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SCHOLARSHIP

 

APPLICATION

 

GUIDELINES

 

2014

 

All  Scholarship  Applicants  must:  

1) Be  a  resident  of  Mecklenburg  County  and  a  graduating  high  school  student  enrolled  in  a  Mecklenburg  County  

school  (public  or  private)    

o Note:    Delta  Sigma  Theta  Sorority,  Charlotte  Alumnae  Chapter  Debutantes  are  ineligible  for  chapter  sponsored   scholarships.  

 

2) Submit  a  completed  application  packet  with  the  following  information:  

o A  completed,  typed  and  signed  Application  Form   o Two  current  signed  letters  of  recommendation:    

§ One  letter  must  be  from  a  teacher  or  school  official  

§ One  letter  must  be  from  an  adult  (e.g.  an  employer,  minister,  etc.)    Letters  from  relatives  are  not   eligible.  

• Recommendation  letters  should  include  the  length  of  time  the  reference  has  known  the   applicant  and  in  what  capacity,  applicant’s  strengths  and  weaknesses,  and  why  the   reference  believes  the  applicant  deserves  the  scholarship.    

• The  letters  of  recommendation  must  be  original  versions,  signed  by  each  of  the  writers   and  each  placed  in  a  sealed  envelope  by  the  writer  (photo  copies,  faxes  and  electronic  

submissions  are  not  acceptable).  

o An  official  school  transcript:  

§ Official  transcript  must  be  in  the  original,  sealed  envelope  from  the  school.    It  should  contain  a   certification  seal  or  stamp  by  the  school.    Any  opened  envelope  with  a  transcript  will  not  be   accepted.  

§ In  addition  to  all  high  school  grades,  transcript  must  include  the  applicant’s  first  semester  grades   for  his/her  senior  year.  

o A  typewritten  essay:    (See  Part  IV  of  the  application  for  details  and  essay  topics)  

 

3) Mail  a  completed  typewritten  application  along  with  attachments,  sealed  official  transcript,  and  letters  of  

recommendations  to:  

Delta  Sigma  Theta  Sorority,  Inc.   CAC-­‐Scholarship  Committee  

P.O.  Box  32231   Charlotte,  NC  28232

 

All  application  materials  must  be  received  via  United  States  Postal  Service  on  or  before  February  25,  2014      

 

4) Attend  a  personal  interview  

o Personal   interviews   will   be   required   for   all   applicants   with  completed   packets.   You   will   be   contacted   regarding  your  interview  eligibility  in  March  2014.    Interviews  will  be  conducted  in  March  2014.        

 

Thank  you  for  your  interest  in  the  Scholarship  Program      

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SCHOLARSHIP  APPLICATION  2014  

 

SCHOLARSHIP  SELECTION  AND  CRITERIA  

 

Check  all  scholarships  that  you  want  to  apply  for  consideration.       Each  scholarship  award  listed  below  is  a  minimum  of  $1,000.  

You  may  apply  for  more  than  one  scholarship.      

Placing  an  “X”  next  to  a  line  below  indicates  your  intent  to  apply  for  the  specific  scholarship  in  bold  letters.    

Applicant  Name:

   ___________________________________________________  

 

______  Dorothy  Counts-­‐Scoggins/E.  Virginia  Shadd  “Breaking  Barriers”  Award  (non-­‐renewable,  one-­‐year                                       award)  

§ Must  be  a  graduating  female  senior  

§ Must  be  a  student  in  a  Mecklenburg  County  public  or  private  high  school   § Must  have  an  unweighted  cumulative  GPA  of  2.75  or  higher  

§ Must  demonstrate  financial  need  (please  refer  to  the  Federal  Government’s  Poverty  Guidelines)  by   completing  Part  V  

§ Plan  to  attend  a  four  (4)  year  institution  of  higher  education  in  the  U.S.  during  the  upcoming   academic  year    

§ Award  disbursement  based  on  confirmed  enrollment  for  Fall  2014    

______  Frances  Selena  Johnson  “Making  Strides”  Award  (non-­‐renewable,  one-­‐year  award)   § Must  be  a  graduating  male  or  female  senior  

§ Must  be  a  student  in  a  Mecklenburg  County  public  or  private  high  school  

§ Must  have  an  unweighted  cumulative  GPA  of  2.5  or  higher  and  have  shown  significant  

improvement  in  his/her  academics  over  a  two  (2)  year  period.    

§ Plan  to  attend  a  two  (2)  or  four  (4)  year  institution  of  higher  education  in  the  U.S.  during  the   upcoming  academic  year  

§ Award  disbursement  based  on  confirmed  enrollment  for  Fall  2014      

______Daisy  Spears  Stroud  “Academic  Achievement”  Award  (non-­‐renewable,  one-­‐year  award)   § Must  be  a  graduating  female  senior  

§ Must  be  a  student  in  a  Mecklenburg  County  public  or  private  high  school   § Must  have  a  weighted  cumulative  GPA  of  3.5  or  higher  

§ Plan  to  attend  a  four  (4)  year  institution  of  higher  education  in  the  U.S.  during  the  upcoming   academic  year  

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PART  I  -­‐  APPLICANT  INFORMATION  

Applicant  Name:  __________________________  

Gender:   __________________________   Date  of  Birth:      ______________________________   Home  Address:      __________________________                         Email  Address:    ______________________________   City/State/Zip:        __________________________        

Home  Telephone  Number:  __________________   Cellular  Telephone  Number:  ___________________   School  Currently  Attending:  _________________  

Grade  Point  Average  (GPA):  Unweighted      _______     Weighted      _______  

 

PART  II  -­‐  EXTRACURRICULAR  ACTIVITIES/COMMUNITY  AND  VOLUNTEER  INVOLVEMENT/WORK    

*Please  use  the  addendum  page  (page  5)  to  add  any  activities/honors  that  will  not  fit  on  this  page.  

