The Epsilon Pi Omega Chapter of Alpha Kappa Alpha Sorority, Incorporated and The Zeta Zeta Lambda Chapter of Alpha Phi Alpha Fraternity, Incorporated will celebrate 65 years and 60 years of service to the community respectively in 2015. We invite high school seniors of African-American and/or Pan Caribbean heritage to apply for a one time scholarship incentive of $1000. Successful candidates must demonstrate overall academic and personal improvement during their high school years, exhibit leadership ability and participation in community service activities. The recipients must be registered to attend any two or four year college or university may use this scholarship to attend any two or four year college or university to cover the costs of tuition, fees, books, room and board, technology, health insurance, general living expenses or other college related expenses. Students competing for The First Family of Queens Scholarships must meet the following criteria:    Applicant must be a high school senior residing in Queens County, NY. Applicant must be of African-American or Pan Caribbean descent. Applicant must enroll in a full-time undergraduate program no later than the fall of 2015 First Family of Queens Scholarship Selection Process:    Applicant attained a Cumulative Grade Point Average of 75 or better by June 30th of the Junior year. School and community involvement. Demonstrated leadership ability.  Effective oral and written communication skills. Notification to Applicants Applicants will be notified in January. Scholarship recipients will be recognized at our Black Tie Affair on March 7, 2015. Applications are due by final postmarked deadline of January 12, 2015. This application must be mailed with all requested materials in one packet. You MUST include a copy of your June th 30 2014 transcript. Transcripts and letters of recommendation MUST be included. Incomplete applications will not be considered. Return Completed Application To: Alpha Kappa Alpha Sorority, Inc. Epsilon Pi Omega Chapter PO Box 120553 Saint Albans, NY 11412 Attn: Dr. Carol D. Wiggins, Scholarship Chairman SCHOLARSHIP APPLICATION PAGE 1 of 3 TO BE COMPLETED BY APPLICANT Applicant Name First_________________________ MI_____ Last__________________________________ Male____ Female____ DOB mm/dd/yyyy ______________________ Address ____________________________________________________________________ ____________________________________________________________________ Phone ______________________________________________ Email (print clearly)___________________________________________ Parent or Guardian Contact Information: __________________________________________ Parent or Guardian Phone: (xxx) xxx-xxxx __________________________________________ Name of High School: __________________________________________________________ Address: _____________________________________________________________________ _____________________________________________________________________ Guidance Counselor / Advisors Name: _____________________________________________ Phone _______________________________________________________________________ Email________________________________________________________________________ How did you hear about this scholarship? ___School Official ___Friend ___Relative ___Other Extracurricular Activities List all school related activities you have participated in. Description of Activities 1 2 3 4 Hobbies and Special Talents List your hobbies and or special talents you would like to share. Description of Hobbies and Special Talents 1 2 3 4 Colleges /Universities Name of institution 1 2 3 4 5 List schools to which you have applied. City State Zip Code Notified of Acceptance (Y or N) Community Volunteer Service List and describe the volunteer service activities you have participated in during your high school experience. Where did you volunteer? (Name of Agency) What did you do? (Responsibilities) Total Hours Volunteered (ex. 30.0 hours) Supervisor’s Name 1 2 3 4 5 Employment / Internships Where did you work? (Name of Agency) Educational Plans PLEASE ADD Please list any positions you have held. What did you do? (Responsibilities) Please give a brief description of your career goals. Supervisor’s Contact Number Personal Statement In an approximately 200 well organized word essay, describe an event, individual and/or an achievement that has impacted your life to create improvement. PLEASE ADD Letters of Recommendation Please provide three letters of recommendation; one from a school counselor or teacher; one from a church or community leader and one from a family friend. Family can include parents, grandparents, siblings, guardians, relatives, friends or people in the community. APPLICATION CHECKLIST The application is only considered complete and valid when all items listed are mailed together. ___Official High School Transcript ___Personal Statement ___3 Letters of Recommendation Signature of Applicant ____________________________________Date______________________