George H. Duarte
Zeta Chapter Alumni Scholarship
This program is funded by the Phi Sigma Kappa Foundation.
Full Name: ___________________________________________________________________________
Home Mailing Address: _____________________________________ Phone: ________________________
City: __________________________________________________ State: ________ Zip: ______________
Parent Name(s): ____________________________________ Email: ______________________________
Attending or Accepted at: __________________________________________________________________
Test Scores:
ACT _____
SAT Math _____
SAT Reading ____
SAT Written ____
GPA (cumulative) _____
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Descendant of ________________________________
(Name of Zeta alumnus)
Relationship: ___________________________
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CERTIFICATION OF ATTENDANCE
Attach a letter of acceptance from the school to be attended or if already in attendance, an official college transcript.
LETTER OF RECOMMENDATION
Attach a letter of recommendation from a responsible adult (e.g. faculty member, employer, volunteer supervisor) who is
familiar with your character and achievements.
APPLICANT’S CERTIFICATION
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_____ I understand that the Zeta Alumni Scholarships are intended to benefit descendants of members of Zeta Chapter
of Phi Sigma Kappa who will be full-time students at an accredited college or university during the next
academic year. Therefore, I certify that at the end of the current academic year, I will have at least one full
semester of study to complete before receiving my undergraduate degree.
_____ I also understand that any award I may win will be paid directly to my college/university on my behalf in as many
installments as there are terms in the next academic year and that payment of any installment is conditional
upon my remaining a full-time student in good standing at: ___________________________________
(College or University)
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___________________________________________________
Signature of Applicant
_____________________________
Date
ELIGIBILITY AND AWARDS
The scholarship may be awarded to any direct descendant (child, grandchild, great grandchild, etc.) male or female, of a
Zeta alumnus, providing the applicant has been accepted to attend or is already attending an accredited college or
university. Phi Sigma Kappa does not have to have a chapter at the school.
Undergraduates must have a minimum 3.0 grade point average. Graduate students must have a minimum 3.0 cumulative
undergraduate grade point average. The scholarship will be awarded based on the overall quality of the applicant’s
credentials.
Applications must be received no later than Sept. 30th in order to be considered for scholarships to be awarded in February
of the following year.
MAIL TO:
Phi Sigma Kappa International Headquarters
Attn: Scholarship Coordinator
2925 East 96th Street
Indianapolis, IN 46240