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Kappa Alpha Psi Fraternity, Inc.

Alpharetta-Smyrna Alumni Chapter
Post Office Box 724015, Atlanta, GA 31139-1015
“FRATERNALISM THROUGH COMMUNITY SERVICE” – SINCE 1989
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Dear Student,

The members of the Alpharetta-Smyrna Alumni Chapter of Kappa Alpha Psi Fraternity, Inc. will present scholarship awards of up to $1,000 to deserving African-American male graduating seniors to assist in covering a portion of their college expenses. African-American males in North Fulton, Cobb, and Cherokee counties are eligible to apply. To be eligible, an applicant must be a male African-American United States citizen, have a cumulative GPA of 2.5 or better (based on a 4.0 grade scale), and a minimum SAT Math and English combined score of 950 or an ACT score of 20.

In Spring 2014, we awarded scholarships to five students from the following high schools: Campbell High School (Smyrna), Pebblebrook High School (Mableton), South Cobb High School (Austell), & McEachern High School (Powder Springs).

To apply for the scholarship, student candidates must submit the following:

·  A completed application form;

·  A copy of the section of their Student Aid Report (SAR) that contains the Expected Family Contribution (EFC);

·  A double-spaced, typed composition describing the goal(s) they hope to achieve upon completion of their college education;

·  An official copy of SAT and/or ACT score(s);

·  An official copy of academic transcripts(s); and

·  Three letters of recommendation from the following sources:

-  One letter from a school official (i.e., principal, teacher, counselor, coach, etc.)

-  One letter from a church or community acquaintance

-  An additional letter from either of the two sources listed above

Enclosed is an application for your completion. The selection process will include an interview conducted by members of our scholarship committee and a thorough review of individual applications with a focus on financial need, academic performance, demonstrated leadership skills, and community service. All required documentation must be postmarked no later than March 13, 2015. Interviews will be scheduled for all finalists. You are to mail your completed application package and letters to:

Kappa Alpha Psi Fraternity, Inc.

c/o Justin Ayer

Post Office Box 724015

Atlanta, Georgia 31139-1015

We encourage you to take advantage of this opportunity and hope to hear from you. If you have any questions, please contact me, Justin Ayer, at (678) 836-4735.

Sincerely,

Justin Ayer

Scholarship Chairman

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Kappa Alpha Psi Fraternity, Inc.

Alpharetta-Smyrna Alumni Chapter
Post Office Box 724015, Atlanta, GA 31139-1015
“FRATERNALISM THROUGH COMMUNITY SERVICE” – SINCE 1989
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2015 Scholarship Application

(Application must be postmarked by March 13, 2015)

PERSONAL DATA

DATE: ______

NAME: ______BIRTH DATE: ______

ADDRESS: ______

CITY/STATE/ZIP: ______

E-MAIL ADDRESS: ______PHONE: (_____) ______-______

ACADEMIC DATA

HIGH SCHOOL: ______FROM: ______TO: ______

ADDRESS: ______

______

present semester course enrollment

1. ______4.______

2. ______5. ______

3. ______6. ______

SAT SCORES: ______ (critical reading & math; Please include a copy of results)

ACT SCORES: ______(Please include a copy of test results)

school activities in which you are/were active (include positions held)

1. ______4. ______

2. ______5. ______

3. ______6. ______

school honors or special recognitions received

1. ______4. ______

2. ______5. ______

3. ______6. ______

list all colleges you have applied to or will apply to

1.______acceptance status______

2.______acceptance status______

3.______acceptance status______

4. ______acceptance status______

list any additional scholarships you have applied for or been awarded

1.______award status & AMOUNT______

2.______award statUS & AMOUNT______

3.______award status AMOUNT______

4. ______award status AMOUNT______

COMMUNITY INVOLVEMENT

LIST COMMUNITY ACTIVITIES (INCLUDING ANY POSITIONS HELD)

1. ______4. ______

2. ______5. ______

3. ______6. ______

NON-SCHOOL RELATED HONORS AND SPECIAL RECOGNITIONS RECEIVED

1. ______4. ______

2. ______5. ______

3. ______6. ______

HOBBIES/INTERESTS

1. ______4. ______

2. ______5. ______

3. ______6. ______

LEADERSHIP

(PLEASE DO NOT EXCEED SPACE PROVIDED)

DESCRIBE A SITUATION WHERE YOU USED YOUR LEADERSHIP TO HELP SOMEONE IN SCHOOL OR IN YOUR COMMUNITY TO OVERCOME A DIFFICULT SITUATION

______

describe a LEADERSHIP trait you possess that you are most proud to

share with others

(PLEASE DO NOT EXCEED SPACE PROVIDED)

______

please attach a copy of your student aid report indicating your qualification for federal student aid. see your counselor for details.

“i hearby certify that the information completed on this application is complete and accurate to the best of my knowledge.”

signed: ______date: ______

Please return your completed Application Package, which should include:

1.  This Application Form;

2.  A copy of the portion of your Student Aid Report (SAR) that contains the Expected Family Contribution (EFC);

3.  A double-spaced essay regarding your goals upon graduation from college;

4.  An official copy of your SAT and/or ACT score(s);

5.  An official copy of your academic transcript; and

6.  Three (3) Letters of recommendation.

Your complete application package must be postmarked no later than march 13, 2015. Please mail your application package to:

Kappa Alpha Psi Fraternity, Inc.

c/o Justin Ayer

Post Office Box 724015

Atlanta, GA 31139-1015

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