Alpha Kappa Alpha Sorority, Inc

1 Alpha Kappa Alpha sorority , Inc. Sigma Lambda Omega Chapter Darnell Rucker Scholarship Program 2017 Scholarship Application Alpha Kappa Alpha sorority , INC. Offered by: Alpha Kappa Alpha sorority , Inc., Sigma Lambda Omega Chapter 2 Contact: Sigma Lambda Omega Chapter Scholarship Committee c/o Tracie Bowdoin, President Box 7539 Van Nuys, CA 91409 email: website: Alpha Kappa Alpha sorority , Inc., the first Greek-lettered sorority established and incorporated by African American college women, was founded on January 15, 1908, at Howard University in Washington, The sorority has flourished into a globally-impactful organization of over 290,000 college trained members.

2 The bedrock of its mission and values are commitment to scholarship, leadership, civic engagement and public service. Organization Information: The Sigma Lambda Omega Chapter, located in the San Fernando Valley, has provided educational, economic and health focused community service to individuals and families within the local community since 1990. Its signature scholarship program provides motivation and financial assistance to students pursuing a college education, who reside in the San Fernando Valley, Santa Clarita or Simi Valley communities. 1. A graduating high school senior enrolling in a four-year or two-year college/university, Fall 2017. Eligibility Factors: 2. A community college student transferring to a four-year college/university, Fall 2017.

3 3. Must have a or higher gpa on a scale. 4. Must provide proof of enrollment in a 4-year or 2-year college/university, beginning Fall 2017 Application Packet: CompleteNo exceptions for lost/misdirected emailed/USPS mailed applications. Application Packet must be mailed (postmarked) by April 30, 2017 Deadline Date. Contents will not be returned. Incomplete or late applications will not be considered. The following documents must be mailed (postmarked) by deadline date: (a) Completed application form . (b) Essay. (c) Official transcript, including Fall 2016-Spring 2017 grades. (Note: Official transcripts must be sealed(d) Two (2) letters of recommendation. by your school's records office ) (e) A recent photo of yourself.

4 The following criteria will be taken into consideration in making the awards: Basis of Selection: 1. Academic achievement . 2. Essay. 3. Extra-curricular activities, Community Service , Employment experience. 4. Awards, Recognitions, Honors. 5. Education plans and goals. 3 6. Letters of recommendation Scholarship Amount: o High School Graduate, attending 4-year institution: $1,000 to $2,000 award. o High School Graduate, attending 2-year institution: $250 to $500 award. o Community College Student, transferring to 4-year institution: $1,000 to $2,000 award. Winner(s )is/are required to submit verification of Fall 2017 full-time enrollment in order to receive scholarship award check.

5 If selected, the recipient or a representative on her/his behalf must be present to receive the scholarship award certificate during the June 10, 2017 Scholarship Tea at the Castaway Restaurant, Burbank, CA 4 Applicant Information: (please type or print clearly) First Name Middle Initial Last Name Address City State Zip ( ) ( ) Cell phone # Secondary phone Email Address Age Date of Birth (mm/dd/yy) Birthplace (city, state/country) What is your sex (circle one)?

6 Female Male Are you a Citizen? Yes No Education: Please list school where you are currently enrolled . Indicate the actual or expected date of graduation/transfer. High School Community College High School Location Community College Location High School Graduation Date (month/year) Community College Transfer Date (Semester/Year) Please indicate your student status: (Check one) Graduating High school senior, attending 4-year college/university, F all 2017 Graduating High school senior, attending 2-year community college/university, Fall 2017. Community College student transferring to 4-year college/university, Fall 2017.

7 5 Activities: List in the designated box your extracurricular, community service and/or employment activity(s).- : performing arts, school clubs, community or religious volunteer service, offices held. High school student applicant list activities over the last four(4) years. Community college student, over the last two(2) years. (Attach additional sheet if necessary.) Extra-Curricular Activity(s) Dates (from to) Participation, office (s) held Community Service Activity(s) Dates (from to) Participation, office(s) held Employment Experience Name of Employer Dates (from to) Average Hours (worked/wk) List Job Title/Duties 6 Award(s-) - Recognition(s) - Honor(s ) -(Academic, Community Srv, Employment) Award Date Sponsoring Organization Choose one activity you listed.

8 Explain why this activity is meaningful to you. (For example, tell why you enjoy it, or why it makes you feel proud, a skill or life lesson it's taught you, etc) Use this space for your answer. Limit: 100 words or less.) 7 College Choice: List the name and location of the college(s) you have applied and/or received conditional acceptance. First choice: Second choice: Third choice: Education Plans &Goals : What are your education plans & goals? Why did you select these schools as your top three(3) choices? (Use this space for your answer.) Essay (attach): Your essay should be a minimum of one(1) page, up to a maximum of two (2) pages in length.

9 Use 12 point Arial font. Double-space. TOPIC: Choose one of these two essay prompts. Describe your community. How has it shaped you? What change(s) would you like to see in your community? How can you use your time, talents, education to help promote that change? or Share an experience in your life when you "made lemonade out of lemons." What did you learn about yourself? How will you use this insight to resolve future challenges? What inspiration can you share to encourage others, who may face a similar difficulty? 8 Parent/Guardian Information Required: If applicant is under 18 years old. Father/Guardian Mother/Guardian Name Address City, St, Zip Phone # Email Applicant Recent Photo - (Attach Submission of image by applicant grants consent for reproduction and use of all such photographs, digital images, films and likenesses for publicity purposes in publications, brochures, advertisements, promotional and marketing materials and all other media venues, all without further notice or compensation.)

10 Applicant hereby releases to Alpha Kappa Alpha sorority Inc and Sigma Lambda Omega Chapter (SLO)of all proprietary rights and copyrights in all such photographs, digital images, films and likenesses (including negatives, positives and prints) which shall be and remain the property of SLO. ) Agreement and Signature: The applicant affirms that the facts set forth are true and complete and furthermore understands that any false statements, omissions or other misrepresentations made on this application will deem it ineligible to be considered for scholarship award. Applicant s Name (Print) Parent s Name (Print) _____ Applicant s Signature Date Parent s Signature Date _____ (required if applicant under 18 years old) 9 Completed Application & Required Documents Must Be Mailed (Postmarked) BY Sunday, April 30, 2017 at 11:59pm NO EXCEPTIONS will be made for lost or misdirected email/USPS mail Send completed application and supporting documents to: 1) Email: ( Always include applicant 's name w/i email subject bar) and/or 2) Mail to: Alpha Kappa Alpha sorority , Inc.