Application Deadline is
2-28-18
Scan all applications to
Dr. Draveious White

PHI BETA SIGMA FRATERNITY,INC.

Georgia State

1914 Club GrantApplication

Applicant/Chapter

Name in Full: ______College / University currently enrolled in: ______

College Address: ______

City: ______State: ______Zip: ______

Applicant’s Telephone #: (____) ______Email (Please Print) ______

Chapter: ______Membership# ______

Cumulative Grade Point Average: GPA______Financial of all levels? _____YES ______NO

Classification: FreshmanSophomoreJuniorSenior

***Have you requested funds/support from your supervising chapter? ______YES______NO

If no, please make contact with your Supervising Chapter.

______

Advisor / Supervising Chapter

Name in Full: ______

Chapter’s Address: ______

City: ______State: ______Zip: ______

Advisor’s Telephone #: (___) ______

Advisor’s Email Address (Please Print) ______

PLEASE ATTACH A LETTER FROM YOU/SUPERVISING CHAPTER,REQUESTING FUNDS FOR A PARTICULAR LEADERSHIP ACTIVITY. HAVE YOUR CHAPTER ADVISOR OR SUPERVISING CHAPTER SIGN AND DATE THIS LETTER.

STATEMENT OF COMMITMENT: If selected by the 1914 Club Grant Selection Committee, I understand that I must abide by all rules, regulations and criteria of the program, and make proper use of the funds allocated to me. If for any reason, I violate any part of this statement, I understand that I will be disqualified, and may have to repay the funds allocated to me.

Applicant’s Signature: ______

______

Applicant’sSignature Date Chapter Advisor’s Signature Date

Must be postmarked on or before TBA

Funds will be awarded TBA

General 1914 Club Grant Eligibility/Criteria:

Eligibility for 1914 Club Grants

Since The 1914 Club seeks to support, recognize and reward outstanding achievement of Phi Beta Sigma brothers, the recognition and assistance provided by The 1914 Club is limited to fully financial brothers in the state of Georgia. Applicants do not have to be a member of The 1914 Club to be awarded a grant. Applications will be accepted from current undergraduate members of Phi Beta Sigma Fraternity, Inc. in the State of Georgia who meet the following criteria:

General 1914 Club Grant Application Requirements

Be sure to follow directions carefully. Complete and accurate information is required for each item. Applications with incomplete data may result in the applicant’s disqualification. If a section does not apply, please indicate this by writing “DOES NOT APPLY” in the section that does not apply. If more space is needed to respond to a particular item, additional pages may be attached. In addition to the completed application, the following items are required:

Checklist:

  1. Must be currently enrolled at a college or university in Georgia as an undergraduate student during semester award is disbursed.
  2. Earned at least a 2.7 grade point average for the previous semester.
  3. Must be financially active on all levels of the fraternity
  4. Complete 1914 Club grant application
  5. Applications must be typed or clearly printed. (blue or black ink)
  6. A copy of a class schedule for the current semester.
  7. Submit a detailed letter for requested funds with the signature of the chapter advisor or supervising alumni chapter.

The applicant is responsible for all application materials being submitted to the State Director of the 1914 Club by the announced deadline. It is the applicant’s responsibility to determine the deadline date from 1914 Club officials and provide all requested documentation by this date.

For Additional Information

For additional information or questions concerning the 1914 Club Grant application or application process contact the following brothers: Dr. Draveious White at the following email addresses: hone: 706-333-8855 or Dr. Anthony Morman at the following email addresses: Phone: 229-299-1914

Awards and Selection of Recipients

A 1914 Club committee comprised of Georgia State Executive Board members will review and score applications. All current state Executive board members and members of the collegiate affairs committee are ineligible to receive 1914 Club grants. Grants will be awarded primarily on the overall presentation and authenticity of application. Each semester (Fall and Spring) the application process will begin again.

. Deadlines for applications will be announced by the committee. Please make sure to have all documents submitted by the deadline date. Incomplete applications will not be considered. This grant is specific to collegian brothers of Phi Beta Sigma Fraternity, Inc. in the state of Georgia and is non-transferable.

Revised by Dr. Draveious White 5-16-17