Scholarship Application

GAMMA ALPHA OMEGA SORORITY, INC.

Applicant Personal Profile

Please include a brief biography of yourself along with a 3 x 5 (passport size) photo of yourself for our records. If chosen, your photo and biography will be posted on the GAO website under previous SCHOLARSHIP WINNER!

Name:____________________________________________________
(First) (Middle) (Last)

Possible Questions to answer for your biography but not limited to these questions:

What is your family background?

What made you want to attend college?

Where are you from?

Where did you go to High School?

Biography not to exceed half a page.

Signature: _____________________________________ Date:_________

Gamma Alpha Omega Sorority
Scholarship Application

APPLICANT

Name: ___________________________________________________
(First) (Middle) (Last)

Permanent Address: ________________________________________
(Street, Apt#)

_________________________________________________________
City State Zip

Permanent telephone: (____) _____ - ______ E-mail: ________________

This information is not required to make the application complete; it is optional.

Birth Date: ____________________

Gender: Male Female

Ethnicity:
African American, Black
Native American, American Indian
Hispanic American, Latino/a, Chicano/a
Asian American, Asian, Pacific Islander
European American, Anglo, Caucasian
Other (please specify) ____________________

EDUCATION
SCHOOL	CITY & STATE	DATES ATTENDED
			TO
			TO
			TO

Expected mayor/degree:____________________
Expected date of graduation: ____________________

Please describe your academic interests (use additional paper if needed):

PERSONAL INFORMATION:

Please list your special academic programs, scholastic distinctions or honors, extracurricular activities and sports activities.

Honor/Activity	Office held, major accomplishment, etc.

Please list any volunteer organizations and/or activities with which you have been involved in the last four years:

Activity	Approximate dates of participation	Avg. hours per week

Please list any work experience, including summer employment, over the past four years.

Job/Place of Employment	Approximate dates	Avg. hours per week

FINANCIAL INFORMATION:

Estimated College Expenses for Academic Year

Tuition and Fees            $___________
Books and Supplies         $___________
Room and Board             $___________
Local Transportation       $___________
Medical & Life Insurance $___________
Other Expenses (List)   $ ___________

Total Expenses              $ __________

Estimated Income to Cover Costs for Academic Year

Your Contributions from Earnings $___________
Spouse’s Contributions              $___________
Parental Contributions               $___________
Savings                                 $___________
Other Scholarships                   $___________
Grants (Pell, SEOG, State)         $___________
Student Loans                         $___________

Total Income $__________

Please describe for us your career plans and goals. Explain how the scholarship would help you reach your goals. (Not to exceed one page.)

Signature ________________________________________ Date _____________

RECOMMENDATION FOR
GAMMA ALPHA OMEGA SORORITY

SCHOLARSHIP

COUNSELOR, TEACHER, EMPLOYER, RELIGIOUS LEADER OR OTHER REFERENCE:

Your Name:_________________________________________
(First) (Middle) (Last)

Your Position: ___________________________________________________

How long have you known the applicant?

How would you compare the applicant to other students in his/her class or other students in your reference area? Please check the appropriate box.

	Top 5%	Top 10%	Top 25%	No basis for judgment
Overall
Analytical ability
Communications skills
Leadership potential
Capacity for growth
Enthusiasm

Please expand on the rating you assigned above and make any comments about the applicant that you believe would be helpful. (Use additional page if necessary.)

Signature _______________________________________ Date _____________

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