Delta Sigma Theta Sorority, Inc. Charlotte Alumnae Chapter P.O. Box 32231 Charlotte, NC 28232 ________________________________________________________________ March 10, 2016 Dear Scholarship Coordinator: The Charlotte Alumnae Chapter of Delta Sigma Theta Sorority, Inc. annually grants scholarships to African-American high school senior women who will enroll in an institution of higher education. The Dorothy Counts Scoggins/E. Virginia Shadd – “Breaking Barriers” Scholarship program commemorates the achievements of two Delta Sigma Theta Sorority, Inc. women who contributed greatly to the educational history of Charlotte. We seek your assistance in providing the enclosed application packet to young ladies who meet the criteria for the scholarship. Please feel free to share the complete application packet with potential applicants. You may obtain an electronic application by visiting our website at www.charlottedst.org. Enter the site and click on “About Us.” In the middle of the page, you will see a link entitled “Scoggins/Shadd Scholarship.” Click on the link to retrieve the application instructions and the application form. You may also e-mail scholarship@charlottedst.org to request an electronic copy of these documents. Please include “Scoggins/Shadd Scholarship” in the subject line when requesting an electronic application. Scholarships will be awarded to the finalists during the Charlotte Alumnae Chapter’s May Week program which will be held on May 6, 2012. Thank you in advance for your assistance. If you have any questions, feel free to contact the scholarship committee by calling Karen Eady-Williams at (704) 312-0022 or by emailing scholarship@charlottedst.org. Sincerely, Desiree Rew Desiree Rew President, Charlotte Alumnae Chapter By: Karen Eady-Williams Georgette Dixon Pamela Murphy Lewis Che’Landra Moore-Quarles Co-Chairs, Scholarship Committee Enclosures 1 DOROTHY COUNTS SCOGGINS/E. VIRGINIA SHADD “BREAKING BARRIERS” SCHOLARSHIP APPLICATION INSTRUCTIONS The Dorothy Counts Scoggins/E. Virginia Shadd “Breaking Barriers” Scholarship provides financial assistance to deserving young African-American women who are high school seniors and who will enroll in an institution of higher education. This scholarship award commemorates the lives and achievements of two Delta Sigma Theta Sorority, Inc. women who contributed greatly to the educational history of Charlotte. Dorothy Counts Scoggins was the first African-American student to integrate Harry P. Harding High School. And the late E. Virginia Shadd became the first female high school principal in the Charlotte-Mecklenburg school system when she was appointed as principal of Myers Park High School. Scholarship Eligibility Criteria 1) Applicant must be an African-American female senior scheduled to graduate in the spring of the current school year. 2) Applicant must be enrolled in a Mecklenburg County school. 3) Applicant must have a cumulative grade point average of at least 3.0 on a 4.0 unweighted scale. 4) Applicant must enroll as a full time student at a 4-year college or university immediately after graduation from high school. 5) Applicant must demonstrate financial need. 6) Applicant must have leadership potential as evidenced by her school activities and community involvement. 7) Delta Sigma Theta Sorority Charlotte Alumnae Debutantes are ineligible for this scholarship. Application Procedures To be considered for a “Breaking Barriers” Scholarship, the applicant must: 1) Submit a completed application packet (typewritten preferred) with a postmark of no later than April 20, 2012 to the address provided below. The completed packet must include the following: a. A completed and signed Application Form. Please type or print legibly. b. Two letters of recommendation: one from a teacher or school official and one from an adult, (e.g., an employer, minister – relatives cannot submit recommendation letters). The letters of recommendation should include, 2 but not be limited to, the length of time the reference has known the applicant and in what capacity, 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 (photo copies, faxes and electronic submissions are not acceptable). c. An official high school transcript, including the applicant’s first semester grades for her senior year, in a sealed envelope. Official transcripts are in the original envelopes from the school and are sealed and stamped by the institution. Do not open the envelope or the transcript is no longer an official transcript. d. An official reporting of SAT/ACT score. PLEASE READ BELOW CAREFULLY. i. If your school’s official transcript contains your SAT/ACT score(s), an official report of your SAT/ACT score will not be necessary. The school’s official transcript containing this information will suffice. ii. If your school’s official transcript does not contain your SAT/ACT score(s), you must request an official report directly from College Boards for SAT reporting or from American College Testing, Inc. (ACT, Inc.) for ACT reporting. And we must receive the scores from SAT/ACT by April 20, 2012. Note: Be sure to provide the College Boards or American College Testing, Inc. the following mailing address, if you will have your official SAT/ACT scores sent directly to us: Delta Sigma Theta Scholarship Committee Attention: Pamela Murphy Lewis 8703 Fieldcroft Drive Charlotte, NC 28277 e. An essay - no more than 750 words, typed, double-spaces and using a 12 point font. The essay should answer one of the following two questions: 1. It has been said, “Not everything that is learned is contained in books.” Compare knowledge gained from experience with knowledge gained from books. In your opinion, which source is more important? Why? 2. “When people succeed, it is because of hard work. Luck has nothing to do with success.” Do you agree or disagree with this quotation? Use specific reasons and examples to explain your position. 3 f. A completed and signed Application Checklist. Incomplete packets will not be considered for an award. 