1.
Name __________________________________________________
First Middle Last
2.
Address __________________________________________________
City State Zip Code
3.
Phone ________ DOB ________ Race ___________ Gender______
4.
School __________________ or _____________________
High School College or Graduate School
5.
Employment _______________ _____________________
Mother Father
6.
Please list number of person (s) in household _____________________
7.
I have applied for admission to the following institutions offering post secondary education.
Accepted Date Awarded
1 st Choice _________________ Yes____ No___ _________
2 nd Choice _________________ Yes____ No___ _________
3 rd Choice _________________ Yes____ No___ _________
8.
Please list any scholarship monies awarded to you, accompanied by the amount and the organization.
1.________________________________________________________
2.________________________________________________________
3.________________________________________________________
9. What subject peaks your academic interest ________________________
____________________________________________________________
____________________________________________________________
10.
List any activities/organizations that you have been involved with i.e. school, church or community. _________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

Scholarship Continuation page 2
11.
Please list any leadership positions you have held ______________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
12.
List any awards or special recognition achievement (s) you have received in the past ten years.
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
13.
What is your college major/profession? How will it make a difference in society?
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
I understand that if I am awarded an Amaranthus Grand Chapter Scholarship, I will be required to submit proof of my academic attainments. I further understand that this is a one year scholarship and if I maintain a Grade
Point Average of 3.0 and in all respects conduct myself in a creditable manner, I may reapply. I affirm that this application contains the truth and is accurate and correct.
________________________________________
Signature of Applicant
________________________________________
Date

Background:
The Amaranthus Grand Chapter Scholarship is awarded to assist students who will be attending college full time in defraying the cost of continued education. The major criteria for obtaining an award will be financial need and scholastic achievement. Leadership qualities and community involvement shall be considered.
Eligibility and General Information:
1.
Applicants must be a graduating senior or a college student attending an accredited college or university.
2.
The scholarship is a cash award payable to the recipient or to a college/university of the recipient’s designation. The amount and number of awards will vary depending upon available monies.
3.
High School seniors must have a minimum Grade Point Average (GPA) of 2.5 and college students must maintain a GPA of 3.0
4.
All applicants must be enrolled in a college/university before the scholarship money is released.
Application Procedures:
In order to be considered for the Amaranthus Grand Chapter Scholarship, an applicant must comply with all application procedures.
1.
The application must be completed in its entirety.
2.
The applicant must submit a two page double space essay explaining The Importance of
Continued Education.
3.
The applicant must submit their high school or college transcripts in a sealed envelope. a.
Two letters of recommendation from a counselor, teacher, school official or community leader. Letters of recommendation, Essays, Official transcripts and scholarship application shall be submitted simultaneously. b.
Unofficial transcripts will not be accepted and will automatically disqualify your application. c.
Applications post marked after the March 30 deadline will not be considered.
Please send all application packets to
Amaranthus Grand Chapter
2412 Ames Avenue
Omaha, NE 68111
ATTN: Scholarship Committee