 

Current  and  Past  School  Activities  and  Honors  

List  all  current  and  past  school  activities  and  honors.    Include  any  leadership  positions  that  you  have  held  in  the   organization(s).     ACTIVITY/HONOR   DATE                            

Current  and  Past  Community  Involvement  and  Honors  

List  all  current  and  past  community  involvement,  community  service  and  volunteer  activities.    Include  any  leadership   positions  that  you  have  held  in  the  organization(s).  

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PART  III  -­‐  COLLEGE,  TECHNICAL/TRADE  SCHOOL  INFORMATION  

College,  Technical/Trade  School  you  plan  to  attend:  ________________________________________   Anticipated  Major  or  Field  of  Study:  _____________________________________________________    

Known  College  Related  Expenses  

Tuition:    $______________   Books:   $______________   Other:   $______________   Total  Expenses:   $______________      

Known  Financial  Aid  Awards  

Grants         $_______________   Scholarships       $_______________   Loans         $_______________   Work  Study       $_______________   Other         $_______________   Total  Income:   $  ______________  

PART  IV  -­‐  ESSAY  

Please  choose  one  of  the  two  following  essay  topics  and  write  an  essay  of  a  minimum  of  500  words  and  a   maximum  of  750  words.    The  essay  must  be  typed,  12  pt,  Times  New  Roman  font,  double-­‐spaced  and  on  plain   white  paper.  

 

1.        Some  people  choose  friends  who  are  different  from  themselves.  Others  choose  friends  who  are  similar  to   themselves.  Compare  the  advantages  of  having  friends  who  are  different  from  you  with  the  advantages  of   having  friends  who  are  similar  to  you.    Which  kind  of  friend  do  you  prefer  for  yourself?    Why?  

 

2.          In  your  opinion,  what  is  the  most  important  characteristic  (for  example,  honesty,  intelligence,  a  sense  of   humor)  that  a  person  can  have  to  be  successful  in  life?  Use  specific  reasons  and  examples  from  your  experience   to  explain  your  answer.    When  you  write  your  answer,  you  are  not  limited  to  the  examples  listed  in  the  

question.  

 

PART  V  -­‐  INCOME    (Breaking  Barriers  Scholarship  Applicants  Only):    

Please  answer  the  following  questions  which  pertain  to  your  household  and  the  income  of  your  parent(s),  legal   guardian(s),  and  household  members  (Federal  Government  Poverty  Guidelines  will  be  used):    

 

1.  Household  size,  including  yourself,  your  parents/  guardians  and  other  dependents  ___________      

2.  Of  the  above  number,  how  many  are  attending  college  full-­‐time?  ________    Part-­‐time?  _____________      

3.  Total  household  taxable  income  filed  in  2012?  $______________________________________________      

4.  Source  of  annual  income,  including  yourself,  your  parents/guardians  and  other  dependents:      

Father:          $_______________                             Mother:  $  __________________                 Self:  $_____________           Guardian:  $_______________     Other  source  of  income:  (Specify)      _____________________________      

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Delta  Sigma  Theta  Sorority,  Inc.    

Charlotte  Alumnae  Chapter  -­‐  Scholarship  Application   Page  4  of  5  

Completed  Application  Checklist  

 

Before  sealing  and  mailing  your  application  packet,  please  place  a  check  mark  next  to  the  numbered  

item  below  to  indicate  that  you  have  reviewed  your  packet  and  that  these  items  are  included.  

 

1. ___________   Signed  and  dated  Scholarship  Application  Form          

2. ___________   Two  original,  sealed  letters  of  recommendation          

3. ___________   An  official,  sealed  high  school  transcript                                                                           (Please  submit  in  a  sealed  envelope)    

4. ___________   500  to  750  words,  typed  essay                  

 

The  information  provided  in  my  application  packet  is,  to  the  best  of  my  knowledge,  complete  and  accurate.    I   understand  that  any  false  statements  in  this  application  may  disqualify  me  from  consideration  of  the  

scholarship  award(s).    I  also  understand  and  agree  that  any  and  all  information  submitted  as  part  of  this   application  packet  will  become  property  of  the  Charlotte  Alumnae  Chapter  of  Delta  Sigma  Theta  Sorority,   Incorporated  and  will  be  kept  confidential.  

    Applicant’s  Signature:      __________________________________     Parent’s  Signature:    _________________________________     Date:          _________________________________      

 

Application  must  be  received,  

via  United  States  Postal  Service,  on  or  before  February  25,  2014  

send  to:  

 

Delta  Sigma  Theta  Sorority,  Inc.  

CAC/Scholarship  Committee  

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Delta  Sigma  Theta  Sorority,  Inc.    

Charlotte  Alumnae  Chapter  -­‐  Scholarship  Application  

 

Scholarship  Application  Addendum  

Continuation  of  Activities,  Involvement  and  Honors  

 

Current  and  Past  School  Activities  and  Honors  

List  all  current  and  past  school  activities  and  honors.    Include  any  leadership  positions  that  you  have  held  in  the   organization(s).     ACTIVITY/HONOR   DATE                                      

Current  and  Past  Community  Involvement  and  Honors  

List  all  current  and  past  community  involvement,  community  service  and  volunteer  activities.    Include  any  leadership   positions  that  you  have  held  in  the  organization(s).  

References

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