2) Mail the completed application packet to the following address: Delta Sigma Theta Sorority, Inc. Charlotte Alumnae Chapter Scholarship Committee 8703 Fieldcroft Drive Charlotte, NC 28277 The completed application packet must be postmarked on or before April 20, 2012. To obtain a soft copy of the application, please visit www.charlottedst.org and click on “Shadd/Scoggins Scholarship” or email scholarship@charlottedst.org . You may complete the application electronically, but you must print the application and mail it. Do not attempt to submit the application electronically; it will not be accepted electronically. 3) Attend a personal interview with the Scholarship Committee of Delta Sigma Theta Sorority, Inc., Charlotte Alumnae Chapter, if chosen as a finalist. If you have questions regarding the above-stated application procedures, please contact Karen Eady-Williams at karen.eadywilliams@gmail.com or at 704-312-0022. Interview Personal interviews will be required of all scholarship finalists. Finalists will be notified of their selection during the week of April 23rd to schedule an interview appointment. Interviews of finalists will also be conducted during the week of April 23rd, 2012. Scholarship Awards 1) Scholarships are a one-time award and will be disbursed only after the applicant submits proof of enrollment at a four-year institution. 2) Each individual scholarship award will be given in an amount of not less than $1,000. 3) All scholarships will be awarded during the May Week Program, which will be held on May 6, 2012. All award recipients must be available to attend the May Week awards ceremony. 4 DOROTHY COUNTS SCOGGINS/E. VIRGINIA SHADD “BREAKING BARRIERS” SCHOLARSHIP APPLICATION (Please Complete This Form Online and Print for Mailing) Applicant Information: Applicant Name: Age: Click here to enter text. Click here to enter text. Address: Date of Birth: Click here to enter text. Click here to enter text. Email address: Click here to enter text. Home Telephone No.: Click here to enter text. Cellular Telephone No.: Click here to enter text. Family Information: Parent(s)/Guardian(s) Name(s): Click here to enter text. List all other family members who are currently dependents or financially supported by your parent(s)/guardian(s): (A dependent is someone who depends on your parent/guardian as a primary source of income.) Name: Click here to enter text. Age: Click here to enter text. Name: Click here to enter text. Age: Click here to enter text. Name: Click here to enter text. Age: Click here to enter text. Academic Information: High School: Click here to enter text. Class Rank (as of 1st semester 12th grade): Click here to enter text. Cumulative Unweighted GPA on 4.0 scale: Click here to enter text. College Preference: (1): Click here to enter text. (2): Click here to enter text. (3): Click here to enter text. Anticipated Major or Field of Study: Click here to enter text. 5 Extracurricular Activities: Current and Past School Activities and Honors ACTIVITY/HONOR Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. DATE Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Current and Past Community Involvement and Honors ACTIVITY/HONOR Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. DATE Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Financial Information Please provide the following information; failure to complete may disqualify your application: Anticipated College Expenses Tuition/Fees: $ Click here to enter text. Room/Board: $ Click here to enter text. Books/Supplies: $ Click here to enter text. Other: $ Click here to enter text. Total Expenses: $ Click here to enter text. 6 Anticipated Annual College Income Parent/Guardian Contribution toward College Expenses $ Click here to enter text. Applicant’s savings or earnings for $ Click here to enter text. Anticipated and/or Received Financial Aid $ Click here to enter text. Anticipated/Known Grants $ Click here to enter text. Anticipated/Known Scholarships $ Click here to enter text. Loans $ Click here to enter text. Work Study $ Click here to enter text. Other $ Click here to enter text. Any other income for college expense (Specify : Click here to enter text.) $ Click here to enter text. Total Anticipated Income: $ Click here to enter text. Identify salary range for each of your parent(s)/guardian(s) in the columns below: Mother Salary Range Father Guardian less than $20, 000 less than $20, 000 less than $20, 000 $20,000-$29,999 $20,000-$29,999 $20,000-$29,999 $30,000-$39,999 $30,000-$39,999 $30,000-$39,999 $40,000-$49,999 $40,000-$49,999 40,000-$49,999 $50,000-$59,999 $50,000-$59,999 $50,000-$59,999 $60,000 or more $60,000 or more $60,000 or more Applicant’s Employment Information—List your employment history, beginning with your current or most recent job. Please include the dates of your employment. Employer Click here to enter text. Job Title Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. 7 Dates of Employment Click here to enter text. Click here to enter text. Click here to enter text. DOROTHY COUNTS SCOGGINS/E. VIRGINIA SHADD “BREAKING BARRIERS” SCHOLARSHIP CHECKLIST Before sealing and mailing your packet, print your completed application and place a check mark next to the numbered item below to indicate that you have reviewed your packet and that these items are included or have been ordered. Please return this page with your completed application. 1. Signed and dated Scholarship Application Form ________________ 2. Two original, sealed letters of recommendation ________________ 3. An official high school transcript with SAT/ACT score ________________ 4(a). An official high school transcript without SAT/ACT score ________________ 4(b). An official SAT/ACT report was ordered, but not received ________________ You must include the date on which you requested the official report from College Boards, Inc. or ACT, Inc. Once the official SAT/ACT score is received, this portion of the criteria will be satisfied. 6. Date on which official SAT/ACT report was ordered: ________________ 750-words or less typed essay included ________________ The information provided in my application packet is, to the best of my knowledge, complete and accurate. I understand that false statements in this application may disqualify me from consideration of this scholarship award. I also understand and agree that all information submitted will become property of the Charlotte Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated and will be kept confidential. Applicant’s Signature: _______________________________________________ Date: _________________ 8