Sigma Tau Omega Scholarship Application Form

Sigma Tau Omega
Alpha Kappa Alpha Sorority, Inc.
Collegiate Scholarship Application
Alpha Kappa Alpha Sorority, Incorporated was founded on January 15, 1908 at Howard
University, in Washington D.C. Alpha Kappa Alpha Sorority is the first Greek-lettered sorority
established and incorporated by African-American collegiate women. The sorority was founded
on the ideals of sisterhood, scholarship and “service to all mankind”.
The Sigma Tau Omega Chapter of Alpha Kappa Alpha Sorority, Inc. is committed to the
development of America's youth. In addition to engaging in mentoring, education, health &
wellness and economic development programs, we feel it is important to aid in developing
talented young Americans in pursuit of higher education. Through gifts provided by our
community donors and the contributions from members of Sigma Tau Omega, we are pleased to
announce the availability of six (6) $2,500 scholarships!
Please help us in selecting deserving recipients who meet the following criteria:
•
high school seniors who are African-American, or of African-American descent
•
will graduate with a minimum grade point average of 3.0 in 2017
•
attend Apex, Athens Drive, Cary, Fuquay-Varina, Green Hope, Holly Springs, Middle
Creek, Panther Creek, Apex Friendship, or
•
whose primary residence is in Cary, Apex, Holly Springs, Morrisville, and Fuquay-Varina
•
will study full-time at an accredited two or four-year institution in the fall of 2017.
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Sigma Tau Omega
Alpha Kappa Alpha Sorority, Inc.
Collegiate Scholarship Application
APPLICATION CHECKLIST
____________
Completed Application Form
____________
Official School Transcript
(To be official, the transcript must be the original document issued
by the school bearing a raised school seal, in a sealed envelope.)
____________
Two letters of recommendations (please use the forms providedadditional information may also be provided on a separate sheet of paper)
*Letters of recommendations should be adults who can testify to the character
and/ or personal drive of the applicant such as teachers, employers, religious
leaders, guidance counselors, troop leaders or other adults (family members
excluded)
____________
Completed Essay
____________
Application Agreement
Incomplete applications will not be considered. All applications must be
postmarked by April 14, 2017. Please mail to:
Sigma Tau Omega Chapter
Alpha Kappa Alpha Sorority, Inc.
PO Box 667
Cary, NC 27512-0667
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Sigma Tau Omega
Alpha Kappa Alpha Sorority, Inc.
Collegiate Scholarship Application
APPLICANT INFORMATION
Last Name
First Name
MI
Street Address
Apt. #
City
State
Phone # (include area code)
Date of Birth
Zip Code
Race/Ethnicity
Gender
Email Address
EDUCATIONAL INFORMATION
Name of School
Street Address
City
State
Phone # (include area code)
Fax # (include area code)
Zip Code
Name of School Counselor
GPA (weighted)
Class Rank
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Sigma Tau Omega
Alpha Kappa Alpha Sorority, Inc.
Collegiate Scholarship Application
EXTRA-CURRICULAR/COMMUNITY
ACTIVITIES
Name of Group/Activity
Grade (check boxes that apply)
9th
10th
11th
12th
Position held (if applicable)
HONORS/AWARDS/RECOGNITIONS
Name of Group/Activity
Grade (check boxes that apply)
9th
10th
11th
12th
Position held (if applicable)
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Sigma Tau Omega
Alpha Kappa Alpha Sorority, Inc.
Collegiate Scholarship Application
HOBBIES/SPECIAL INTERESTS
COLLEGE/ACCEPTANCE STATUS
(Please indicate which school you plan to attend)
College/University
Acceptance
Plan to attend (yes/no)
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Sigma Tau Omega
Alpha Kappa Alpha Sorority, Inc.
Collegiate Scholarship Application
ESSAY QUESTION 2017
What work of art, music, science, mathematics, or literature has surprised,
moved or challenged you and in what way?
Type your response in the space below. Your response should include a minimum of 250 words,
and no more than 2 pages double spaced, Times New Roman, 12pt font. Please attach additional
pages if needed to complete your response.
