For submittal to: DELTA THETA CHI SORORITY National Scholarship Committee – (Information below will be considered confidential) Please fill in a budget for the year in which you are applying for this scholarship. High School Students, complete Column A. College Students, complete columns A and B. (A) (B) Year for which Scholarship Preceding Year is requested Scholarship(s) applied for: Scholarship(s) received: Estimated Income: Loan(s) Student Earnings, summer Student Earnings, academic year Other Income: Fund from parents Fund from others Other source Total $ $ Estimated Expenses: Tuition Room and Board Fees Books and Supplies Total $ $ In consideration of my academic record and the facts set forth in this application, I respectfully petition that a scholarship be awarded to me for the academic year and I solemnly affirm that to the best of my ability the information given is correct. If chosen as a finalist, I will supply a FAFSA (Federal Student Aid) form or my parents’ last income tax return form to the National Office. year’s If an award is made to me and I am not accepted by the college or university named, or if I do not attend school for the date specified, or I receive a full Scholarship from another source, the granting of this scholarship will be void. When I resume my schoolwork, I will file a new application. I understand that two National Scholarships will be awarded. Date: Signature: Email address:
For submittal to: DELTA THETA CHI SORORITY – National Scholarship Committee (Information below will be considered confidential) Please fill in a budget for the year in which you are applying for this scholarship. High School Students, complete Column A. College Students, complete columns A and B. (A) (B) Year for which Scholarship Preceding Year is requested Scholarship(s) applied for: Scholarship(s) received: Estimated Income: Loan(s) Student Earnings, summer Student Earnings, academic year Other Income: Fund from parents Fund from others Other source Total $ $ Estimated Expenses: Tuition Room and Board Fees Books and Supplies Total $ $ In consideration of my academic record and the facts set forth in this application, I respectfully petition that a scholarship be awarded to me for the academic year and I solemnly affirm that to the best of my ability the information given is correct. If chosen as a finalist, I will supply a FAFSA (Federal Student Aid) form or my parents’ last year’s income tax return form to the National Office. If an award is made to me and I am not accepted by the college or university named, or if I do not attend school for the date specified, or I receive a full Scholarship from another source, the granting of this scholarship will be void. When I resume my schoolwork, I will file a new application. I understand that two National Scholarships will be awarded. Date: Signature: Email address: