<p> The Burnie Legette Kappa Alpha Psi Foundation Fraternity, Inc. M ISSION</p><p>To provide scholarships to deserving African-American young men, honor past achievements and Colorado Springs promote the development of good citizenship. Alumni Chapter Officers</p><p>Brian Arrington Polemarch Colorado Springs Alumni (301) 793-7463 [email protected]</p><p>Richard Peace President Burnie Legette Foundation (719) 593-0065 [email protected]</p><p>Burnie Legette Sr. Scholarship Chairman (719) 597-5482 Scholarship Application [email protected] KAPPA ALPHA PSI FRATERNITY, INC. ACHIEVEMENT SCHOLARSHIP APPLICATION</p><p>Name </p><p>Address </p><p>City State Zip Phone </p><p>Sex Birthdate Ethnicity </p><p>Parent’s Name Occupation </p><p>Address (If different from above) </p><p>City State Zip Phone </p><p>ACADEMIC INFORMATION</p><p>High School GPA </p><p>College Choice(s) </p><p>Major </p><p>Write a one-page statement about your career plans and goals, including information on any employment, community or volunteer work, and attach it to this application. KAPPA ALPHA PSI FRATERNITY, INC. COUNSELOR AND TEACHER EVALUATION SHEET</p><p>Student Name High School </p><p>ACT Score SAT Score GPA </p><p>RATING POINTS: POOR = 0, FAIR = 1, AVERAGE = 2, GOOD = 3, EXCELLENT = 4</p><p>RATING AREA POOR FAIR AVG GOOD EXCEL COMMENTS</p><p>Mathematics</p><p>Sciences</p><p>English, Composition & Grammar</p><p>Social Sciences</p><p>Achievement</p><p>Maturity</p><p>Leadership Skills</p><p>Discipline</p><p>Motivation</p><p>Financial Need</p><p>Total Rating</p><p>COUNSELOR AND TEACHER COMMENTS (PLEASE PROVIDE TRANSCRIPT)</p><p>Counselor: </p><p>Teacher: </p><p>Recommended By: Return This Evaluation and Application to:</p><p>Name and Title Kappa Alpha Psi Fraternity, Inc. C/o Colorado Springs Alumni Chapter P. O. Box 25971 Name and Title Colorado Springs, CO 80935</p><p>KAPPA ALPHA PSI FRATERNITY, INC. APPLICATION CHECKLIST</p><p> Letters of Recommendation (Three in Total) 1. Employer (If Applicable. Otherwise, submit a second letter from a Teacher or Community Member.) 2. Teacher 3. Community Member (Non-Relative)</p><p> Official School Transcript With Overall Grade Point Average (This transcript must include grades from the fall semester and the Raised Seal of the School)</p><p> One Page Essay On Career Plans and Future Goals</p><p> Photograph (Full-color or black & white head shot. Minimum size = 2” x 3”. Label all photos in pencil on the back.)</p><p>D ECISION F ACTORS </p><p>The Following categories will be considered when making a final determination of the applicants for the 2014 Kappa Alpha Psi scholarship.</p><p>Grade Point Average: The minimum average is a 2.7 however, we encourage students who have strong leadership skills and community service but who may not meet the overall average, to also apply. This scholarship is designed to acknowledge academic achievement, leadership potential and community service. Our goal is to reward achievement and to identify candidates who are well rounded and have demonstrated a willingness and capacity to be an asset to their community.</p><p>Leadership Potential: Our goal is to identify candidates who understand how world affairs impact them and their community. The successful applicant will have a healthy understanding of local, state and national political issues. He will be able to demonstrate the ability to analyze data and make effective decisions and have the capacity and tenacity to follow through.</p><p>Graduation: The successful candidate must be eligible for graduation from high school in the spring of 2014.</p><p>College Admittance: The successful applicant will be accepted for admission to an institution of higher learning or be eligible and awaiting acceptance.</p><p>Financial Need: While this scholarship is not based on family income, the applicant's ability to pay for their education will be a consideration. Interview: Following our initial screening for incomplete applications, each candidate will participate in an interview by a sub committee of the Fraternity. The final scholarship recipient list will be generated following the interviews. </p><p>ALL I NFORMATION M UST B E R ECEIVED BY MARCH 28, 2014 ! </p>