Delta Sigma Theta Sorority, Inc.
Lexington (NC) Alumnae Chapter
Lucille Yarborough/Alice R. Henderson
Memorial
Scholarship Application Guidelines 2014
Scholarship recipient is awarded $500.00
All Scholarship Applicants must:
1. Be a female student graduating from Lexington High School, Thomasville
High School, or Davidson County School System(s). Recipients must plan to
attend a four year institution for the upcoming fall semester.
2. Submit a completed application packet with the following information:
 A completed and signed application form in black ink.
 Three current signed letters of recommendation
- One of the three letters must be from a teacher or school official
- Two of the three letters must be from an adult (e.g. mentor,
minister, youth leader, employer, college coach etc.)
Recommendation letters should include the length of time the
reference has known the applicant and in what capacity, the
applicant’s strengths, and weaknesses, and why the reference
believes the applicant deserves the scholarship.
The letters of recommendation must be original versions,
signed by the writer and placed in a sealed envelope by the writer.
Photo copies, faxes, and electronic submissions are not acceptable.

An official high school transcript:
The transcript must include the applicant’s first semester grades for
her senior year.

SAT/ACT test scores

A typewritten essay: (A minimum of 300 words, typed in 12pt
Times New Roman font, double spaced on plain white paper.
Delta Sigma Theta Sorority, Inc.
Lexington (NC) Alumnae Chapter – Scholarship Application
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Mail a completed application packet including application, and letters of
recommendations, transcript, SAT/ACT test scores, and essay to:
Delta Sigma Theta Sorority, Inc.
LAC-Scholarship Committee
P.O. Box 1389
Lexington, NC 27293
All application materials must be received via US Postal Service on or before
April 15, 2014
3. Attend a personal interview

Personal interviews will be required for all applicants with
completed packets. You will be contacted regarding your interview
eligibility in April 2015.
Thank you for your interest in the Scholarship Program of the Lexington (NC)
Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated. If you have
questions or need more information please email lexingtonalumnae747@gmail.com
Delta Sigma Theta Sorority, Inc.
Lexington (NC) Alumnae Chapter – Scholarship Application
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Delta Sigma Theta Sorority, Inc.
Lexington (NC) Alumnae Chapter
Please print and use black ink
PART 1 – Applicant Information
Applicant Name: ___________________________________ Date of Birth: _________
Home Address: __________________________________________________________
City/State/Zip: __________________________________________________________
Contact phone number: __________________ Email address: ___________________
School currently attending: _____________________________
Grade point average (current): ___________________________
College or University Choice: ______________________________________________
Anticipated Major or Field of Study: ________________________________________
PART II – Extracurricular Activities/Community, Volunteer involvement/ Work
Please use additional page to add additional activities/honors that will not fit on page
Activities (such as sports, clubs, organizations): Current and past activities. Include
leadership position that you have held in the organization(s).
Activity
Year participated
Delta Sigma Theta Sorority, Inc.
Lexington (NC) Alumnae Chapter – Scholarship Application
Page 3
Community/Volunteer involvement/Work (such as community service work, volunteer
activities, part time employment. Include leadership position that you may have held in
the organization(s).
Activity
Year participated
PART III – Essay
Please choose one of the three essay topics and write an essay of a minimum of 300
words to a maximum of 500 words. The essay must be typed, 12 pt, Times New Roman
font, double-spaced, and on plain white paper.
Topic #1: What do you consider to be one of most important social problems affecting
our youth today? Why?
Topic #2: Who in your life has been your biggest influence? Why?
Topic #3: If you had the authority to change your school in a positive way, what specific
changes would you make?
Delta Sigma Theta Sorority, Inc.
Lexington (NC) Alumnae Chapter – Scholarship Application
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Delta Sigma Theta Sorority, Inc.
Lexington (NC) Alumnae Chapter
Completed Application Checklist
Before sealing and mailing your application packet, please place a check mark next to the
numbered item below to indicate that you have reviewed your packet and that these items
are included. Please sign the completed package along with your parent or guardian.
1. _______ Signed and dated Scholarship Application Form
2. ________ Three original, sealed letters of recommendation
3. ________ An official, sealed high school transcript
4. ________ SAT/ACT test scores
5. ________ Essay of minimum of 300 words including a statement of goals
*All applicants will attend a personal interview with the Scholarship Committee
The information provided in my application packet is, to the best of my knowledge,
complete and accurate. I understand that any false statement in this application may
disqualify me from consideration of the scholarship award. I also understand and agree
that any and all information submitted in this application packet will become property of
the Lexington (NC) Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated and
will be kept confidential.
Applicant’s Signature: ___________________________________________
Parent’s Signature: _____________________________________________
Date: ______________
Application must be received via United States Postal Service,
on or before April 15, 2014
Mail to:
Delta Sigma Theta Sorority, Inc.
LAC-Scholarship Committee
P.O. Box 1389
Lexington, NC 27293
Delta Sigma Theta Sorority, Inc.
Lexington (NC) Alumnae Chapter – Scholarship Application
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