Alpha Kappa Alpha Sorority, Incorporated Iota Sigma Omega Chapter Kalamazoo, Michigan

Applicant Name: Date Completed:

Please indicate which, of two scholarships, you would like your application considered for. Place an x in the appropriate box(es) below. Academic Community Service Both

Application must be typed and sent via email by May 8, 2020

Alpha Kappa Alpha Sorority, Inc. 2020 Scholarship Application

Email: [email protected]

1 | P a g e AKA ISO 2020 Scholarship Application Alpha Kappa Alpha Sorority, Inc. 2020 Scholarship Application Instructions [email protected]

Application Please complete the writable pdf application and submit to email provided.

Counselor Recommendation & Reference Due to “Stay Home, Stay Safe” order, we encourage you to send, via email, a copy of your application to your counselor and references. Please ask them to complete their section and submit to the email provided.

Official Transcript & College Acceptance Letter Please scan both and send, via email, with your application to the email provided.

Note: If you need assistance obtaining your official transcript, due to the school closures, please notify the Scholarship Committee via email.

I hereby certify that all information I have provided is true and accurate to the best of my knowledge. Any intentional misrepresentation or omission of facts will be justification for denial of this scholarship. I give permission for the Scholarship Committee to contact high school and college officials for additional academic information. If selected to receive a scholarship, I give permission for a release of my name and photo to share information provided in my application

Applicant’s Signature:

Print Name:

Date:

2 | P a g e AKA ISO 2020 Scholarship Application Alpha Kappa Alpha Sorority, Incorporated Iota Sigma Omega Chapter

Personal Information Applicant Name: Home Phone: Cell Phone: Parents/Guardians:

Address (Street, City & Zip):

Email Address: Date of Birth: Number of Dependent Children in Family: Scholastic Information Name of High School: School Address:

Dated of Graduation: Grade Point Average: Anticipated Field of Study (Major/Minor): *Please list full name of awards, clubs and organizations. Extracurricular Activities (School, Church or Community) Past (list by year) Present

Honors and Awards (School, Church or Community) Past (list by year) Present

Attach a copy of your official transcript & letter of acceptance from a college or university.

3 | P a g e AKA ISO 2020 Scholarship Application 1. Write a short essay in which you share your future educational and career goals.

2. Please list leadership positions held in extracurricular activities (school, church or community).

4 | P a g e AKA ISO 2020 Scholarship Application 3. Please share your definition of an effective leader. What do you believe is the role of a quality leader in your school, church or community?

4. Describe a challenge or obstacle you have had to overcome. How have you used this experience to help others in your school, church or community?

5 | P a g e AKA ISO 2020 Scholarship Application Alpha Kappa Sorority, Inc. Iota Sigma Omega Chapter Scholarship Application Counselor Recommendation Sheet *This form is to be filled out by the official high school counselor of the applicant and submitted with the completed application packet. Name of Applicant:

Name of Counselor: Title:

Email Address: Phone Number:

Signature: Date:

Estimate of Personal Qualifications Please put an X in only one box for each category below: Above Below Do not Excellent Average Average Average Poor know 1. Seriousness of Purpose 2. Responsibility 3. Leadership 4.Emotional Stability 5.Character & Personality 6.Peer Relationship 7.Goal Setting 8.Community Service 9.Initiative & Drive 10.Commitment to obtain a college degree Rank in Class Based on: ______Semester/Quarter ______in Class of ______

Cumulative Grade Point Average (GPA): Scale:

Additional Comments:

6 | P a g e AKA ISO 2020 Scholarship Application Alpha Kappa Sorority, Inc. Iota Sigma Omega Chapter Scholarship Application Personal Reference Sheet *This form is to be filled out by at least one person not related to the applicant (teacher, employer, minister, etc.) and submitted with the completed application packet. Name of Applicant:

Name of Reference: Title:

Relationship to Applicant: Length of time you have known the applicant: Email Address: Phone Number:

Signature: Date:

Additional Comments:

7 | P a g e AKA ISO 2020 Scholarship Application