Louisville Alumnae Chapter
Delta Sigma Theta Sorority, Incorporated
Scholarship Fund
ORIGIN AND PURPOSE
The purpose of the Louisville Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated Scholarship Fund is
to provide financial assistance to exceptional African American female students. Through this fund
scholarships are awarded in honor of past members of the Louisville Alumnae Chapter of Delta Sigma Theta
Sorority, Incorporated who were women of exemplary character and who left a legacy of promoting academic
excellence. These scholarship awards are:

Alice Eubank Health Sciences Scholarship Award: Awarded to students interested in selecting a
major in a health science degree program. Health science refers to majors that study and research
health-related issues. A health science major or degree program includes but is not limited to the
following undergraduate majors: biology, pre-med, nursing, pharmacy, chemistry, public health,
psychology, and nutritional science.

Mary Alice Dearing Hasty Education Scholarship Award: Awarded to students interested in
pursuing a degree in education or selecting a major with the intent to become an educator.

Alice C. Nugent Scholarship Award: This scholarship award is NOT limited to any specific major or
degree program.
SCHOLARSHIP CRITERIA
The Louisville Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated Scholarship Fund is open to
African American females who plan to enroll in a post-secondary institution for a four-year degree. Each
scholarship award is made annually in the amount of $500 to students selected based on the following criteria:
1.
2.
3.
4.
Must be a resident of Metro Louisville, KY
Must be a graduating senior with a cumulative GPA of 2.7 or above
Must display volunteerism through community/public service
Must submit a completed application packet
All of the above criteria MUST be met to be eligible to receive a scholarship award. Contingent upon available
funds these scholarship awards may be renewed per semester for a total of eight (8) semesters maximum, four
(4) academic calendar years. Please note: It is the sole responsibility of the RECIPIENT to complete the
scholarship renewal application per semester.
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Louisville Alumnae Chapter
Delta Sigma Theta Sorority, Incorporated
Scholarship Fund
APPLICATION PROCEDURE
All applicants MUST submit the following:
1. Completed TYPED application. Hand written applications will not be considered.
2. An official high school transcript (as of February) with GPA through the first semester senior year
3. TYPED, one page autobiographical sketch including: academic/career goals, public service involvement,
and a statement of why the scholarship is important and expected benefit
4. Verification of volunteerism provided by the organization in which volunteerism was performed or
documentation from school counselor that verifies public/community service hours
5. One letter of recommendation from someone that is not a family member
6. One letter of recommendation from school principal, counselor, teacher or varsity coach
7. Completed and signed Louisville Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated
Scholarship Fund Check List (pg. 5 of this application packet).
Completed application and supporting documents must be submitted by March 15th to:
Scholarship and Standards Committee
Louisville Alumnae Chapter
Delta Sigma Theta Sorority, Inc.
P.O. Box 783
Louisville, KY 40201
For questions or electronic application contact:
Shawnise Miller, Chair-person
Phone: (502) 553-1451
lacdstscholarships@yahoo.com
www.dstlouisville.org
All applications will be reviewed by the Scholarship and Standards Committee of the Louisville Alumnae
Chapter of Delta Sigma Theta Sorority, Inc with a final selection being made by June 15th.
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Louisville Alumnae Chapter
Delta Sigma Theta Sorority, Incorporated
Scholarship Fund Application
Please indicate which scholarship award best meets your educational goals:
 Alice Eubank Health Sciences Scholarship Award: Students interested in selecting a major
in a health science degree program.
 Mary Alice Dearing Hasty Education Scholarship Award: Students interested in pursuing a
degree in education or selecting a major with the intent of becoming an educator.
 Alice C. Nugent Scholarship Award: This scholarship award is NOT limited to any specific
major or degree program.
I. APPLICANT INFORMATION
Name: ________________________________________________________________________
(Last)
(First)
(Middle)
Address: ______________________________________________________________________
(Street Address, Apt. Number)
City: __________________________________
Home Phone: (____) _____-_________
Date of Birth: __________________
(Month/Date/Year)
State: ___________
Zip: ________________
Alternate phone: (_____) _____-____________
Email address: ________________________________
II. SCHOOL AND COMMUNITY INFORMATION:
(If needed, you may attach additional pages)
Name of School: ________________________________________________________________
Address: ______________________________________________________________________
Date of Graduation: ________________ GPA: __________
No./Class Ranking: ____________
Senior Counselor: _______________________________________________________________
List: Honors/Awards Received (within the past 3 years): ________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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List: Extracurricular Activities and Office(s) held at school: _______________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
List: Community/Church organization/activities and office(s) held: _________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
List name(s) and location(s) of colleges/universities to which you have APPLIED:
Name of School
Location
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Intended college major: _____________________________ minor: ______________________
III. SCHOLARSHIP AWARDS
List all scholarship awards you have received or applied for:
Scholarship
Amount
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
IV. FAMILY INFORMATION:
Name of Parent or Legal Guardian:
Name: ________________________________________________________________________
(Last)
(First)
(Middle)
Address: ______________________________________________________________________
(Street Address, Apt. Number)
(City)
(State)
(Zip)
Day Phone: (____) _____-_______
Evening phone: (_____) _____-___________
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Louisville Alumnae Chapter
Delta Sigma Theta Sorority, Incorporated
Scholarship Fund Application
Check List
Name: ________________________________________________________________________
(Last)
(First)
(Middle)
To complete the application process submit all required items. Check off each item and include
this signed check list with your application. Incomplete applications will NOT be considered.
SCHOLARSHIP APPLICATION
________1. Louisville Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated Scholarship
Application Check List with signatures
________2. Completed, TYPED, Louisville Alumnae Chapter of Delta Sigma Theta, Incorporated
Scholarship Application
________3. TYPED, one page autobiographical sketch
________4. Verification of volunteerism
________5. One letter of recommendation from someone that is not a family member
________6. One letter of recommendation from principal, counselor, teacher or varsity coach
________7. Official high school transcript
CERTIFICATION
I consent to my child’s application for a scholarship and understand, if awarded, the funds will be
payable to the recipient upon proof of college or university enrollment. Additionally, I understand
it is the responsibility of the RECIPIENT to communicate with the Louisville Alumnae Chapter as
it relates to payment of funds and enrollment verification. I certify that the foregoing documents
and statements are correct.
Signatures:
____________________________________
(Parent/ Legal Guardian)
__________________
(Month/Day/Year)
____________________________________
(Applicant)
__________________
(Month/Day/Year)
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