<p> 2017 SCHOLARSHIP APPLICATION FORM</p><p>(Please Type or Print)</p><p>Name: ______</p><p>Address: ______</p><p>Telephone: Home: (Area Code) ______Cell Phone: (Area Code) ______</p><p>Email: ______</p><p>Parent/Guardian Information </p><p>Mother: Father: </p><p>Name: ______</p><p>Address: ______</p><p>Employment: ______</p><p>Education: ______</p><p>Extracurricular Activities (school based) (may attach one additional page): ______</p><p>Volunteer Activities (community) (may attach one additional page): ______</p><p>Requirements:  Be a graduating senior from a Columbia area high school;  Complete the scholarship application;  Provide a transcript indicating that the student has a 2.5 G.P.A. or higher;  Attach a copy of acceptance letter to a two or four-year degree program;  Provide a letter of recommendation from a teacher;  Provide a letter of recommendation from a member of the community; and  Type an essay (3-5 pages) describing “Achieving My Dreams Through College”.  Sign and mail you application package to the address below.</p><p>You may submit your application and the other required documents (transcript, letter of acceptance, letter of recommendations from teacher and member of community and essay) to: </p><p>Scholarship Committee Kappa Foundation of Columbia, SC Post Office Box 3313 Columbia, SC 29203 Deadline: Applications must be postmarked by May 12, 2017.</p><p>You are applying for a $1000 scholarship sponsored by the Kappa Foundation of Columbia, SC. The foundation will award at least 3 scholarships in school year 2017. The scholarships are available to graduating seniors who plan to enter a two or four- year degree program in 2017. Scholarship funds will be paid directly to the college or university that you attend. </p><p>You will be notified only if you are awarded a scholarship. If you accept a scholarship award you agree to permit the Kappa Foundation of Columbia (SC) to post your photo on its website and utilize your photo(s) for future publication(s) to promote the foundation:</p><p>Student Signature: ______</p><p>Student Name (print)______</p><p>Date: ______</p><p>Scholarship Committee Kappa Foundation of Columbia, SC Post Office Box 3313 Columbia, SC 29203 Deadline: Applications must be postmarked by May 12, 2017.</p>