Delta Sigma Theta Sorority, Inc.
Schaumburg-Hoffman Estate Alumnae Chapter
“Profit Through Knowledge” Scholarship Application
P.O. Box 681325
Schaumburg, IL 60168-1325
Eligibility:
Applicants must be high school seniors of African-American descent (male or female) and reside in the Northwest suburban
area. Please select the award you are applying for:
Scholastic Achievement Award ($1,000)
Must have at least a g.p.a of 3.0/4.0 scale, have at least an ACT score of 25 or SAT score of 1000.
Excellence in STEM (Science, Technology, Engineering and Math) Award ($1,000)
Requires an overall g.p.a of 3.0/4.0, 4 years of science, math or technology courses
(computer programming/computer networking) with a 3.5 g.p.a in those courses. Must have at least an ACT
score of 25 or SAT score of 1000. Plan to major in an area of STEM.
Excellence in Service Award ($1,000)
Requires a g.p.a of 2.5/4.0 scale or more, have at least a SAT score of 850 or an ACT of 21 and
demonstrate strong leadership ability as well as community service.
DST Student Fellowship Award ($1,000)
Need based (family income may not exceed $40,000) requires a g.p.a of at least 2.5/4.0 scale.
Guidelines:
1. Type or print clearly using black ink.
2. Include one official copy of your high school transcript that includes ACT or SAT scores
3. Secure two non-family references.
4. Make a copy of the application for your records.
5. Submit the completed application to the above address by: February 27, 2016
Name:
Email address:
First
Middle
Last
Address:
Street
High School:
College/University:
City
Zip Code
School Address:
Anticipated Major of Study:
If selected as an award recipient, I agree to provide the Schaumburg-Hoffman Estates Alumnae Chapter of Delta
Sigma Theta Sorority, Inc. with the proof of registration from the college or university in which I have enrolled to
receive the award no later than December 31, 2014.
Student Signature:
Parent Name (please print):
Parent Signature:
Date:
Delta Sigma Theta Sorority, Inc.
Schaumburg-Hoffman Estate Alumnae Chapter
“Profit Through Knowledge” Scholarship Application
P.O. Box 681325
Schaumburg, IL 60168-1325
Extra-Curricular Activities/ Community Involvement
List clubs, organizations and year of participation. Make note of those in which you’ve held a
leadership position.
List any Delta youth initiative program(s) (Academy, EMBODI, GEMS, Cotillion) and
year(s) of participation.
List all honors, awards, and special recognitions.
List your community service work and/or volunteer activities.
Delta Sigma Theta Sorority, Inc.
Schaumburg-Hoffman Estate Alumnae Chapter
“Profit Through Knowledge” Scholarship Application
P.O. Box 681325
Schaumburg, IL 60168-1325
Applicant’s Name:
Essay Question
Delta Sigma Theta Sorority, Inc. has taken positive stands on important issues effecting the AfricanAmerican community and takes pride in working for the betterment of all people. Select one of the
following topics: gun violence or bullying (including cyber-bullying). Discuss how you can personally
have an impact on either of these growing concerns.
Please answer in 500 words or less. Your response should be typed and doubled spaced. If you need more
space, continue on a maximum of one additional page.
Delta Sigma Theta Sorority, Inc.
Schaumburg-Hoffman Estate Alumnae Chapter
“Profit Through Knowledge” Scholarship Application
P.O. Box 681325
Schaumburg, IL 60168-1325
Applicant’s Name:
High School Rating Form
To be completed by guidance counselor, teacher, or principal.
Please attach an official copy of the student’s transcript
Current g.p.a.
Cumulative g.p.a.
ACT/SAT scores:
Please check one rating in each category to assess the following qualities of the applicant.
5-Exceeds Expectations, 4- Above Average, 3-Average, 2-Below Average, 1-Don’t Know
Capacity for learning
Attitude towards work (work ethic)
Cooperativeness
Leadership abilities
Potential for becoming a successful college student
Dependable and responsible
Additional Comments:
Name:
Signature:
Title:
Telephone:
Email:
Delta Sigma Theta Sorority, Inc.
Schaumburg-Hoffman Estate Alumnae Chapter
“Profit Through Knowledge” Scholarship Application
P.O. Box 681325
Schaumburg, IL 60168-1325
Reference Form
Applicant’s Name:
What is your relationship to the applicant?
How long have you known the applicant?
Please give your assessment of the applicant’s participation in school and the community in terms of
work, service, and leadership. Please note other skills and outstanding recognition.
Name (please print)
Title:
Organization:
Signature:
Date:
Email Address:
Telephone:
Mailing Address: