Delta Sigma Theta Sorority, Incorporated
A Service Sorority
Goldsboro Alumnae Chapter

2015
College Scholarship Application
Application Deadline
April 20, 2015
Contact for additional questions or information:
Crystal Daniels- Scholarship Chair
(919) 581-9939
Email: cedaniels76@gmail.com
Delta Sigma Theta Sorority, Incorporated
A Service Sorority
Goldsboro Alumnae Chapter
The Delta Profile
Delta Sigma Theta Sorority, Inc. is a private, non-profit organization whose purpose is to provide assistance and support through established
programs in local communities throughout the world. A sisterhood of more than 200,000- predominately Black college educated women, the
sorority currently has over 900 chapters located in the United States, England, Japan (Tokyo and Okinawa), Germany, the Virgin Islands,
Bermuda, Bahamas and the Republic of Korea. The major programs of the sorority are based upon the organization’s Five Point Thrust of:
 Economic Development
 Educational Development
 International Awareness and Involvement
 Physical and Mental Health
 Political Awareness and Involvement
The sorority was founded in 1913 by 22 students at Howard University. These young women wanted to use their collective strength to promote
academic excellence; to provide scholarships; to provide support to the undeserved; educate and stimulate participation in the establishment
of positive public policy; and to highlight issues and provide solutions for problems in their communities.
Goldsboro Alumnae Chapter
In Goldsboro, North Carolina 13 visionary members charted Goldsboro Alumnae Chapter in 1963 with a commitment to make significant
achievements in the Wayne County Communities. To date our 64 plus membership continues to make important differences on the community
at-large. Initiatives of our Chapter focus on our five points thrust and include a diverse range of projects such as the Delta GEMS Program,
World Water Day, Financial Fortitude, Voter Registration initiatives, World AIDS Day, and many other accomplishments that have proven viable
to the progress of the Goldsboro/Wayne County communities.
Delta Sigma Theta Sorority, Incorporated
Goldsboro Alumnae Chapter
2014 College Scholarship CRITERIA
Scholarship Guidelines
Goldsboro Alumnae Chapter, Delta Sigma Theta Sorority, Inc. is offering one scholarship to a graduating high school senior. The scholarship
will be awarded as follows:
 One scholarship in the amount of $500
The scholarship will be awarded on the basis of academic achievement, community service activities, extra-curricular activities and financial
need. The following requirements must be complete for consideration for the scholarship.
Scholarship Eligibility Requirements
1. Applicant must be a Wayne County Resident
2. Applicant must be a current Wayne County Public School Student
3. Applicant must have at least a 3.0 weighted grade point average at the time of application submission
4. Submit an official high school transcript.
5. Submit a 4x6 headshot photograph with applicant’s full name on the back of the photo. (Photocopies are acceptable.)
6. Submit (2) recommendation forms with original signatures (forms may be completed by a school official (ex. Teacher, counselor, or
principal), church leader or a community leader) in a sealed envelope. Recommendation forms are included.
7. Submit a completed application postmarked by Monday, April 20, 2015 to:
Delta Sigma Theta Sorority, Inc
Goldsboro Alumnae Chapter
PO Box 1027
Goldsboro, NC 27533
Additional requirements upon notification of Award:
1. Provide proof of enrollment as a full-time student before scholarship funds will be awarded
2. Recipient must utilize the awarded scholarship within one year of notification of award or the scholarship will be forfeited. (Please
note: If extenuating circumstances occur, the Sorority must be contacted immediately, but no later than one year after the notification
of award. The Sorority will make a final decision of award.)
Selection Criteria:
Applicants will be selected as finalists based on…
 Academic Accomplishments
 Community Service
 Extra-Curricular Activities
 Letters of Recommendation
 Original Essays
 Financial Need
INCOMPLETE APPLICATIONS OR APPLICATIONS RECEIVED AFTER THE
DEADLINE WILL NOT BE CONSIDERED. ALL APPLICANTS WILL BE NOTIFIED
OF THEIR AWARD STATUS.
Recommendation Form
________________________________
Applicant’s Name (printed)
1. What is your relationship (teacher, employer, etc.) to the applicant? How long have you known him/her?
_____________________________________________________________________________________________
2. Please rank the applicant on the following traits in comparison with other students of your acquaintance at the
same level of education or training.
Outstanding Above
Average
Below
Unable to
Average
Average
Evaluate
Intellectual Ability
Written Expression
Motivation/Perseverance
Ability to work with others
Potential as a leader
3. In the space below, please share what you believe are the applicant’s strengths and abilities.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Recommendation: Please check one
o The applicant has my highest recommendation.
o I recommend the applicant with confidence.
o I recommend the applicant with some reservations.
o I do not recommend the applicant.
__________________________________________________________________________________________________
Recommender’s Name
Position/Title
__________________________________________________________________________________________________
Address
City
State
Zip Code
__________________________________________________________________________________________________
Telephone
__________________________________________________________________________________________________
Recommender’s Signature
Date
Recommendation Form
________________________________
Applicant’s Name (printed)
4. What is your relationship (teacher, employer, etc.) to the applicant? How long have you known him/her?
_____________________________________________________________________________________________
5. Please rank the applicant on the following traits in comparison with other students of your acquaintance at the
same level of education or training.
Outstanding Above
Average
Below
Unable to
Average
Average
Evaluate
Intellectual Ability
Written Expression
Motivation/Perseverance
Ability to work with others
Potential as a leader
6. In the space below, please share what you believe are the applicant’s strengths and abilities.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Recommendation: Please check one
o The applicant has my highest recommendation.
o I recommend the applicant with confidence.
o I recommend the applicant with some reservations.
o I do not recommend the applicant.
__________________________________________________________________________________________________
Recommender’s Name
Position/Title
__________________________________________________________________________________________________
Address
City
State
Zip Code
__________________________________________________________________________________________________
Telephone
__________________________________________________________________________________________________
Recommender’s Signature
Date
Delta Sigma Theta Sorority, Incorporated
Goldsboro Alumnae Chapter
2015 College Scholarship Application
PERSONAL INFORMATION
Name:
Address:
City:
Home Telephone Number:
Date of Birth:
State:
Zip Code:
Cellular Number:
Email Address:
EDUCATION
School:
Expected Graduation Date:
Un-weighted Grade Point Average:
Weighted Grade Point Average:
Class Ranking:
FAMILY INFORMATION
Mother/Legal Guardian Name:
Occupation:
Address:
City:
Father/Legal Guardian Name:
Occupation:
Address:
City:
Number of siblings in your household:
Number of siblings in college:
State:
Zip Code:
State:
Zip Code:
Additional Information
1. List all scholarships and/or financial aid for which you applied and/or received.
2. How did you hear about this scholarship?
3. List your community activities (non-school), including offices held, etc…
4. List extra-curricular school activities (athletics, clubs, etc…).
5. List high school academic awards and honors.
6. List colleges/universities to which you have applied for admission.
7. Please state your career plans.
SCHOLARSHIP ESSAY
Essay instructions: On a separate sheet of paper. Please submit a typed 200-250 word,
doubled spaced, 1 inch margins, 14 point font essay on the following question.
How will a college education help you to accomplish your career goals?
CERTIFICATION
(Important: Your signature is required below. Without your signature, your
application is incomplete and will not be processed.)
I certify that the information in this application is true, complete and accurate, and that all statement and essays are my own work.
Further, I understand that a scholarship award from Goldsboro Alumnae Chapter of Delta Sigma Theta Sorority, Inc. may be denied or
revoked if any information contained herein is found to be inaccurate. Should I receive a scholarship ward, I hereby give permission to Delta
Sigma Theta Sorority, Inc. to utilize my name, photo and scholarship award in any publicity or marketing materials.
Name of Applicant (Please Print): _____________________________________________
Signature of Applicant: __________________________________________________________
Parent/Legal Guardian Signature: _____________________________________________
(Required if applicant is under the age of 18)
Date: ________________________________________________________________________________
Please mail completed application, essay response, photograph, recommendation forms and
official high-school transcript to:
Delta Sigma Theta Sorority, Inc.
Goldsboro Alumnae Chapter
Attention: Scholarship Committee Chair
PO Box 1027
Goldsboro, NC 27533
COMPLETED APPLICATION MUST BE POSTMARKED BY Monday, April 20, 2015.
Delta Sigma Theta Sorority, Incorporated
Goldsboro Alumnae Chapter
2015 College Scholarship Application
Applicant name: _____________________________________________________________________
APPLICATION CHECKLIST
_________ Photograph enclosed (with Full name labeled on the back)
_________ Application Completed
_________ Signed by applicant
_________ Signed by parent/guardian (if applicant under age 18)
_________Two completed and sealed recommendation forms (use included forms)
_________ Official High-school transcript
_________ Essay Completed
_________ Postmarked by deadline (Monday, April 20, 2015)