USC Delta Chi Leadership Scholarship Application
Please complete the following information and submit this application online no later than 7/31/2012, to:Delta Chi Fraternity-920 W. 28th Street, Los Angeles, CA 90007

One $500 and two $250 scholarships are available through the Delta Chi Fraternity.  By applying for this scholarship you are not committing yourself to membership in The Delta Chi Fraternity or any other organization. You need not receive an invitation for membership in the Fraternity to be eligible.  Delta Chi Brothers will interview semi-finalists on Southern California’s campus at a later date to determine who will be considered for the scholarships. The criteria used to determine the recipients of these scholarships will be academic performance, community involvement and leadership potential.

If you have any questions do not hesitate to contact me:
 – Jacob Chappell
 – Delta Chi Fraternity – 920 West 28th Street, Los Angeles, CA  90007
 – 408.455.1984
 – Jchappe@usc.edu

Sign in to Google to save your progress. Learn more
First/Last Name *
Your Permanent Address (Street Address-City-State-Zip) *
We will not share any of this information with any 3rd Party Organization
Cell Phone Number *
(XXX)XXX-XXXX
Preffered Email Address *
Date Of Birth *
MM/DD/YYYY
Class Rank *
If NA put NA
High School GPA *
Expected Major *
Undecided is Ok
Second Major/Minor
Only if Applicable
Honors, Achievements, Awards:
A List with Descriptions is preffered
Community Service and Extracurricular Activities:
A List NOT an Essay
Leadership Experience: *
Brief account of a time you have showed Leadership/ What kind of leadership experience you hope to gain in the future
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms