Alpha Kappa Alpha Sorority, Inc. Psi Mu Omega Chapter Pink and Green Charitable Foundation 2017 Scholarship Application

The completed application must be postmarked and mailed by April 8, 2017 to: Alpha Kappa Alpha Sorority, Inc., Psi Mu Omega Chapter Attention: Tamikae Penson-Wilson P.O. Box 841723 Pearland, Texas 77584

Psi Mu Omega Chapter of Alpha Kappa Alpha Sorority, Incorporated, is awarding a one-time Scholarship to assist African-American students with educational expenses associated with attendance at a higher education institution.

Please check ONE:

I am applying for Psi Mu Omega Community Scholarship ______I am applying for Psi Mu Omega Family (Chapter Member) Scholarship ______I am applying for Psi Mu Omega Leadership Scholarship ______I am applying for Psi Mu Omega HBCU Scholarship (Must attend an HBCU) ______Scholarship Criteria:

 Must be of African American origin, a 2017 graduating senior and attend one of the following high schools: Alvin, Angleton, Brazosport, Brazoswood, Dawson, Manvel, Turner or Pearland.  Must be enrolled in a two or four year college or university fall of 2017  Must have a high school overall grade point average of 2.5 or above  Applicant should have demonstrated at least 10 or more hours of community service (church, school, or community)  Applicant must submit a 150 word response to each of the questions: (1) Why Do You Want to Attend College? (2) What Have You Done to Prepare Yourself for College? (3) Describe an obstacle in your life and how you overcame it.  High school transcript and proof of residence such as a utility bill.  Applicant must provide two letters of recommendations. (1) Academic focused (school official such as principal, teacher, counselor etc.) (2) Character focused (pastor, employer, coach etc.) (3) Leadership focused (school official or community member) if applying for this award

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Alpha Kappa Alpha Sorority, Inc. Psi Mu Omega Scholarship Application

1. Name ______

2. Graduating High School______

3. Class Rank ______out of______Students; Grade Point Average: ______

4. Street Address______

City State Zip

5. Email Address______

6. Telephone (Home) (Mobile)

7. Male Parent/Guardian______Occupation ______

8. Female Parent/Guardian______Occupation ______

9. Number of Dependents Residing At Home (including self) _____ Ages ______

10. Number of Dependents in College______Ages ______

11. List community service activities and hours participated ______12. List activities, offices, honors community, church, school, etc.

______

13. List leadership positions and number of years held (school, community, church, etc.)______

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14. List the colleges or universities in which you have been accepted

______

15. What field of study do you wish to pursue? ______

16. Score on SAT Critical Reading ______SAT Math ______SAT Writing ______ACT Score ______

17. List any scholarships/financial aid received______

18. How will receiving this scholarship impact your educational goals? ______

19. Are you currently employed? ______How many hours? ______

20. On a separate sheet, in 150 words each response (typed and, double-spaced), please. Include a concise response to each of the following questions:

(1) Why Do You Want to Attend College? (2) What Have You Done to Prepare Yourself for College? (3) Describe an obstacle in our life and how you overcame it.

Note: Please complete all items on application. Leave no blanks. If a question does not apply, state “None” or “N/A.” Please attach all requested documents to the application (transcript, utility bill, recommendation, and essay).

Signature of Applicant______Date______PLEASE DO NOT WRITE IN THIS BOX

Date Application Received ______Does Applicant meet criteria? ______

Application Score ______Type of award ______

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