street Address Apt # City State Zip Code Date of Birth: Gender: Female Male mm/dd/yyyy Phone: _( ) PARENT OR GUARDIAN INFORMATION: (only one required) Parent 1: Phone: Parent 2: Phone:

5 HIGH SCHOOL INFORMATION: Name: Address: Street Address City State Zip Code School Phone: ( ). Counselor Name: Graduation Date: mm/dd/yyyy COLLEGE/UNIVERSITY INFORMATION: List the colleges/universities to which you have applied and/or been accepted for fall admission. Use additional sheets as needed. Planned Major: Minor (optional): College/University Name(s) City, State HONORS AND AWARDS: List all honors and awards that you have received during high school (this includes community awards or recognitions). Please include dates and a description of the award(s). Use additional sheets as needed. Award/Recognition Date Received

6 EXTRACURRICULAR AND VOLUNTEER ACTIVITIES: List all extracurricular and volunteer activities (school and community) that you have participated in during high school. Please include a description of activities, positions held, and dates involved. Use additional sheets as needed. Activity/Position Held/Duties Date(s) EMPLOYMENT HISTORY: List any employment (including internships) during high school. Please include the dates of employment, name of employer and position held. Use additional sheets as needed. Employer/Position Held/Duties Date(s) ESSAY: Prepare a complete and concise TYPED response to the following question on a separate sheet of paper. Question: What are your future career aspirations and how will you utilize to advance your community service involvement? LETTERS OF RECOMMENDATION: 1. School Recommendation. One (1) signed letter of recommendation from your current high school principal, counselor or major academic teacher/advisor highlighting academic achievement. The letter must be on the high school s official letterhead and include an original signature. AND 2. Community Service, Church OR Employment Recommendation. One (1) signed letter of recommendation from an organization verifying current community service or church involvement, or one signed letter of recommendation from a manager and/or supervisor of current employment. The letter must be on the organization or employer official letterhead and should state your duties and hours involved/worked. Unsigned letters will not be accepted.

7 CERTIFICATION: Applicant Name: Last First MI Please indicate by your signature below that the statements provided herein are correct. Original signature only. I certify that all information submitted as part of this application packet is correct and complete to the best of my knowledge. I give the Bloomington-Normal Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated permission to verify any information contained in this application packet, if deemed necessary. I am willing to forward any additional information, if deemed necessary. I understand that if I am chosen as a recipient of the scholarship, I must provide evidence of enrollment and registration at an accredited, higher education institution before scholarship monies can be awarded. I understand that the award must be used within the academic year for which it was presented, or the award will be forfeited. I understand that misrepresentation of any information, or the submission of inaccurate or incomplete information, will disqualify me from being considered for a scholarship or require forfeiture of any award I may receive. I agree to accept the decision of the Scholarship and Educational Development Committee of the Bloomington-Normal Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated. Applicant Signature Date

8 Delta Sigma Theta Sorority, Inc. Bloomington-Normal Alumnae Chapter 2017 SCHOLARSHIP APPLICATION CHECKLIST: (Please include with completed packet) Completed/Signed Application Form with Supplemental Information Response to Essay Question Letters of Recommendation (2) Official High School Transcript

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