PHI BETA SIGMA
IOTA PHI SIGMA CHAPTER
FUTURE SCHOLARS SCHOLARSHIP
Phi Beta Sigma, Incorporated, Iota Phi Sigma chapter is pleased to announce the “Future
Scholars” Scholarship. The Future Scholars Scholarship will be presented to eligible graduating
African –American male high school seniors.
Phi Beta Sigma, Inc. was founded on January 9, 1914 at Howard University in Washington, D.C.
The Founding Fathers A. Langston Taylor, Leonard F. Morse and Charles I. Brown adopted
three principles to guide Sigma: Brotherhood, Service and Scholarship.
The fraternity now consists of men who are undergraduate and graduate students, seeking to
positively impact the community and improve the lives of others. The fraternity members
continue to live by its motto, “Culture for Service and Service for Humanity”.
All application material should be submitted together and mailed directly to: Scholarship
Committee, Iota Phi Sigma, PO Box 43058 Chicago Il. 60643. Applications must be received by
Monday, March 24th, 2014.
SCHOLARSHIP REQUIREMENTS
1. African American Male Student
2. Graduating High School Senior
3. Must Be Pursuing A Full-Time Undergraduate Degree
4. Enrolled College Freshman as of Fall, 2014
5. Cumulative, Unweighted Grade Point Average of 2.75 or Higher
6. Most Current Transcript
7. Completed Scholarship Application
8. Two (2) Official Letters of Recommendation
9. Typed Essay (Two-page Maximum)
10. ACT/SAT Scores
Changing Lives Through Service Page 1
INFORMATION FOR APPLICANTS
1. Review Application and Requirements
2. Neatly Submit All Application Information Together
3. Meet Established Criteria and Deadlines
4. Proofread Essay, As It Will Be Judged on Content and Grammar
5. Make Early Request for Application Material
6. Submit Recommendation Letters From Teachers, Counselors, etc.
7. Keep a Copy of Submitted Materials for Your Records
8. Contact Levorn Black at Lblack4789@aol.com with questions
Phi Beta Sigma
Iota Phi Sigma Chapter
PO Box 43058
Chicago, IL. 60643
Iotaphisigma.gmail.com
Levorn Black, Education Chairperson
Maze Jackson, President
Changing Lives Through Service Page 2
PHI BETA SIGMA
IOTA PHI SIGMA CHAPTER
SCHOLARSHIP APPLICATION
Applicant’s Name ______________________________________________________
(Last)
(First)
(Middle)
Are you an African American male? ___ Yes
___
No
Are you a graduating high school senior?
___
Yes
Are you a resident of Illinois?
___
No
___
Yes
___
No
Do you have a cumulative, unweighted G.P.A. of 2.75 or higher? ___ Yes
___
No
Permanent Address _________________________________________________________
Telephone Number: (Home) _____________ (Cell) ____________ (Other) _____________
Email Address: ______________________________________________________________
Place of Birth: ____________________ Date of Birth: _______________________________
School Presently Attending: ___________________________________________________
School Address/Telephone Number: ____________________________________________
Are you starting your first year to pursue your bachelor’s degree at an accredited
college/university in the Fall, 2014 ___ Yes ___ No
If yes, please provide the name and location of the institution _______________________
____________________________________________________________________________
Activities, Community Service, Honors and Awards
(Attach Additional Pages as Needed)
Current School Activities/Organizations: _________________________________________
____________________________________________________________________________
____________________________________________________________________________
Community Service Activities: __________________________________________________
____________________________________________________________________________
Changing Lives Through Service Page 3
Other Activities/Organizations: _________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Other Scholarships:
Name of Award
Date of Application Amount Awarded
$ Pending
1. _____________________
_________________ ________________ ___________
2. _____________________
_________________ ________________ ___________
3. _____________________
_________________ ________________ ___________
Changing Lives Through Service Page 4
PHI BETA SIGMA
IOTA PHI SIGMA CHAPTER
FUTURE SCHOLAR SCHOLARSHIP
Applicant’s Name: ____________________________________________________________
(Last) (First) (Middle)
Personal Background:
Name Occupa>on Annual Income
Father: _________________________ ________________________ _______________
Mother: _________________________ ________________________ _______________
Self: ____________________________ ________________________ _______________
Number of Siblings: _______________ Ages of Siblings: ____________________________
Number of Children: ______________ Ages of Children: ____________________________
Essay
1. Nelson Mandela once said, “It is beLer to lead from behind and to put others in front, especially when you celebrate victory. You take the front line when there is danger. Then people will appreciate your leadership.” Describe an instance in your life when you led from behind and when you stood up in the face of danger?
