V Female, High School Student in Grades 9 12, with Good Academic Standing

Program Description

The primary goal of the Dr. Jeanne L. Noble Delta GEMS Program is to prepare young ladies for full participation as leaders in the 21st Century. Approximately 18-20 young ladies participate each year in varied activities including, but not limited to: self-esteem, etiquette, career workshops, college tours, a retreat, special outings to cultural events, and community service such as feeding the homeless and walk-a-thons. Their active participation is essential to planning and implementing such programs throughout the school year. GEMS participants will engage in a variety of public service and fun filled activities. These experiences and interactions will significantly help to increase their leadership, communication skills, and community awareness. Requirements  Female, high school student in grades 9 – 12, with good academic standing

 Live and/or attend school in Westchester County

 Interest in pursuing a higher/secondary education

 Ability to attend monthly events/meetings (usually held on Second Saturday of each month from 1PM-3PM)

*Two unexcused absences will result in a warning

*Three unexcused absences will result in dismissal from the program

 Motivation and commitment to the program for entire academic year

 Great attitude!

Sponsored By: Delta Sigma Theta Sorority, Inc. Westchester Alumnae Chapter P.O. Box 268 White Plains, NY 10602 www.dstwac.org Application Process

1. You may make as many single-sided copies of the application as needed to distribute among peers. You may also forward this application electronically (preferred). 2. Applications MUST be received at [email protected] no later than 5:00PM on Wednesday, September 16th, 2015. Applications received after this date and time WILL NOT BE REVIEWED. 3. The “Application Supplement” must be completed by all applicants and attached to the application. 4. The Dr. Jeanne L. Noble Delta GEMS Committee of Westchester Alumnae Chapter will select approximately 18- 20 participants based upon demonstrated leadership and personal development ability as well as the above listed requirements. 5. Electronic letters notifying applicants of the selection results will be e-mailed no later than Friday, September 18th, 2015. Please ensure that all e-mail information is ACCURATE. 6. All accepted applicants and their parent(s)/guardian(s) will be required to attend a mandatory orientation session on Thursday, September 24th, 2015 at 6:30PM. The location is to be determined. 7. If you have any questions or concerns regarding the program or the application please feel free to contact the Westchester Alumnae Chapter Dr. Jeanne L. Noble Delta GEMS Chairpersons. The contact information is: Rebecca Freeman Bree Davis [email protected] OR [email protected] (347)225-3836 (914)406-1940

Delta GEMS Application 2015-2016 2 of 6 Please carefully read the application instructions on the previous page before completing the application. Please type or print clearly. Personal Data

Applicant Name Last First Middle Initial Preferred Name

Mailing Address Address City State Zip Code

Home Phone Cell Phone ( )

Applicant Email

Parent/Guardian Name

Cell Phone ( ) Parent/Guardian Email

EDUCATIONAL DATA High School Name

Grade High School GPA

School Contact Person/Counselor ______School Contact Email ***Please attach academic transcript or recent report card***

EXTRACURRICULAR ACTIVITIES

Activity Position held

______

List accomplishments or recognitions you have achieved or received in your school, church, or local community for notable performance and behavior. ______

Hobbies:

______

PERSONAL INFORMATION

Delta GEMS Application 2015-2016 3 of 6 Have you ever participated in any of our mentoring programs? (Please check)

□ Delta Academy □ Delta GEMS

New Program Applicants:

How did you hear about the Delta GEMS Program?

______

Why do you want to participate in this year’s program?

______

What are your goals after high school?

______

*** Applications MUST be received at [email protected] no later than

5:00PM on Wednesday, September 16th, 2015***

Signature ______Date ______

Parent/Guardian Signature ______Date ______

NEW APPLICANTS: REQUIRED ESSAY

Delta GEMS Application 2015-2016 4 of 6 All new applicants must submit a one-page, typed essay entitled “Delta GEMS Application Essay.” Handwritten essays will not be accepted. Please remember to proofread before submission!

In your opinion, what is a significant issue or development, be it positive or negative, that is affecting your generation and/or your community? How will your participation in a program such as the Delta GEMS enable you to confront or contribute to this issue or development?

Delta GEMS Application 2015-2016 5 of 6 RETURNING APPLICANTS: APPLICATION SUPPLEMENT

Reflecting upon the 2014-2015 GEMS year, please answer the following questions. Please be thoughtful and honest in answering the questions. We will use them as a guideline for several activities throughout the year.

Name one thing that you love about yourself and why?

______

How does others view of you affect the way in which you view yourself?

______

What do you consider to be one of your strengths?

What do you consider to be one of your weaknesses?

Name someone who you consider to be your role model. Explain why.

Are there any activities and/or events that you would like to see the program participate in during the 2015- 2016 academic year? ______

Delta GEMS Application 2015-2016 6 of 6