Dear Student / Guidance Counselor

2016 Scholarship Application

(Applications available at www.rhothetaomega.com)

I am submitting my application for the following scholarship (Please check the scholarship(s) for which you are applying). You must meet the specific criteria as listed in the Scholarship Program brochure to apply:

___ The Ivy Legacy Foundation® (TILF) Scholarship ($1,500 scholarship)

___The TILF Philly’s Teens Are Cookin’® Culinary Scholarship ($1,500 scholarship)

___ The John and Roberta Hubbard Family Foundation Scholarship ($1,500 scholarship)

___ The Carrie F. Gethers Memorial Scholarship ($1,250 scholarship)

___ The Jarvis Moss Shepherd Memorial Scholarship ($1,000 scholarship)

___The Vicky Rose Jones Scholarship ($1,000 scholarship)

___ The Susan Cannon Jones Celebration Scholarship ($1,000 scholarship)

___ The Simpson-Woodside Family Scholarship ($1,000 scholarship)

___ The Jay P. Mayo Memorial Foundation ($1,500 scholarship)

___ The Phyllis Washington Moran Memorial Scholarship ($1,000 scholarship)

___ The Ruth Celethia Jones Memorial Scholarship ($1,000 scholarship)

___ The Branson Family Milestone ($1,000 scholarship)

___The Phyllis Blair Green GHS “217” Milestone Scholarship ($1,500 scholarship)

__ The Yvonne Cooper Watson Memorial Scholarship ($1,250 scholarship)

___ The Vicky Rose Jones Book Award ($500 book award)

___The Donald “Chappie” Washington Sheet Music/Book Award ($500 book award)

___The Young Family Memorial Book Award ($500 book award)

All applications must be accompanied by an official transcript (with seal), three typewritten letters of recommendation, and a typewritten essay from the applicant stating future plans and why the scholarship award will help him/her reach their future goals. The essay should be a minimum of 200 words and a maximum of 500 words. If applying for more than one scholarship, please be sure that you meet the criteria for each scholarship(s) for which you are applying.

APPLICANT INFORMATION:

Name ______Age ______Birthdate ______

Home Phone______Cell Phone ______Email ______

Address______City______State______Zip______

PARENT/GUARDIAN INFORMATION:

Father______Address______Email______

Mother______Address______Email______

Do you have any family members who are members of Alpha Kappa Alpha Sorority, Inc.?

-Yes___ No___ If yes:

Name______Relationship______Chapter______

Military Service: Student___ Par. /Guard.____ Par. /Guard: Currently Active ___ Veteran ___

APPLICANT’S EDUCATIONAL BACKGROUND:

High School Graduating from: ______

Address______Dates Attended______

Colleges to which you have applied:

Name of College Location Accepted (circle one)

______YES NO PENDING

Which college do you plan to attend? ______

What is your intended major? ______

Have you applied for or received any other scholarships? Yes ____ No _____ If yes, from where?

______

Hobbies/Interests:

______

Community Service / Extra-curricular Activities, Offices held:

______

Honors and Awards:

Name of Award/Honor Awarded by… Date(s)

______

Typewritten Reference Letters (Please Attach 3; Example: Teacher, Counselor, Minister, and Other Non-relative)

Name: ______Address______Position______

The application and all supporting documentation must be submitted together, in one envelope, as one complete package. It is the responsibility of the applicant to have all information submitted by the DEADLINE of April 15th, 2016. Late and/or incomplete applications will not be considered.

Applicant’s Signature ______Date ______

Parent Signature ______Date ______