IDeaL Education Foundation, Incorporated

A l p h a P h i A l p h a F r a t e r n i t y, I n c o r p o r a t e d

Scholarship Application

Eligibility Requirements: (1) African American male high school senior or undergraduate at a four-year college/university, (2) cumulative grade point average of 2.8 or greater (4.0 scale), (3) involvement in church, community, and/or school-site activities, 4) If in high school, plans to enroll at a 4 year college/university.

Part I: Student Information

Name: ______

Home Address: ______

City: ______State: ______Zip Code: ______

PrimaryTelephone Number (where you can be reached directly): ______

Alternative Telephone Number: ______

Primary E-mail Address (where you can be reached directly: ______

Secondary E-mail Address: ______

Ethnicity (circle one): Black American/non-Hispanic Caucasian Hispanic Asian Other

Part II: Academic Information

High School or College/University: ______

Grade Point Average: ______Class Rank: ______Anticipated/College Major or ______

ACT/SAT Score:______

Academic Awards and Honors: ______

______

Part III: Extracurricular Activities (including offices held)

______

______

Part IV: Miscellaneous

Have you participated in any programs hosted by the Iota Delta Lambda chapter of Alpha Phi Alpha Fraternity, Inc.? If so, please specify which one(s).

______

Are you a graduating senior? If so, please specify which academic institution you are seeking admission into.

If a college student, please include your campus address that the Foundation may be able to follow up with you.

______

Part V: Essay 1

Please, answer the following prompt on a separate sheet of paper. Your essay response must be five full paragraphs, typed, double-spaced, 12 point-font, times-new-roman.

Write a personal statement detailing the world you come from – for example, your family, community or school then tell us how this background has shaped your dreams and aspirations. Next, tell us about a personal quality, talent, accomplishment, or contribution to society that is important to you. What about this quality or accomplishment makes you proud and how does it relate to the person you are? (OPTIONAL) What extenuating circumstances in your life may have affected your GPA as it stands today?

Part VI: Signatures

I/We hereby certify that the information contained herein is true and accurate to the best of my/our knowledge. I/We understand that all materials submitted become property of the IDeaL Education Foundation, Incorporated and will not be returned. Recipients (or representative family member) are required to be present for the awarding of scholarships on Jan. 14, 2017. *IDeaL Education Foundation reserves the right to use any information contained in the application and/or any media pertaining to the applicant*

Signature of Student: ______Date: ______

Signature of Parent: ______Date: ______

Note: All winners are expected to sell 1 - 2 full page ads ($100/ea) for the Scholarship Luncheon Ad Book and 10 Raffle Tickets ($5/ea)