NAME: _______________________________________________________________________________ Last Middle First PLEASE CHECK: Female: ___________________ Male: ____________________ HOME ADDRESS: ___________________________________________ CITY: ______________________ STATE: _______________________
ZIP: ___________________
E-MAIL ADDRESS: ______________________________________________________________________ NAME OF HIGH SCHOOL: _____________________________ DATE OF GRADUATION ______________ COLLEGE/UNIVERSITY CURRENTLY ATTENDING: ______________________________________________ COLLEGE/UNIVERSITY ADDRESS: __________________________________________________________ CITY: ____________________________ STATE: __________________ ZIP: _________________ ANTICIPATED COLLEGE/UNIVERSITY GRADUATION DATE: ______________________________________ CURRENT CLASSIFICATION: ______________________________________________________________ MAJOR: ___________________________ CUMULATIVE GPA (Do not round up): ___________________ How did you learn about this scholarship? __________________________________________________ FAMILY INFORMATION: Are you a first generation college student? Yes ___________ No ___________ MOTHER’S OCCUPATION? _______________________________________________________________ FATHER’S OCCUPATION?
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SPOUSE’S OCCUPATION? _______________________________________________________________ NUMBER OF SIBLINGS? _____________ NUMBER ATTENDING COLLEGE OR BEYOND? _______________ STATISTICAL INFORMATION:
PLEASE DESCRIBE ANY SPECIAL CIRCUMSTANCES RELATING TO YOUR PERSONAL FINANCIAL SITUATION THAT SHOULD BE CONSIDERED WHEN EVALUATING YOU FOR THIS SCHOLARSHIP. _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ SECTION A: COLLEGE/UNIVERSITY LEADERSHIP – Volunteer/Academic/Service Activities 1. LIST HONORS, AWARDS, SCHOLARSHIPS AND YEAR RECEIVED. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 2. LIST, AND BRIEFLY DESCRIBE, ORGANIZATIONS IN WHICH YOU HAVE MEMBERSHIPS AND/OR PROGRAMS YOU HAVE BEEN ACTIVELY INVOLVED. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ________________________________________________________________________ ______________________________________________________________________________
SECTION B: PERSONAL REFERENCES Include three (3) professional letters of recommendation, dated no earlier than January 1, 2014. The letters should be from people who can attest to your character, interpersonal relationships and academic achievements and should not come from family members or peers.
SECTION C: PERSONAL GOAL STATEMENT In 500 words or less, on a separate sheet of paper, please describe your personal goals and career plans. Include how this scholarship will help you attain these goals. Please type or print legibly. ***** I, ________________________________________, certify that all information herein is accurate and complete to the best of my knowledge. Submitting false or inaccurate information/claims are subject to forfeiture of award.
Scholarship Application Instructions and Guidelines
Please read all instructions carefully before completing this application form. The application and all of the attachments become the property of Lambda Alpha Omega Chapter, Alpha Kappa Alpha Sorority Incorporated. Completed application packet must be postmarked by DECEMBER 19, 2014. To be eligible for a scholarship, the applicant must meet the following criteria:
You must be a full time student, sophomore standing or above. You must be attending a four year college/university or graduate school. All documents must be submitted together to be considered.
Complete Application Packet Should Contain: Completed, signed and mailed all application data on, or before DECEMBER 19, 2014. Included 3 letters of recommendation from professional persons and a personal essay. Included an official transcript UNOPENED from college/university. Copied information for your personal records. Forward ALL items together to: LAMBDA ALPHA OMEGA EAF SCHOLARSHIP COMMITTEE P. O. BOX 3338 LISLE, IL 60532
Applicants will be notified on, or after JANUARY 30, 2015.