Alpha Phi Alpha Fraternity, Inc.
Mu Beta Lambda Chapter
Education Committee
P.O. Box 75496, Honolulu, Hawaii 96836
Ernest James Harris,PhD
Academic Scholarship
$1,500
Dr. Harris is a retired Research Entomologist and obtained his PhD in entomology from the University of Hawaii in 1975. He worked at the USDA-ARS Pacific Basin Agricultural Research Center, Honolulu, Hawaii for over 40 years in different capacities including as a research leader of the Biology and Ecology Research Unit, Tropical Fruit & Vegetable Research Laboratory, Honolulu, Hawaii. Dr. Harris is internationally renowned for his work on the biology and area-wide management of tephritid fruit fly pests using bio rational tactics such as sterile fly releases (SIT), male annihilation (MA), and augmentative biological control. He has published over 100 peer-reviewed scientific articles and has been recognized nationally and internationally with numerous awards. Dr. Harris is a distinguished member of Alpha Phi Alpha Fraternity, Inc. Mu Beta Lambda Chapter. Dr. Harris has over 50 years inthe fraternity.
Dr. Ernest J. Harris Scholarship Cover Sheet
ELIGIBILITY CRITERIA AND INSTRUCTIONS
Applicants must be entering his/her first year of college
Applicant must be a United States citizen and enrolled in an accredited United States college.
Applicant must possess a grade point average of at least 3.0 on a 4.0 system.
Application forms and required documents must be received on or before Sunday April 5th.
Immediate family members of Alpha Phi Alpha Mu Beta Lambda Chapter to the first degree of consanguinity are not eligible to apply for or receive this scholarship.
All applications must include the required materials. The scholarship committee will not be responsible for making copies of applications and/or collecting required materials. If required materials are not included with your application, your application will be considered incomplete and disqualified.
Scholarships certificates are presented at our annual Black and Gold Awards Gala in May.
Only selectees will receive official result notification.
Scholarships are paid in September directly to the school.
Mail completed applications to: Alpha Phi Alpha Fraternity, Inc., Mu Beta Lambda Chapter, Attn: Scholarship Committee, P.O. Box 75496, Honolulu, Hawaii 96836
Email completed applications to:
Application Checklist
- Signed Application Cover Sheet
- Two letters of recommendation (One letter must be an academic reference)
- An official transcript (most recent)
D.College/University Acceptance Letter
- Additional information on Honors, Awards, Community Service, and Leadership
- Five page typed essay
*All pages must have a one inch margins on all sides
*Page numbers should appear center of bottom of second through fifth pages ½ inch from bottom
*Page 1 - Cover page must list your name, date, and title (double spaced)
*Page 2-4 Submit a double space typed essay on the advantages of minorities earning collegiate degrees in science. Include and introduction and conclusion paragraph. At a minimum your paper must contain a discussion on the (1) academic, (2) economic, and (3) cultural advantages of minorities earning collegiate degrees in scientific fields.
*Page 5 – Reference page (double spaced)
Alpha Phi Alpha Mu Beta Lambda Chapter POC:
Gay W. Henry II
Phone:814-571-8601
Email:
1
Applicant's Personal Information
Please print in black or dark blue ink or type the required information.
For each multiple-choice question, check the appropriate box.
1. APPLICANT'S FULL LEGAL NAME:FIRST / MIDDLE INITIAL
LAST
2. DATE OF BIRTH (mmddyyyy) / 3. GENDER
- / - / MALE / FEMALE
4. SOCIAL SECURITY NUMBER / 5. CURRENT SCHOOL PHONE NUMBER
- / - / - / -
6. E-MAIL ADDRESS
7. PERMANENT HOME MAILING ADDRESS (Do not submit a PO Box address) NO. & STREET ADDRESS, APT. NUMBER,
AND TELEPHONE NUMBER
CITY / STATE
ZIP CODE / PERMANENT HOME PHONE
- / - / -
8. RACE/ ETHNICITY (check the group or groups that describes your identify.)
AFRICAN AMERICAN / HISPANIC AMERICAN / AMERICAN INDIAN
ALASKA NATIVE / ASIAN /PACIFIC ISLANDER / OTHER
9. Legal Status - US Citizen
YES / NO
10. FINANCIAL INFORMATION: HOUSEHOLD GROSS INCOME REPORTED ON LAST YEAR’S FEDERAL TAXES
$
References
11. Academic Reference: (Non-Family Member)FIRST
LAST
NO. & STREET ADDRESS
CITY / STATE
ZIP CODE
-
CONTACT PHONE / EXT.
- / -
ALTERNATE PHONE / EXT.
