2019 Scholarship Application
CHI SIGMA OMEGA CHAPTER
Bolingbrook, Illinois
Philanthropic arm of Alpha Kappa Alpha Sorority, Incorporated
GENERAL APPLICANT INFORMATION
Name *
Your answer
Address *
House Number Street (Apartment)
Your answer
City, State, Zip Code *
xxx, IL, 6xxxx
Your answer
Phone Number *
xxx-xxx-xxxx
Your answer
Alternate Phone Number *
xxx-xxx-xxxx
Your answer
Email Address *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Email Address *
Your answer
High School Attending *
Your answer
Anticipated Date of Graduation *
MM/DD/2019
Your answer
Cumulative Grade Point Average *
Your answer
Cumulative GPA Scale *
Have you received an acceptance letter from a college or university? *
Have you decided which college you will attend? *
If you answered yes to the previous question, please indicate which college you plan to attend.
Your answer
Scholarship Essay
It is recommended that you compose your essay in a word processing program (such as Word or Google Docs) to ensure that you meet the following criteria.

• Length - Essay response is a minimum of 1000 words.
• Comprehension - Essay reflects a thorough comprehension of the essay topic.
• Organization - Essay exhibits clarity of thought.
• Development - Concepts are clearly developed through critical analysis.
• Creativity - Essay expresses fresh new ideas and originality of thought.
• Writing - Essay demonstrates correct use of grammar, sentence structure, spelling, punctuation and concise language.

Essay Prompt: If you could make an impact on the world through one of the five areas below, which would you choose and how would you do it?
• Educational Enrichment
• Health Promotion
• Family Strengthening
• Environmental Ownership
• Global Impact
Enter your essay response here: *
Your response should be a minimum of 1000 words.
Your answer
Resume *
Please cut and paste your resume here.
Your answer
Application Certification *
By signing below, I certify that the information I have provided is complete and correct to the best of my knowledge. I also understand that the submission of false information is grounds for disqualification, rejection of my application and/or withdrawal of any offer and/or scholarship award. (Please enter your full legal name as your electronic signature.)
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service