ATLANTA SOUTHERN CRESCENT ALUMNAE PANHELLENIC ASSOCIATION
SCHOLARSHIP APPLICATION INSTRUCTIONS
Please remove this instruction sheet before submitting your application!

ELIGIBILITY REQUIREMENTS: Applicants must be female high school students with at least a 3.0 GPA (unweighted) and a solid, all-around resume who are residents of the Southern Crescent area of Atlanta and will attend an accredited four-year college ( not to include service academies) in the fall of the forthcoming college year. “Southern Crescent” is defined as the counties of Fayette, Coweta, Clayton, Henry, Spalding, and the cities of South Fulton County. Applicants must submit a completed application (below) with the following items:

(1)Attachment Colleges Applied /Accepted to:

List the colleges to which you have applied, those to which you have been accepted and those from which you are still waiting to hear

Essay:

In 500 words or less, describe an event or a person that has been influential in your personal development.

(2)Current Resume ( include all activities, leadership positions, and all honors)

(3)High school transcript(does not need to be an official copy)

Please do not send pictures, videos, newspaper articles, etc - they will not be viewed/ considered.

Also, recommendations will not be considered, so please do not submit any with your application.

The applicant and her parent/guardian MUST SIGN the application in the CERTIFICATION section.

The completedSIGNEDapplication packet

MUST BE POSTMARKED ON OR BEFOREAPRIL 25,2016.

Applications missing information or not postmarked by APRIL 25,2016 will not be considered.

IF SENDING YOUR APPLICATION VIA OVERNIGHT/EXPRESS MAIL,

PLEASE BE SURE TO CHECK THE BOX THAT SAYS “SIGNATURE NOT REQUIRED.”

ALSO SINCE CERTIFIED MAIL REQUIRES A SIGNATURE,

DON’T SEND YOUR APPLICATION VIA CERTIFIED MAIL!

Mail to:

ATLANTA SOUTHERN CRESCENT ALUMNAE PANHELLENIC ASSOCIATION (ASCAPA)

Attn: SCHOLARSHIP COMMITTEE

1029 N Peachtree Pkwy, Suite 246

Peachtree City, GA 30269

Questions: Cele Eifert 404-667-8906 or

Website (for additional copies of the forms):

There will be one $1000 cash scholarship awarded. Recipient’s schoolwill be notified in May

and the winner’s name & school will be posted on our websitein June.

IMPORTANT: Winner will receive her$1000 check in personat her Senior Honors/Awards Night

so please be sure to tell us the date in the appropriate space on the application.

ATLANTA SOUTHERN CRESCENT ALUMNAE PANHELLENIC ASSOCIATION
SCHOLARSHIP APPLICATION

PRINT or type responses legibly! Do not use additional sheets of paper!

Be sure to provide all requested information; incomplete applications will not be considered

APPLICANT INFORMATION

Last Name:First Name:

Your email address: Your personal ph#_

Home Street Address:

City: Zip: Home ph#:

Name ofFather/Guardian: Occupation:

Name of Mother/Guardian: Occupation:

Your High School: Phone:

High School Address : City: _Zip:

Principal’s Name: Counselor’s Name:

Counselor’s Phone #: Email:

GPA weighted:_Unweighted GPA: Class Ranking: #of total # students

SAT scores: (Math) (Verbal) Writing) ACT composite score: (if applicable)

What college will you attend in the Fall (if known)?

Intended Major(s)/Minor?

Career goal:

Do you currently have a job? YES NO Job Title: # hours/week?

Employer (Name of Company)?

IMPORTANT! What’s the date of your school’s Senior Honors/Awards Night?

(If you are selected as our winner, your $1000 check will be presented in person at your Senior Honors/Awards event.)

HOW DID YOU HEAR ABOUT THIS SCHOLARSHIP? (CheckALL that apply)

School Newspaper Ad Flyer FriendSorority alumna or ASCAPA member - name?

CERTIFICATION
IF THIS SECTION IS NOT SIGNED, YOUR APPLICATION WILL NOT BE CONSIDERED!

We certify that this scholarship application contains no false representations or incorrect information.

______

(applicant's signature) (date) (parent/guardian's signature) (date)

SUBMISSION REQUIREMENTS

DON’T FORGET TO INCLUDE:

(1) This completed/signed application form
(2) Completed Attachment
(3) Current Resume w/all activities, leadership positions, honors)
(4) Current Transcript (a copy is fine)
Note: Please remove the instruction sheet
when sending in your application. /

MAIL TO:

Atlanta Southern Crescent Alumnae Panhellenic Association (ASCAPA)

ATTN: Scholarship Committee

1029 N Peachtree Pkwy,
Suite 246
Peachtree City, GA 30269 /

DEADLINE:

Application MUST
be postmarked on/before:
April 25, 2016

Rev. 2/16

ATTACHMENT
Atlanta Southern Crescent Alumnae Panhellenic Association Scholarship Application

Applicant's LAST Name:FIRST NAME

Type or print response legibly on this form. If necessary, continue on back. Do not use additional sheets of paper.

COLLEGES APPLIED / ACCEPTED TO
List the colleges to which you have applied and been accepted.
If you know which college you will attend in the Fall, please be sure to indicate that below. / Indicate “Accepted”
“Wait-listed” “Still waiting”
“Will Attend”
ESSAY
In 500 words or less, describe an event or a person that’s been influential in your personal development.
(Write essay below; use reverse side if necessary but do NOT attach additional sheets of paper)

Rev.2/16