- / -
POSITION, TITLE, OR OCCUPATION
12. Other Reference: (Non-Family Member)
FIRST
LAST
NO. & STREET ADDRESS
CITY / STATE
ZIP CODE
-
CONTACT PHONE / EXT.
- / -
ALTERNATE PHONE / EXT.
- / -
E-MAIL ADDRESS
POSITION, TITLE, OR OCCUPATION
Educational Status
13.High School InformationSCHOOL ATTENDING
NO. & STREET ADDRESS
CITY / STATE
ZIP CODE
- / attach school transcript
ANTICIPATED GRADUATION DATE (MM/YYYY) / CUMULATIVE GPA (4.00 SCALE)
/ / .
CLASS RANK / PERCENTILE
/ / %
14.College / University Accepted
Honors, Awards, Community Service, and Leadership
15. HONORS AND AWARDS (List honors and awards received.)(List additional awards on separate sheet)NAME OF AWARD / RECEIVED (MM/YY)
TYPE OF HONOR/AWARD
ACADEMIC / ATHLETIC / ARTISTIC / TOWNSHIP SERVICE / JOB RELATED / EXTRA-ACTIVITY
NAME OF AWARD / RECEIVED (MM/YY)
TYPE OF HONOR/AWARD
ACADEMIC / ATHLETIC / ARTISTIC / TOWNSHIP SERVICE / JOB RELATED / EXTRA-ACTIVITY
NAME OF AWARD / RECEIVED (MM/YY)
TYPE OF HONOR/AWARD
ACADEMIC / ATHLETIC / ARTISTIC / TOWNSHIP SERVICE / JOB RELATED / EXTRA-ACTIVITY
NAME OF AWARD / RECEIVED (MM/YY)
TYPE OF HONOR/AWARD
ACADEMIC / ATHLETIC / ARTISTIC / TOWNSHIP SERVICE / JOB RELATED / EXTRA-ACTIVITY
16. Community Service (List activities you participated in outside of school.)(List additional activities on attached sheet
NAME OF ORGANIZATION
ACTIVITY / FROM (MM/YY) TO (MM/YY)
NAME OF ORGANIZATION
ACTIVITY / FROM (MM/YY) TO (MM/YY)
NAME OF ORGANIZATION
ACTIVITY / FROM (MM/YY) TO (MM/YY)
NAME OF ORGANIZATION
ACTIVITY / FROM (MM/YY) TO (MM/YY)
NAME OF ORGANIZATION
ACTIVITY / FROM (MM/YY) TO (MM/YY)
NAME OF ORGANIZATION
ACTIVITY / FROM (MM/YY) TO (MM/YY)
NAME OF ORGANIZATION
ACTIVITY / FROM (MM/YY) TO (MM/YY)
NAME OF ORGANIZATION
ACTIVITY / FROM (MM/YY) TO (MM/YY)
NAME OF ORGANIZATION
ACTIVITY / FROM (MM/YY) TO (MM/YY)
17. Leadership Roles - (Please describe the leadership roles you held.)(List additional roles on attached sheet)
NAME OF ORGANIZATIONPOSITION HELD / FROM (MM/YY) TO (MM/YY)
NAME OF ORGANIZATION
POSITION HELD / FROM (MM/YY) TO (MM/YY)
NAME OF ORGANIZATION
POSITION HELD / FROM (MM/YY) TO (MM/YY)
NAME OF ORGANIZATION
POSITION HELD / FROM (MM/YY) TO (MM/YY)
NAME OF ORGANIZATION
POSITION HELD / FROM (MM/YY) TO (MM/YY)
18. Acknowledgement of Eligibility and instructions certification
I hereby certify that the information provided in this application is, to the best of my knowledge, true and correct. I further certify that I am the original author of the attached essay. I understand that the contents of my essay will be used solely to determine my selection for a scholarship and will not be shared with any other source without my expressed written permission. I also understand that the financial information will not be shared with anyone except for those persons responsible for determining my eligibility for a scholarship unless I give expressed written permission for such a release of information. However, I acknowledge that the fraternity may use other information obtained from this application for marketing purposes and publicity such as my (name, school, and demographic data ONLY). I have not knowingly withheld any facts or circumstances that would jeopardize consideration of this application, and can provide documentation to prove I am legally authorized to work in the United States
______
Student Signature Date
The scholarship committee will use the information you supply on this form solely to evaluate you as a candidate for a scholarship. This information will not be available to third parties for any other purpose.
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Alpha Phi Alpha Fraternity, Inc. Mu Beta LambdaChapter Scholarship Application Form