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SCHOLARSHIP APPLICATION

***  Please enter EACH field, do not allow your browser to auto-fill. ***

Cumulative Unweighted Grade Point Average:

out of

Cumulative Weighted Grade Point Average:

out of

Family Income (This information is confidential and will not impact the decision-making process in the awarding of scholarships and is only used for grant application demographics from third party sources)

How many family members reside at your address (please include yourself). (This information is confidential and will not impact the decision-making process in the awarding of scholarships, it is only used for grant application demographics from third party sources).

Top six school based involvements (clubs/sports/class offices) and positions held:

Top six community based involvements (church or civic groups and clubs) and positions held:

Essay

Please write about your future goals and how your degree will help you pursue those goals.

(Please include your typed essay of no less than 250 words describing your future goals. You can cut and paste into this field.)

Type or Paste Your Essay

Please include the applicant’s photo in your application submission. This high-quality photo should be a current senior portrait for your yearbook or a color passport (.jpg or .png).

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Please attach two (2) letters of recommendation (.docx or .pdf).

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Please attach copy of high school transcript (.pdf).

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As the Parent(s) or Legal Guardian(s) of the Applicant, I (We) agree to allow the photo of my/our son to be used in any Press Release related to this Scholarship Award, being presented to him by Alpha Phi Alpha Fraternity, Inc. Delta Psi Lambda Chapter and/or the George E. Hailey (GEH) Scholarship Endowment. In addition, the GEH Scholarship Endowment is also granted approval to use said photo (or other photos in which the student appears) in any future fund-raising events related to the GEH Scholarship Endowment.

Agreed to the above by Parent(s) or Legal Guardian(s) signatures

Your application has been successfully submitted

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