List: Extracurricular Activities and Office(s) held at school: _______________________________ List: Community/Church organization/activities and office(s) held: _________________________ List name(s) and location(s) of colleges/universities to which you have APPLIED: Name of School Location Intended college _____________________________ minor: ______________________ III. SCHOLARSHIP AWARDS List all scholarship awards you have received or applied for: Scholarship Amount Received/Applied IV. FAMILY INFORMATION: Name of Parent or Legal Guardian: Name: ________________________________________________________________________ (Last) (First) (Middle) Address: ______________________________________________________________________ (Street Address, Apt. Number) (City) (State) (Zip) Day Phone: (____) _____-_______ Evening phone: (_____) _____-___________ Is your legal guardian a member of Delta Sigma Theta Sorority, Inc.? Yes No
List: Extracurricular Activities and Office(s) held at school: _______________________________ List: Community/Church organization/activities and office(s) held: _________________________ List name(s) and location(s) of colleges/universities to which you have APPLIED: Name of School Location Intended college _____________________________ minor: ______________________ III. SCHOLARSHIP AWARDS List all scholarship awards you have received or applied for: Scholarship Amount Received/Applied IV. FAMILY INFORMATION: Name of Parent or Legal Guardian: Name: ________________________________________________________________________ (Last) (First) (Middle) Address: ______________________________________________________________________ (Street Address, Apt. Number) (City) (State) (Zip) Day Phone: (____) _____-_______ Evening phone: (_____) _____-___________ Is your legal guardian a member of Delta Sigma Theta Sorority, Inc.? Yes No