PHI ALPHA OMEGA GRADUATE CHAPTER
DIONNE HAROLD MEMORIAL SCHOLARSHIP
2011-2012 Academic Year
The Dionne Harold Memorial Scholarship is limited to students that are enrolled in high schools
in Benton County, Washington County, and Ft. Smith. Dionne Harold was a role model for
diverse students at the University of Arkansas. She opened doors of opportunity for
underrepresented young women on the campus through excelling in academics, dedication to
community service, as well as extracurricular activities, including becoming the first African
American female Razorback cheerleader at the University of Arkansas, Fayetteville. Her life
ended at a young age, but her legacy will live on through the sisters of Alpha Kappa Alpha
Sorority, Incorporated.
The Dionne Harold Scholarship is administered by the Tea Rose Foundation of NWA, the
charitable arm of the Phi Alpha Omega Chapter of Alpha Kappa Alpha Sorority, Incorporated.
To apply, please submit the following:
1. Completed application form
2. Essay (150-250 words)
3. High School Transcript
If the above criteria are not met, the student’s application will not be considered.
Please note:
a) Student must have at least a 2.5 cumulative grade point average during the academic year in
which the scholarship is awarded.
b) The application must be postmarked by February 11, 2011. Send applications to: Tea Rose
Foundation of NWA – ATTN: Scholarship Committee, P.O. Box 2696, Bentonville, AR
72712.
c) The scholarship recipients will be recognized at Phi Alpha Omega’s annual Celebrity Waiter
Extravaganza, to be held in Fall 2011.
d) If a student fails to enroll in an accredited college or university during the year in which the
scholarship is awarded (i.e., the fall semester after graduation from high school), he or she must
forfeit the scholarship. In that instance, the scholarship funds will (1) remain in the scholarship
fund or (2) be awarded to another qualifying student.
1
General Applicant Information
Name_______________________ Phone _________________ Email __________________
Address____________________________________________________________________
Street
Apt No.
City
State
Zip
Gender:
_______Male ____ Female
Graduation Date: _____________________
High School: ________________________________________________________________
Cumulative GPA _____________
Related to member of Alpha Kappa Alpha Sorority, Inc.? Yes
No
If yes, please give member’s name, relationship to student, current chapter affiliation or, if
deceased, last chapter affiliation:
____________________________________________________________________________
Ethnic Background (please check one):
_______ Black/African American
________ Asian or Pacific Islander
_______ American Indian or Alaskan Native
________ Hispanic
_______ Other
Educational Information
Intended Major______________________________________________________________
Occupational Goal ___________________________________________________________
List college(s) and date(s) in which you have applied, in order of preference:
(attach additional page(s) if necessary)
Accepted? Yes No
1)________________________________________________
College Name
___/___/___
Date Applied
2) ________________________________________________
College Name
___/___/___
Date Applied
3) ________________________________________________
College Name
___/___/___
Date Applied
2
High School Honors, Awards and Affiliations
(Attach additional pages, if necessary)
A.
Awards and Honors
B.
Community Service
C.
Leadership Roles/Experiences
Essay
The essay must be 150-250 words, double-spaced, typed in Times New Roman or Arial 12-point font
with one (1) inch margins (top, bottom, left, and right). Please choose one of the following topics:
(a)
What is the real value of a widely diverse educational community, and what
would you as an individual bring to your campus community?
(b)
Describe an experience you have had where cultural diversity – or a lack
thereof – has made a difference to you.
To indicate you have read and will comply with the scholarship application agreement,
please certify this section by initialing each line:
___ I understand that I must satisfy the required criteria.
___ I certify that, to the best of my knowledge, the information given is accurate and complete.
___ I understand that this scholarship may be awarded in two equal disbursements; one each
semester (fall and spring).
___ I must provide proof of college enrollment from the Office of the Registrar in order to
receive my scholarship disbursements.
_____________________________
APPLICANT’S NAME
3
________________________
DATE