Delta Sigma Theta Sorority, Inc.

Greenville (SC) Alumnae Chapter

A Public Service Sorority

College Scholarship
Application

Application Deadline:
Monday, March 7, 2016
*Must be postmarked by March 7, 2016

For more information contact:

Tracey Lott McFadden, Scholarship Chair
844-472-2378
gvillescalumnae@hotmail.com

Delta Sigma Theta Sorority, Inc. is a public service

organization with more than 250,000 members in over
1,000 chapters in the United States and abroad. As a
corporate partner with the Delta Research and Educational
Foundation 501(c)(3), we work to eradicate educational,
social, and economic inequities. Our annual scholarship is
part of a larger commitment to provide encouragement
1

and support to African-American students who choose

higher education as their goal.
Delta Sigma Theta Sorority, Inc.
A Public Service Sorority Founded in 1913
Greenville (SC) Alumnae Chapter
Scholarship Application
NAME
__________________________________________________________________
FIRST
LAST

MIDDLE

ADDRESS
________________________________________________________________
STREET
ZIPCODE

CITY/STATE

HOME PHONE/ CELL PHONE _____________________________

EMAIL ADDRESS _____________________________________
DATE OF BIRTH _______________________
FEMALE

SEX

]MALE

SCHOOL __________________________________________
*WEIGHTED GRADE POINT AVERAGE _______
GRADE POINT AVERAGE _______

*UNWEIGHTED

*REQUIRED

FATHER NAME _______________________

_________________________

MOTHER NAME

FATHERS EMPLOYER ______________________ MOTHERS

EMPLOYER___________________
FATHERS OCCUPATION_____________________ MOTHERS
OCCUPATION_________________
WITH WHOM DO YOU RESIDE?
[ ]BOTH [
]OTHER

] FATHER

]MOTHER

IF OTHER, PLEASE EXPLAIN

_____________________________________________________
FAMILY YEARLY INCOME
[ ]$0 - $10,000 [ ]$10,001 - $20,000 [
$30,001 - $40,000
[

]$40,001 - $50,000 [

]$20,001 - $30,000 [

]$50,001 +

TOTAL NUMBER OF DEPENDENT CHILDREN IN HOUSEHOLD

(INCLUDING SELF) _______
NUMBER OF DEPENDENT CHILDREN ATTENDING COLLEGE NEXT FALL
_______
LIST IN ORDER OF PREFERENCE FOUR COLLEGES TO WHICH YOU
HAVE APPLIED
ACCEPTED

1. __________________________

[ ]YES [ ] NO

2. __________________________

[ ]YES [ ]NO
ACCEPTED

3. __________________________

[ ]YES [ ]NO

4. __________________________

[ ]YES [ ]NO

INTENDED MAJOR ____________________________________________

MINOR ____________________________________________________
CAREER GOALS
_____________________________________________________________
LIST THE FINANCIAL AID FOR WHICH YOU HAVE APPLIED AND THE
RESULTS
AWARDED
AMOUNT

1. __________________________
__________________

[ ]YES

[ ]NO

2. __________________________
__________________

[ ]YES

[ ]NO

3. __________________________
__________________

[ ]YES

[ ]NO

4. __________________________
__________________

[ ]YES

[ ]NO

HOW DID YOU HEAR ABOUT THIS SCHOLARSHIP?

______________________________________
LIST HIGH SCHOOL ACADEMIC AWARDS AND HONORS
___________________________________
______________________________________________________________________
__
______________________________________________________________________
__
LIST YOUR COMMUNITY ACTIVITIES (NON-SCHOOL RELATED),
INCLUDE OFFICES HELD.
______________________________________________________________________
__
______________________________________________________________________
___________________________
______________________________________________________________________
__________________________
LIST EXTRA-CURRICULAR SCHOOL ACTITIVITES (ATHLETICS, CLUBS),
INCLUDE OFFICES HELD.
______________________________________________________________________
_
______________________________________________________________________
__
______________________________________________________________________
__
PLEASE LIST ANY EMPLOYMENT POSITIONS HELD OUTSIDE OF
SCHOOL _______________________
______________________________________________________________________
__

PLEASE ATTACH THE FOLLOWING:

1. Essay: Why is it important for you to attend college.
Essay must be at least 250 words. Discuss any obstacles that
you have overcome, indicating how each has impacted your life
and your decision to pursue a college education. Please
provide the committee with any pertinent information you
would like us to consider in reviewing your application. Please
include your name at the top of your essay.
2. Three current letters of recommendation: one from a person
not related to you (e.g. your employer, church official,
community group leader), and two from school personnel
(counselor, teacher, coach, etc.)
3. Current copy of your official transcript (must contain the school
seal)
4. A recent 2x3 professional type headshot that is clear and could
be used for publication. Please print your name on the back of
your photograph.
READ CAREFULLY BEFORE SIGNING:
It is understood that false statements on this application shall be
sufficient grounds for rejection of this application. I,
________________________________, certify that all information given is
accurate.
I, ____________________________, fully understand that if I am awarded
this scholarship I must submit the following information by the fall
deadline or the scholarship will be forfeited:

A statement of enrollment from a college official or letter of

verification from the registrars office verifying full time
enrollment.
A letter of request for scholarship funds to be mailed directly to
the college or university including your official name as it
appears on college/university records, student identification
number, and the mailing address of the financial aid or
cashiers office of your college or university.

This scholarship is not automatically renewed for previous recipients.

All information will remain confidential. No tax documents will be
accepted.
________________________________
______________________________
Applicants Signature
Signature

Parent or Guardians

Please mail all materials to: Delta Sigma Theta Sorority, Inc.
Attn: Scholarship Committee
P.O. Box 17704
Greenville, SC 29606
All materials must be postmarked by Monday, March 7, 2016. Late
or incomplete applications will not be considered. Recommendation
letters must be current not copies of previously written letters.