Requirements for the scholarship, application, and media
waiver are included below.
We wish you success as you continue your academic career!
ACADEMIC SCHOLARSHIP REQUIREMENTS:
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Applicant must
be an African-American female.
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Must have a
minimum acceptable G.P.A of 3.3 or higher on a 4.0 scale.
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Must
demonstrate community involvement.
This will be assessed by the number of hours listed on the transcript.
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Must have a documented
need for financial assistance.
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Must graduate
from a Duval County (public, private, or charter) high school at the end of
the 2014-2015 academic school year.
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Must attend an
accredited institution of higher education after graduation.
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Must have taken
the SAT and/or the ACT and submit proof with the application.
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Must provide an
official high school transcript.
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Must submit two
(2) typed letters of recommendation: One (1) letter must be from a high
school staff member and one (1) letter must be from a Community Service
Organization. Both letters must be signed and on the appropriate
organization’s letterhead.
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Must submit a
typed 2-page maximum essay using 12 pt Times Roman font. The essay
must include a discussion on how your academic achievements have prepared you
for your future goals, why you should be a recipient of the Academic
Scholarship, and a detailed description of the following points to
substantiate your request:
·
Any special
academic awards and achievements
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Participation
in extracurricular activities (include time spent and any leadership
positions held)
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Active
participation in community service
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A discussion of
your need for financial assistance
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Must complete
and sign the scholarship application.
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Must sign the
attached media waiver.
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Electronic
signatures will not be accepted.
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Finalists will
be selected by the scholarship committee based on scholarship requirements
submitted.
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Finalists must
participate in an interview before the Scholarship Committee. A member of the
Scholarship Committee will contact you to schedule your interview.
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Students may
only apply for one scholarship.
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Dependents of
members of Delta Sigma Theta Sorority, Inc. are ineligible to participate in the scholarship.
Academic
Scholarship Application
Student Information: (Please type or print
legibly)
Name:
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DOB:
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E-mail
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Address
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City:
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State:
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Zip:
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Home Phone:
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Cell Phone:
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Parent/Guardian Name
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Parent/Guardian Phone Number:
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Parent/Guardian is a member of Delta Sigma Theta Sorority,
Inc.: Yes No
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To be completed by High School
Guidance Counselor:
High School:
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Guidance Counselor Name:
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Signature:
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GPA (Unweighted/Weighted):
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Free or Reduced Lunch:
Yes No
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SAT (Total Score):
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ACT (Total Score):
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The information provided in my
application packet is, to the best of my knowledge, complete and accurate.
I understand that any false statements in this application may disqualify
me from consideration of the scholarship award(s). I also understand and agree that any and
all information submitted as part of this application packet will become
property of the Jacksonville Alumnae Chapter of Delta Sigma Theta Sorority,
Incorporated and will be kept confidential.
By signing below, I agree to accept the decision of the scholarship
committee.
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Applicant Signature:
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Date:
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Parent Signature:
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Date:
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Applications must be
postmarked by March 27, 2015. Incomplete Applications and those
postmarked after March 27, 2015 will NOT be considered by the scholarship
committee.
MEDIA WAIVER
I, the
parent/guardian of (print applicant’s name) __________________________ consent
to the release of photographs, videos, audio and other related recorded
materials captured during the scholarship awards program. Such materials
shall remain the sole property of the Jacksonville Alumnae Chapter of Delta
Sigma Theta Sorority, Inc. and shall not be sold to any entity.
BY MY
SIGNATURE, I AM INDICATING THAT I HAVE READ AND UNDERSTAND THE FOREGOING
INFORMATION.
______________________________________________________________________________________
Signature
of Participant
Date
_______________________________________________________________________________
Signature of Parent Date
Checklist:
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Completed, signed scholarship application
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Signed media waiver
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SAT and/or ACT documentation
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Official high school transcript
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Two
(2) typed letters of recommendation
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Essay
Mail Completed Application Packet to:
Delta Sigma Theta Sorority, Inc.
Jacksonville Alumnae Chapter
ATTN: Scholarship Committee
P.O. Box 2435
Jacksonville, FL 32203
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