Legacy of Service Foundation
Alpha Kappa Alpha Sorority, Incorporated®
Omicron Mu Omega Chapter
P.O. Box 227493
Dallas, Texas 75222
January 25, 2017
Dear High School Counselor and/or Student Advocate,
Here is an opportunity to help provide college financing to a student at your school.
The Legacy of Service Foundation which is the non-profit arm of Omicron Mu Omega Chapter of Alpha
Kappa Alpha Sorority, Incorporated has in the past several years given a grand total amount of more
than $75,000 in scholarships to minority high school seniors exhibiting outstanding scholastic excellence
and leadership involvement. The foundation is continuing to provide financial support to deserving high
school seniors who are continuing their educational endeavors through a college or university.
Applicants must meet the following criteria:
 Be a graduating minority senior from a Dallas Metroplex high school
 Possess a cumulative grade point average of 3.0 or higher on a 4.0 scale
 Demonstrate exemplary leadership qualities
 Have a low to moderate family income
Enclosed is an application packet for you to copy and distribute among qualified students at your
school. The applicant MUST return the completed application to:
Dr. Deardra Hayes-Whigham
Education Committee Co-Chairman
17820 River Chase Drive
Dallas, Texas 75287
Please note:
Applications must be postmarked by Friday, March 24, 2017. All information should be submitted on
8½ x 11 paper. Counselors are encouraged to review materials before submitting to ensure that
applicants have included all of the requested materials.
Thank you in advance for your cooperation.
Sincerely,
Patricia Alaman
Stacy Bowers
Stephanie Johnson
Patricia Alaman
Education Committee Chairman
Omicron Mu Omega Chapter
Stacy Bowers
President
Legacy of Service Foundation
Stephanie Johnson
President
Omicron Mu Omega Chapter
Page 1 of 2
Legacy of Service Foundation
Scholarship Application
Alpha Kappa Alpha Sorority, Incorporated®
Omicron Mu Omega Chapter
INSTRUCTIONS/GUIDELINES FOR APPLICANTS
Attach a recent
photo.
1. The basic application for scholarship consists of:
A. Scholarship Application signed and dated by the applicant. (Ensure city, state, zip
code, phone number and e-mail address if available).
B. Recent photo attached
C. College Entrance Exam Score (SAT or ACT)
D. High School Transcript
E. Two letters of recommendation. One MUST be from one of the applicant’s teachers.
F. One page essay indicating why you should be selected as a scholarship recipient.
G. Confirmation of acceptance by college, if received. (If a confirmation letter has not
been received, it MUST be submitted prior to the scholarship check being issued).
H. Copy of family’s 1040 Income Tax Return 2016. (If 2016 taxes have not been filed;
copies of each parent or guardian’s W-4 for 2016 may be substituted).
2. Please make sure all information is on the application. INCOMPLETE APPLICATIONS
WILL NOT BE PROCESSED.
3. Deadline for submitting the application: MUST be postmarked by Friday, March 24, 2017.
4. This application is valid only for college periods starting summer or fall 2017.
5. A personal interview with the Scholarship Committee will be required on
Thursday, April 20, 2017 for applicants who meet the review
criteria.
PLEASE COMPLETE ALL INFORMATION BELOW. PLEASE
KNOW THAT AN INCOMPLETE OR CARELESSLY PREPARED
APPLICATION WILL NOT BE RETURNED OR PROCESSED.
EXPECTED COURSE LOAD (semester hours)
SUMMER
FALL
SPRING
Page 2 of 2
APPLICANT INFORMATION
Name:
Daytime Phone:
Address:
Evening Phone:
Social Communication and Networking Information
Email:
Facebook/Twitter/etc.:
Birth Date:
Name of Parent(s) or Guardian(s):
Address:
Phone:
Number in Household:
Total Household Income: $
L e g ac y o f S e r v i c e F o u n d a t i o n
S C H O L A RS HI P A P P LI C AT I O N
EDUCATIONAL INFORMATION
Grade Point Average (Cumulative):
Grade Point Average (Last Grading Period):
High School:
Date of Graduation:
College(s) Applied To:
Major Course of Study:
Plan to attend a HBCU?
ASCEND participant?
CACHET participant?
EXTRACURRICULAR ACTIVITIES
Organization(s) and Position(s) Held with Dates:
Awards:
Honors:
COMMUNITY ACTIVITIES
Are you related to anyone who is a member of Alpha Kappa Alpha Sorority, Inc. or any other
Greek letter organization?
Yes
If yes, which organization/city/chapter?
To your knowledge, have you been awarded any other scholarships?
Please describe any unusual circumstances that you feel should be brought to the attention of the
Scholarship Committee (i.e. terminally ill parent, homeless, etc.). Use a separate sheet if applicable.
Please provide a one- p a g e essay indicating why the Legacy of Service Foundation should select you
as a scholarship recipient.
Signature of Applicant
Date
Signature of Parent / Guardian
Date
I declare under penalty of disqualification that the foregoing is true and correct.
No