Alpha Kappa Alpha Sorority, Inc. Psi Mu Omega Chapter Pink and Green Charitable Foundation 2019 Scholarship Application The completed application must be postmarked and mailed by February 01, 2019 (No emails or Hand Delivered Applications will be accepted) to: Alpha Kappa Alpha Sorority, Inc., Psi Mu Omega Chapter Attention: Kim Warren P.O. Box 841723 Pearland, Texas 77584 Alpha Kappa Alpha Sorority, Inc. Psi Mu Omega Chapter and Pink and Green Foundation is awarding a One-Time Scholarship to assist African-American students with educational expenses associated with attendance at a higher education institution. Please check All Scholarship (s) in which you are applying: I am applying for Community Scholarship ______ (Applicant must reside in Brazoria County, Proof of Residence is required) I am applying for Family (Chapter Member) Scholarship ______ (Applicant must have a Parent or Grandparent that is active in the Psi Mu Omega AKA chapter) I am applying for Ginger D. Worthington Leadership Scholarship ______ (Applicant must show Leadership qualities) I am applying for Historically Black Colleges and Universities Scholarship ______ (Applicant must attend a HBCU school, Visit website provided to see if the college that you are attending qualifies, https://www.usnews.com/best-colleges/rankings/hbcu) Scholarship Criteria: Must be of African American origin and a 2019 graduating senior Attend one of the following high schools: Alvin, Angleton, Brazosport, Brazoswood, Dawson, Manvel, Turner, Pearland or Shadowcreek. Must be enrolled in a two or four year college or university Fall of 2019 Must have a high school overall grade point average of 2.5 or above on 4.0 scale Applicant should have demonstrated at least 25 or more hours of community service Applicant must submit a 250-300 (maximum) word response to EACH of the questions located in the Scholarship Application. Each Essay should be typed on a separate sheet of paper. High school transcript and proof of residence such as a utility bill if needed. Applicant must provide two letters of recommendations. One from a School official such as principal, teacher, counselor etc. One from a Community Leader such as pastor, employer, community leader etc. PMO Scholarship 11/18 Alpha Kappa Alpha Sorority, Inc. Psi Mu Omega and Pink and Green Foundation 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. List community service activities and hours participated Name of Company Phone Number Number of Hours 10. List activities, offices, honors received from the community, church, school, etc. Activities Offices Held Please include year when office was held HONORS RECEIVED Community Church School/Sports Other PMO Scholarship 11/18 11. List the colleges or universities in which you have been accepted 12. What field of study do you wish to pursue? _________________________________ 13. Score on SAT Critical Reading __________________ SAT Math _________________ SAT Writing ________________________ ACT Score ________________________ 14. List any scholarships/financial aid received_________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 15. On two separate sheets of paper, the response should be typed and double- spaced, and wording should be at least 250 – 300 words maximum. Include a concise response to each of the following questions: (1) Why Do You Want to Attend College and What Have You Done to Prepare Yourself for College? (2) Describe an obstacle in your 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 ______________________ PMO Scholarship 11/18 .