Mu Delta Lambda Charitable Foundation and Alpha Phi Alpha Fraternity, Inc. Scholarship SCHOLARSHIP APPLICATION The Mu Delta Lambda Charitable Foundation was created in 2007 to promote higher education, community service, health awareness, and low income housing. Providing educational scholarships is one of the components of the Foundation. Scholarships are awarded in cooperation with the Alpha Phi Alpha Alumni chapter in Springfield, Illinois. Since it’s founding on December 4, 1906, Alpha Phi Alpha Fraternity, Inc. has supplied voice and vision to the struggle of African-Americans and people of color around the world. Alpha Phi Alpha, the first intercollegiate Greek-letter fraternity established for African- Americans, was founded at Cornell University in Ithaca, New York by seven college men who recognized the need for a strong bond of Brotherhood among African descendants in this country. The visionary founders, known as the "Jewels" of the Fraternity, are Henry Arthur Ca llis, Charles Henry Chapman, Eugene Kinckle Jones, George Biddle Kelley, Nathaniel Allison Murray, Robert Harold Ogle, and Vertner Woodson Tandy. The Fraternity initially served as a study and support group for minority students who faced racial prejudice, both educationally and socially, at Cornell. The Jewels and early leaders of the Fraternity succeeded in laying a firm foundation for Alpha Phi Alpha's principles of scholarship, fellowship, good character, and the uplifting of humanity. Alpha Phi Alpha chapters were developed at other colleges and universities, many of them historically black institutions, soon after the founding of Alpha Chapter at Cornell. While continuing to stress academic excellence among its members, Alpha also recognized the need to help correct the educational, economical, political, and social injustices faced by African- Americans. Alpha Phi Alpha has long stood at the forefront of the African-American community's fight for civil rights through leaders such as: W.E.B. DuBois, Adam Clayton Powell, Jr., Edward Brooke, Martin Luther King, Jr., Thurgood Marshall, Andrew Young, William Gray, Paul Robeson, and many others. 1 APPLICANT REQUIREMENTS AND REQUIRED DOCUMENTATION: • Must be a high school graduate accepted by an accredited College/University or must be a student currently enrolled in an accredited College/University • Provide proof of acceptance to an accredited college or university. • High School transcript or College transcript • A 2.75 GPA is preferred but not required. • Two Letters of Recommendation are required (one letter must be from a school official) • A one page essay on the following topic: Discuss an event in your life that you had to overcome to become successful? Interviews will be conducted on May 10-16, 2021. A scholarship committee member will contact all eligible candidates with the specific interview date and time. For any questions please contact Mr. Michael Gaines at 217-341-2326. PERSONAL NAME: ___________________________________________ AGE: _____ SEX: __F__M PERMANENT ADDRESS: _________________________________________________ CITY: _______________________ STATE: ___________ ZIP CODE: ____________ TELEPHONE: _____________________ HIGH SCHOOL: _______________________________________ YEAR GRADUATED: _____ COLLEGE ATTENDING NAME: _______________________________________________ CITY: __________________ CAMPUS LOCATION: _________________________________________________ MAJOR______________________________ MINOR______________________________ ENROLLMENT DATE_________________ FATHER'S NAME_________________________OCCUPATION_______________________________ 2 MOTHER'S NAME________________________OCCUPATION_______________________________ TOTAL FAMILY INCOME RANGE: ___BELOW- $15,000 ___$15,001 - $30,000 ___$30,001 - $45,000 ___$45,001 - $60,000 ___ $60,001-$75,000 ___ $75,001-Over NUMBER OF DEPENDENTS IN THE FAMILY INCLUDING APPLICANT: ________ HONORS & AWARDS RECEIVED LIST ORGANIZATIONS, OFFICES HELD, ACTIVITY INVOLVMENT AND COMMUNITY SERICE. 1. __________________________________________________________________ 2. __________________________________________________________________ 3. __________________________________________________________________ 4. __________________________________________________________________ 5. __________________________________________________________________ I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. APPLICANT SIGNATURE: _______________________________________ DATE: ________________ PARENT / GAURDIAN SIGNATURE: _____________________________ DATE:_________________ Please mail the completed application and all required documentation to: Mu Delta Lambda Charitable Foundation P.O. Box 6203 Springfield, IL 62703. APPLICATIONS MUST BE POST MARKED ON OR BEFORE MAY 1, 2021. 3 .