Psi Xi Omega
Alpha Kappa Alpha Sorority, Inc.
P.O. Box 1602
Alabaster, AL 35007
[email protected]
The members of Psi Xi Omega Chapter of Alpha Kappa Alpha Sorority, Inc. are pleased to announce the
availability of two $1,000 scholarships for the fall of 2015 academic school year.
To qualify the applicant must:
 Be an African American female graduating from a high school in Shelby County, AL.
 A college bound senior in the fall of 2015.
 Possess a cumulative G.P.A. of 3.0 or better on a 4.0 scale.
 Be attending an accredited college or university in the fall of 2015.
All completed applications must include:
 An official, sealed high school transcript.
 Two letters of recommendation from:
1 - A teacher, counselor, or school administrator
1 - A community member, civic or religious leader.
 A standard form one page essay based upon one of the following topics:
a) If you had the ability to change your community in a positive way, what specific
change(s) would you make?
b) Describe how you have demonstrated leadership ability in your school, work, or community.
c) Discuss a special attribute or accomplishment that set you apart from other students seeking to be
awarded this scholarship.
Please type or print legibly and complete the attached application. Selection is based upon grade point average,
academic potential, school and community involvement, as well as references. Applications must be post
marked by February 27, 2015 and received by March 2, 2015 via USPS Standard Mail.
Please No Certified Mail with Return Receipt Request. Late or incomplete packets will not be considered.
Please forward all completed packets to:
Scholarship Committee
Alpha Kappa Alpha Sorority, Inc.
Psi Xi Omega Chapter
Attn: Terri Coleman
P.O. Box 1602
Alabaster, AL 35007
About Alpha Kappa Alpha…..
Alpha Kappa Alpha Sorority, Incorporated was founded on January 15, 1908 on the campus of Howard
University in Washington, DC. Alpha Kappa Alpha is the first Greek-letter sorority established and
incorporated by African American college women.
Alpha Kappa Alpha is comprised of a nucleus of over 260,000 members in graduate and undergraduate
chapters in the United States, the U. S. Virgin Islands, the Caribbean, Canada, Japan, Germany, Korea and on
the continent of Africa.
Its membership is comprised of distinguished women who boast excellent academic records, proven leadership
skills, and are involved in the global community through advocacy and service. Alpha Kappa Alpha has
dedicated itself to improving the quality of life for citizens worldwide and promoting peace.
The goals of its program activities center on significant issues in families, communities, government halls and
world assembly chambers. Its efforts constitute a priceless part of the global experience in the 21st century.
Since its founding over a century ago, Alpha Kappa Alpha’s mission has been to cultivate and encourage high
scholastic and ethical standards, to promote unity and friendship among college women, to study and help
alleviate problems concerning girls and women in order to improve their social stature, to maintain a
progressive interest in college life, and to be of “Service to All Mankind.”
About Psi Xi Omega Chapter…
On January 16, 2007 a group of eager sorority members made contact with South Eastern Regional Director of
Alpha Kappa Alpha regarding the formation of an interest group in Central Alabama. The group was sent a
copy of Alpha Kappa Alpha’s Procedures for the establishment of a Graduate Chapter and the journey to
chartering a Shelby County chapter began….
In April of 2008 the group was visited by the South Eastern Regional Director and would later receive the
official interest group application on October 15, 2008. On March 9, 2009 the group was approved as the
Shelby County Pearls continued to work diligently towards chartering. On October 11, 2011 the group
received final approval to charter as a chapter. The Shelby County Pearls Interest Group was chartered on
November 26, 2011 and became Psi Xi Omega Chapter of Alpha Kappa Alpha.
Psi Xi Omega serves the entire Shelby County area. As women of Alpha Kappa Alpha Sorority, Incorporated,
we strive to promote service to all mankind and to shine a light of hope on humanity. Moreover, we strive to let
our beacons of light shine brighter and brighter each year with love, compassion, and respect for others.
Psi Xi Omega Chapter fully embraces the policies and program initiatives of the sorority and supports the
current administration in providing Global Leadership through Timeless Service.
For more information about Alpha Kappa Alpha Sorority, Incorporated please visit www.aka1908.com
Scholarship Application
Personal Data:
Last Name
First Name
E-mail:
Current Residence:
City:
Primary Phone Number: (
)
State:
Zip:
Secondary Phone Number: (
)
Birthdate:
Name(s) of Parent/Guardian
Number of Siblings Who Reside in House Hold
Brothers
Sisters
Are You a First Generation College Student?
Yes
No
Educational Data:
School Presently Attending:
School Address:
City:
State:
Zip:
Counselor’s Name:
Grade Point Average (Grade 9 through First Semester
Senior Year): Weighted:
Un-weighted:
College or University Which You Plan To Attend:
Address:
City:
Counselor’s Telephone: (
)
SAT (Composite):
ACT (Composite):
Have you been admitted?
YES
NO
Date of Awards Day Ceremony:
State:
Zip:
Date of Graduation & Location:
Student Activity Information:
Directions: Please complete each section. DO NOT BE MODEST. All information can be used by the Scholarship
Committee during the selection process. *Attach a separate sheet if necessary.
Extra-Curricular Activity
Description
Leadership Position Held Length of Service
Community Activities:
Directions: List community activities in which you have participated, (Church groups, volunteer organizations, clubs,
community art endeavors, etc.). The activities in which you engage in must be completed outside of school.
*Attach a separate sheet if necessary.
Community Service Activity
Description
Length of Service
Work Experience:
*Attach a separate sheet if necessary
Place of Employment
Description of Responsibilities
Dates
Letters of Recommendation:
Name:
Address:
E-mail:
Name:
Address:
E-mail:
Telephone:
(
)
Telephone:
(
)
Recognition & Awards:
Directions: List any honors and recognition that you have received (Grades 9-12)
*Attach a separate sheet if necessary.
Award/Recognition
Grade(s)
CERTIFICATION STATEMENT
I hereby agree to hold harmless and release from liability Psi Xi Omega Chapter of Alpha Kappa Alpha Sorority,
Incorporated or any representative thereof for any action or claim. I hereby agree to comply with all requirements of
the application process as set forth by Psi Xi Omega. All of the information on this application is true to the best of my
knowledge. If asked to do so, I agree to provide proof of the information that I have given on this application. I realize
that if I do not provided proof when asked, I may be disqualified as an applicant for a scholarship.
___________________________________________
Signature of Applicant
_________________
Date
___________________________________________
Signature of Parent/Guardian
_________________
Date