Scholarship Awards Application Form

First Name

Last Name

City

STATE

ZIP

Home Phone

Cell Phone

Age

DOB

Facebook@

Name of Custodial Parent(s) or Guardian(s)

Current High School

GPA

Extracurricular Activities in school:

College or University you plan to attend:

Have you already been accepted? Required

Yes

If yes, where?

Describe the course of study or major you plan to follow in college:

List any honors and/or awards received while in high school:

Community Involvement:

Special Requirements for Consideration:

First letter of recommendation from your school administrators, teachers, or school professional staff.

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File type: MS Word or PDF

Second letter of recommendation from your school administrators, teachers, or school professional staff.

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File type: MS Word or PDF

500-600-word essay on: "College Attendance-A Key to My Success and Future Life Expectations"

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File type: MS Word or PDF

Current photo

Upload File

File type: JPG or PNG

Send in your required official sealed transcript no later than March 1, 2025 to:

Mr. Robert Moore,

Kappa Alpha Psi Fraternity, Inc.

Post Office Box 172

Portsmouth, Virginia 23705

Thank you for your submission! Selected students and their parents/ guardians will be REQUIRED TO ATTEND their school prospective awards day programs to receive their awards.

This form no longer accepts submissions.

Scholarship Awards Application Form

Special Requirements for Consideration:

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