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Sigma Tau Omega
Alpha Kappa Alpha Sorority, Inc.
Collegiate Scholarship Application
Collegiate Scholarship Recommendation Form
We appreciate you taking the time to assist us in getting to know more about the applicant. Please
complete the form with the personal knowledge that you have about the applicant’s accomplishments,
personal traits, moral character, motivation, leadership and drive. IF POSSIBLE, PLEASE PROVIDE
EXAMPLES. ADDITIONAL SHEETS MAY BE ATTACHED IF NEEDED.
Knowledge of Applicant:
Applicant Name:
How long have you known applicant?
In what capacity do you know the applicant?
I know the applicant
_____ slightly well
_____ fairly well
_____ very well
Applicant Evaluation:
Rating
Exceptional
Above
Average
Average
Below
Average
No
Information
Dependability
Motivation
Leadership Ability
Honesty & Integrity
Please circle three (3) words that best describe the applicant as a person.
A.
B.
C.
D.
E.
Quiet
Hard-Working
Opinionated
Dedicated
Confident
F. Artistic
G. Independent
H. Spontaneous
I. Volunteer
J. Personable
K. Athletic
L. Independent
M. Organized
N. Optimistic
O. Goal-Setter
Why do you feel the applicant should receive this scholarship?
Name of Recommender: _________________________________
Signature: _______________________________________
Email Address: ___________________________________________ Phone #: ________________________________________
7|S T O 2 0 1 7
Sigma Tau Omega
Alpha Kappa Alpha Sorority, Inc.
Collegiate Scholarship Application
Collegiate Scholarship Recommendation Form
We appreciate you taking the time to assist us in getting to know more about the applicant. Please
complete the form with the personal knowledge that you have about the applicant’s accomplishments,
personal traits, moral character, motivation, leadership and drive. IF POSSIBLE, PLEASE PROVIDE
EXAMPLES. ADDITIONAL SHEETS MAY BE ATTACHED IF NEEDED.
Knowledge of Applicant:
Applicant Name:
How long have you known applicant?
In what capacity do you know the applicant?
I know the applicant
_____ slightly well
_____ fairly well
_____ very well
Applicant Evaluation:
Rating
Exceptional
Above
Average
Average
Below
Average
No
Information
Dependability
Motivation
Leadership Ability
Honesty & Integrity
Please circle three (3) words that best describe the applicant as a person.
A.
B.
C.
D.
E.
Quiet
Hard-Working
Opinionated
Dedicated
Confident
F. Artistic
G. Independent
H. Spontaneous
I. Volunteer
J. Personable
K. Athletic
L. Independent
M. Organized
N. Optimistic
O. Goal-Setter
Why do you feel the applicant should receive this scholarship?
Name of Recommender: _________________________________
Signature: _______________________________________
Email Address: ___________________________________________ Phone #: ________________________________________
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Sigma Tau Omega
Alpha Kappa Alpha Sorority, Inc.
Collegiate Scholarship Application
APPLICATION AGREEMENT
I understand that completing this form does not indicate that I have been selected for a
scholarship. I have read the information provided on this application and can verify that it is
true, accurate and complete in its presentation.
____________________________________________________
APPLICANT’S SIGNATURE
_______________________
DATE
I understand that Sigma Tau Omega Chapter, Ivy Community Service Foundation and Alpha
Kappa Alpha Sorority, Incorporated gives no guarantee as to how this information will be
further used once on the internet or utilized by the public having access to the website. It is not
the intent of this authorization to grant permission or release the use of this information to
anyone other than Sigma Tau Omega Chapter of Alpha Kappa Alpha Sorority, Inc. This
authorization does not grant the release of my information or my likeness and photograph for
proprietary purposes, financial gain, use on another website, reproductions, advertisements or
copyright privileges of others.
____________________________________________________
APPLICANT’S PRINTED NAME
____________________________________________________
APPLICANT’S SIGNATURE
_______________________
____________________________________________________
PARENT/GUARDIAN PRINTED NAME
____________________________________________________
PARENT/GUARDIAN SIGNATURE
_______________________
DATE
DATE
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