2. Nelson Mandela once said, “We can’t afford to be killing one another.” Imagine that you were mee>ng President Obama to convince him to assist with the gun violence in Chicago. What ideas might you give him to stop the violence and why?
Choose One
Changing Lives Through Service Page 5
Applicant’s Statement of Agreement
If I receive this award, I agree to submit proof of full that-­‐Bme enrollment and aCendance at an accredited college or university for Fall, 2014. I also agree to use the scholarship funds in accordance with guidelines set forth by the scholarship commiCee that. VerificaBon of enrollment must be forwarded directly to __________________________________________________________________ _____________________________________________________________________________________
_____________________________________________________________________________________
when requested and prior to disbursement of the scholarship award. Applicant’s Signature: _________________________________ Date: __________________________
COUNSELOR OR ACADEMIC ADVISOR: PLEASE PROVIDE THE FOLLOWING INFORMATION REGARDING THE APPLICANT:
Applicant’s Name: ____________________________________________________________________
High School: _________________________________________________________________________
AnBcipated GraduaBon Date: _____________________________
Unweighted, CumulaBve G.P.A. _______________ Class Rank: ________ of ________
ACT Composite Score_________ OR SAT (Verbal) _________ SAT (MathemaBcs) _________________
Counselor/Advisor’s Email Address: ______________________ Telephone Number: ______________
Counselor/Advisor’s Signature:_______________________________ Date: _____________________
Changing Lives Through Service Page 6
PHI BETA SIGMA
IOTA PHI SIGMA CHAPTER
FUTURE SCHOLARS
SCHOLARSHIP
RECOMMENDATION FORM I
Dear Applicant:
Please give Recommenda>on Form I and Recommenda>on Form II to the two people you have asked to provide a recommenda>on for you. Both leLers of recommenda>on should be returned with your applica>on.
RECOMMENDATION LETTER I for ____________________________________________________
(Applicant’s Name)
(To be completed by applicant’s high school counselor/academic advisor, social worker, teacher or administrator, etc.)
Recommender’s Name: (Last) ____________________________ (First) __________________________
Rela>onship to Applicant: (Check all that apply) ____ Counselor/Advisor ____ Social Worker
_____ Teacher ____ Administrator ____Other (Please specify) _________________________________
On a separate sheet of paper, please provide a typed, signed leLer of recommenda>on for the applicant. Comments should include responses to the following ques>ons: How has the applicant demonstrated resiliency through academic and personal challenges? What leadership skills does the applicant possess? What are the applicant’s future academic and career goals? How will this award help the applicant? Changing Lives Through Service Page 7
PHI BETA SIGMA
IOTA PHI SIGMA CHAPTER
FUTURE SCHOLARS
SCHOLARSHIP
RECOMMENDATION FORM II
Dear Applicant:
Please give Recommenda>on Form I and Recommenda>on Form II to the two people you have asked to provide a recommenda>on for you. Both leLers of recommenda>on should be returned with your applica>on.
RECOMMENDATION LETTER II for ____________________________________________________
(Applicant’s Name)
(To be completed by applicant’s high school counselor/academic advisor, social worker, teacher or administrator, etc.)
Recommender’s Name: (Last) ____________________________ (First) __________________________
Rela>onship to Applicant: (Check all that apply) ____ Counselor/Advisor ____ Social Worker
____ Teacher ____ Administrator ____Other (Please specify) _________________________________
On a separate sheet of paper, please provide a typed, signed leLer of recommenda>on for the applicant. Comments should include responses to the following ques>ons: How has the applicant demonstrated resiliency through academic and personal challenges? What leadership skills does the applicant possess? What are the applicant’s future academic and career goals? How will this award help the applicant? Changing Lives Through Service Page 8