Application of:

LastNameFirstNameMI

MailingAddress

CityStateZip

(AreaCode)Telephone Number

PHIBETASIGMAFRATERNITYINC.

ZETA CHI SIGMA CHAPTER

ZETA CHI SIGMA SCHOLARSHIP APPLICATION

PhiBetaFraternity, Inc.

Zeta Chi Sigma Alumni Chapter

P.O.Box 6624

Capital Heights, Md20791-6624

All scholarshipsareaone-timeaward.Therewillbescholarships awarded to graduating high schoolseniors in theamountof $1,000.00 each.

EligibilityCriteria

A. Prince George’sCountyMarylandHigh Schoolgraduatingsenior.

B. Must haverecordofcommunityservice.

C. Must beapplyingtoacollegewitha fallmatriculationdate

D. Must be a resident of Prince George County Maryland

Deadline for submission of Application:

May 15,2015

Application Requirements A. Completedapplication B. High SchoolTranscript

C. Currentphoto

D. Oneletter ofrecommendationwritten byone ofthethreereferences

E. Proofofresidency

F. Signedmedia waiver statement to useimageand/or name for Phi Beta Sigmapress releases and stories

G. 300 to 500 Word Essay

Method ofSelection

A.Allapplications will bereviewed byacommittee

B.Finalistsmaybeinterviewed bythecommittee

C.Scholarships will begiven tostudentsbasedonthetotal rubric score.

Rubric attached toapplicationfor perusal

Method ofScholarship Distribution

Eachscholarshipwinnerwill benotified directly by a representative oftheZeta Chi Sigma Chapter of Phi Beta Sigma Fraternity, Inc. Selection is anticipated by July 31, 2015. Allscholarshiprecipients mustsubmitallrequestsfor scholarshipdisbursement byrequestingthe school registrar (onschool letter head)tosend proofof the student'sfulltime enrollmentstatus. Allrequestsshouldbe postmarkednolaterthanSeptember 15, 2015showingfulltimefallenrollment.

PHIBETASIGMAFRATERNITY, INC.

Zeta ChiSigma Chapter

DearApplicant:

Wewould like tothank you foryourinterestinthe Phi Beta Sigma, Zeta Chi Sigma

Chapter scholarship.The requirementsofthescholarshipare as follows:

1. Musthave aminimum2.75GPAon a 4.0 scale (orconverted equivalentfor5.0 or6.0 scales)

3. Musthave astrongextracurricularresume (athletics,communityservice, academics,

music, drama/theater,etc.)

4. Mustbe astudent in good standingwiththecommunity

In additiontotheaforementionedrequirements, allapplicants mustprovide a300 to 500 word essay inresponsetothe questions provided atthe end ofthe application form. In addition, allapplicants must alsoprovidethreelettersofrecommendationfromthefollowing:

a.Personalsource(parent, guardian,relative orfriend)

b. Professionalsource (schoolprincipal,departmenthead, guidancecounselor, etc.)

c.Community-related source(Church representative, nonprofitrepresentative, etc.)

Afteryou have completedthe application,utilize the checklistto make sure thatallnecessary documents arrive as asingle package. Welookforward to yourapplication andwish you the best of luckand continuedsuccess inallofyour future endeavors.

Sincerely;

Donald Stancell

Team Leader Scholarship Reviews

Phi Beta Sigma Fraternity, Inc.

Zeta ChiSigmaGraduate Chapter

Post Office Box 6624

Capital Heights, Md. 20791-6624

PHIBETASIGMAFRATERNITY, INC.

Zeta ChiSigma Chapter

ScholarshipApplication

Name

LastFirstMiddle

DateofBirth

Address

Street

CityStateZip Code

TelephoneEmail Address

Parent Information

Mother

LastFirstMiddle

Address

Street

CityStateZip Code

Career/Profession

Father

LastFirstMiddle

Address

Street

CityStateZip Code

Career/Profession_

High School Information

Name

Address

Telephone

G.P.A

Total Class Number

Confirmed By(Name, title, signature)

Prospective College(s)_

IntendedMajor

Pleaselist anycivicor communitybased organizational involvementsand dates

Pleaselist anyextra-curricularactivities and datesofinvolvement

Awards/Recognition anddates

Essay: Attach a300 to 500 word essay which addresses the followingquestions:

1. What is the importanceof apost high school education?

2. What experiences or persons were instrumental in shaping you into the person you are today?

3. How will this scholarship benefit you?

Pleaseutilizethe followingchecklist to ensurethatyou have completed theapplication in its entirety.

Completed application

Official Transcripts

Attached Essay

Verification ofGPA

1 letterof recommendation

ZETA CHI SIGMA SCHOLARSHIPAPPLICATION EVALUATION RUBRIC

1. BiographicalInformation (2points possible)

Inadequate(0Points) / Adequate(1Point) / Exceptional(2Points)
Student’sbiographical
pageisincomplete and/ordifficulttoread. / Student’sbiographical
pageismostlycomplete andismostlylegible. / Student’sbiographical
coverpageiscomplete andlegible.

Adequateis:

•Studentname

•Addressor phonenumber

•Nameof highschool

•GPA

•Studentsignature

•Photo

*Strengths:

*Weaknesses:

2. Student Essay(8 points possible)

*Points Awarded

Read the student’s essayand assignapointvalue that most closelymatchesthe criteria

below:

Inadequate(0-2Points) / Adequate(3-5Points) / Exceptional(6-8 Points)
Unclearorinconclusive
evidenceof student's
intenttopursuea postsecondary education
Lacksclearplans for howscholarshipwill assisteducationplans / Identifiesstudent'sintent
topursuea postsecondary education
Providesevidenceof howscholarshipwill assisteducationplan / Clearlyindicatesthe
student'sintenttopursue a post-secondary education
Clearlyaddresseshow the scholarshipwill assisteducationplan

*Strengths:

*Weaknesses:

*Points Awarded

3.Letters ofRecommendation (8points possible)

Read the student’s lettersof recommendation andassign apointvaluethatmostclosely

matches the criteria below:

Inadequate(0-2Points) / Adequate(3-5Points) / Exceptional(6-8 Points)
Providesfewpositive
observationsaboutthe studentandtheir academicability / Providespositive
observationsaboutthe studentandtheir academicability,but doesnotidentify specificexamplesof accomplishments / Clearlyindicates
positiveandenthusiastic observationsregarding the studentandtheir academicabilityand providesexamples relatedtothose observations

*Strengths:

*Weaknesses:

4. Persuasiveness (8 points possible)

*Points Awarded

Does the application demonstrate thestudent’s need forthe scholarship?

Inadequate(0-2Points) / Adequate(3-5Points) / Exceptional(6-8 Points)
Theapplicationisnot
compelling. / Theapplicationiscompelling. / Theapplicationisextremely
compelling.Student’sapplication standsoutaboveother
candidates.

*Strengths:

*Weaknesses:

*Points Awarded