Pittsburgh Alumnae Chapter of Delta Sigma Theta Sorority, Inc.

2014-2015Scholarship Application

PART I – PERSONAL DATA

Name
Last / First / Middle/Maiden
Present Address:
Street Address / Apartment Number
,
City, State Zip / Phone Number with Area Code / Email Address
Permanent Address:
Street Address / Apartment Number
,
City, State Zip / Phone Number with Area Code / Email Address
Birth Date: / Member Number:

PART II – EDUCATIONAL DATA

Present Class Status (Check Applicable Item) :
Freshman / Sophomore / Junior / Senior / Other (specify):
Current Area(s) of Study
Name of College/University
Date Degree Expected / Credits Completed: / of
(An official transcript from the current college or university listed above must be received for this application packet to be complete)
Other Colleges/Universities Attended : Current or most recent school should be listed first
Name / Location / Dates Attended / Scholastic Major/Minor / GPA / Degree held or Pursuing

PART III – HONORS, MEMBERSHIP AND WORK EXPERIENCE

  1. List Honors and Awards:
  1. List any other organizational memberships and offices held:
  1. List extracurricular activities and/or community service:
  1. List any work experience (include job title, employer, dates of employment beginning with your most recent job)

PART IV – DELTA SIGMA THETA BACKGROUND

Full Name at time of initiation
Chapter of Initiation / Date of Initiation
Location (include college/university if applicable)

PART V – ESSAY

In 425-500 words, please write an essay on the topic:

“How have your community service and leadership roles prepared you for your future aspirations?”(Attach essay separately with application). Document should be typed and doublespaced.

By signing below, I declare that the information provided is accurate and complete. I understand that falsification of information will result in my disqualification from consideration.
Signature / Date

This application and attachments should be sent via mail to: Pittsburgh Alumnae Chapter, Delta Sigma Theta Sorority, Inc., Attention: Scholarship Committee, Post Office Box 99383, Pittsburgh, PA 15233

Application Deadline: March 31, 2015

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