Delta Sigma Theta Sorority, Inc.
Palm Coast Flagler County Alumnae Chapter
The Dr. Betty Shabazz Delta Academy and Delta GEMS Institute
The Dr. Betty Shabazz Delta Academy and the Delta GEMS (Growing and Empowering Myself Successfully) Institute are two educational programs initiated by Delta Sigma Theta Sorority, Inc. in an effort to prepare young women for leadership in the 21st century and to promote the principles of scholarship, service, and sisterhood. The Delta Academy program was created out of an urgent sense that bold action was needed to save our young females (ages 11-14) from the perils of academic failure, low self-esteem, and crippled futures. Additionally, as a natural outgrowth and expansion of the Academy, the Delta GEMS Institute was created to address at-risk adolescent girls (ages 14-18). Both programs are designed to enrich and enhance the education already provided by the various school systems.
In keeping with the national program objectives, the Palm Coast Flagler County chapter incorporates program offerings in math, science, technology and reading. In addition, participants take part in workshops on self-esteem building, manners/etiquette, and health and nutrition. Field trips include visiting educational, industrial and historic community sites. The program is free to participants.
While each program’s curriculum is designed for the specified age groups, there will be many activities that will be attended by both groups concurrently. This enhances each girl’s experience and allows her to have exposure to activities that are worthwhile to her development. Members of both programs learn through active participation in organized service-related projects. These fulfilling service activities meet community needs while equipping participants with the tools to help them cultivate and maintain interpersonal relationships in all areas of life. Program days generally occur once a month; however, participants may occasionally meet more frequently for specially scheduled activities.
PROGRAM STANDARDS
To ensure and maintain the high quality of the participants’ experience, the Delta Academy and Delta GEMS participants are asked to follow the below standards for program days and special events.
· Prompt and regular attendance - three consecutive absences (excused or unexcused) are treated as voluntary withdrawal. A participant MUST contact a co-chair of the Academy at least 24 hours prior to the scheduled meeting or activity to qualify for an excused absence.
· Prompt and obedient responses to directions from committee members, members of Delta Sigma Theta, program day presenters and peer leaders
· Appropriate personal and business conduct in all workshops and sessions
· Fair and respectful treatment of fellow Academy and Delta GEMS participants
· Strict compliance with guidelines for field trips and/or the college tour
PROGRAM SUPPORT
The Dr. Betty Shabazz Delta Academy/Delta GEMS Institute committee is charged with the primary responsibility for the Academy. The committee is supported by the membership of the Palm Coast Flagler County Alumnae Chapter of Delta Sigma Theta Sorority, Inc. Program day presenters may be from various parts of the community (i.e. various professions, technical fields, faith-based, etc.) to ensure that participants have rich and meaningful experiences.
Parents/Guardians are KEY to the achievement of the program objectives. They are strongly encouraged to promote the success of the program by:
· Ensuring prompt and regular attendance of the participant (parents are responsible for ensuring their child has transportation to and from ALL academy activities)
· Providing materials the participant needs for projects and special events
· Performing other various tasks as agreed upon with committee members
Dr. Betty Shabazz Delta Academy/Delta GEMS Institute
Enrollment Form
(Please type or print in blue or black ink)
Name of Applicant: ______
Applicant Age: ______Applicant Date of Birth: ______
Applicant Home Address:______
______
Applicant Email Address:______
Applicant Cell Phone Number: ______
School attending in the fall: ______Grade: ______/ GPA: ______
Do you work part-time?______If so, where and how many hours do you work per week? ______
Have you participated in the Dr. Betty Shabazz Delta Academy / Delta GEMS in the past?
(Please select one) _____ Yes_____No How many years have you participated_____
Parent/Guardian Name:______
Parent Contact Info: ______Home Phone
______Work Phone
______Cell Phone
______Email Address
Emergency Contact (If different than above):______
Medical Conditions: ______
Medications/Special Devices Used: ______
Please list all adults authorized to sign the participant in/out of program days or other events sponsored by the Palm Coast Flagler County Alumnae Chapter.
Name: ______Relationship to Applicant: ______
Address: ______
E-mail Address: ______
Home Phone: ______Cell Phone: ______
Name: ______Relationship to Applicant: ______
Address: ______
E-mail Address: ______
Home Phone: ______Cell Phone: ______
List your extracurricular activities (can include, but are not necessarily limited to church, school, and community and/or civic organizations and groups):
______
Have you ever held any leadership positions in these activities?
______
______
List any awards, recognitions or achievements:
______
______
What are your academic and future career goals?
______
______
What are your hobbies and/or interests?
______
______
Why would you like to be a part of the Delta Academy/Delta GEMS Program? ______
______
THIS SECTION MUST BE READ AND COMPLETED BY PARENT OR GUARDIAN
I give permission for my child______to attend and participate in the Dr. Betty Shabazz Delta Academy/Delta GEMS meetings during the 2012-2013 year. I will ensure that my child has transportation to and from all program days and/or field trips.
Parent/Guardian Signature ______Date ______
Participation Permissions
Photo Release
I grant permission for the Palm Coast Flagler County Alumnae Chapter of Delta Sigma Theta Sorority, Inc. to include my daughter, ______, in pictures taken at Delta GEMS/delta Academy activities held throughout the year. I also give permission for the Palm Coast Flagler County Alumnae Chapter of Delta Sigma Theta Sorority, Inc. to use the pictures when explaining the purpose and objectives of DELTA GEMS to the community.
______
Parent/Guardian Signature Date
Field Trip Permission
As the parent/guardian of, ______I hereby give consent for her to attend field trips with DELTA GEMS sponsored by the Palm Coast Flagler County Alumnae Chapter of Delta Sigma Theta Sorority, Inc. My daughter and I understand that she is to comply with all rules and regulations established by all representatives of Delta Sigma Theta Sorority, Inc.
I understand that precautions will be taken to ensure my daughter’s safety. I, therefore, will not hold the Palm Coast Flagler County Alumnae Chapter of Delta Sigma Theta Sorority, Inc. or any representatives of Delta Sigma Theta Sorority, Inc. responsible for any complication, injury, or illness experienced by my daughter.
Field trips are subject to change, and notification is at the discretion of Palm Coast Flagler County Alumnae Chapter of Delta Sigma Theta Sorority, Inc.
Parent/Guardian
Signature ______Date ______