Omega Psi Phi Fraternity, Inc. Rho Chi Chapter



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Omega Psi Phi Fraternity, Inc.
Rho Chi Chapter


Alexander L. Johnson, Jr. Memorial Scholarship
For the High School Class of 2015


Application Deadline: April 17, 2015

Alexander L. Johnson, Jr. Memorial Scholarship

Candidates must meet all of the following requirements:




  1. A graduating senior of a local high school.

  2. Have a 2.75 or above Grade Point Average (GPA).

  3. Have a minimum ACT score of 18.

  4. Submit an official transcript with the application.

  5. Demonstrate financial need.

  6. Type a maximum 500-word essay.

  7. The Scholarship recipient must present proof of enrollment at a college or university of choice before any awards are made.

  8. Recipient must show proof of at least a minimum of a 2.5 Grade Point Average for the 1st Semester of College in order to receive the 2nd installment of scholarship proceeds.

The amount of this scholarship will be determined by the funds allocated by Rho Chi Chapter and the quantity and quality of the applicants.



Rho Chi Chapter of Omega Psi Phi Fraternity, Inc.
Alexander L. Johnson, Jr. Memorial Scholarship Application


APPLICANT DATA

NAME:

Last First M.I.

ADDRESS:

Street City Zip

TELEPHONE: ( )

Area Code


PARENT (S) OR GUARDIAN DATA

Please provide the name, address and phone number of the parent(s) or guardian you reside with.

NAME:

Last First Names

ADDRESS:

Street City Zip

TELEPHONE: ( ) RELATIONSHIP TO STUDENT

Area Code


HIGH SCHOOL & POST SECONDARY DATA

Name of High School Graduation Date:


Name of Post-secondary school you plan to attend.
Location:  Accepted  Applied

1st Choice City State


Location:  Accepted  Applied

2nd Choice City State


Enrollment status:  Full-time  Part-time


Living Arrangements  on campus  off campus  commute from home

Major or course of study




TRANSCRIPT DATA

Applicant must include an official high school transcript, and have the following section completed and signed by a school official.


TO BE COMPLETED BY A SCHOOL OFFICIAL (guidance counselor)
Applicant’s cumulative Grade Point Average: Weighted: Unweighted:
Applicant’s Standardized Test Scores: ACT
I certify that this data is from the student’s official transcript.

School Official’s Name – Please Print Title Phone #


School Official’s Signature Date


Address City State Zip





FINANCIAL DATA

What is the total number of members in your household?


What is the total annual income of everyone in your household? $ .00
Parent(s)/Legal Guardian Occupation/ Place of Employment.___________________________________________
___________________________________________________________________________________________________


ESSAY

On a separate piece of paper, please provide a maximum 500-word typed essay on the following topic.


Many states have legalized the use of marijuana for medicinal purposes. In some states it is now even legal for adults to use marijuana recreationally. Do you believe that marijuana use should be legalized in Louisiana?

APPLICATION CHECKLIST

This application is complete and valid only when you have returned the following materials in one package:


  1. This completed application with proper signatures. (Signatures are required in at least two places)

  2. Essay as described in application.

  3. A copy of your official high school transcript.



YOUR APPLICATION WILL NOT BE CONSIDERED IF THERE ARE ANY BLANKS OR MISSING INFORMATION.


CERTIFICATION AND SIGNATURE

All of the information on this form is true and complete to the best of my knowledge. If asked by the Scholarship Committee, I agree to give proof of the information that I have given on this form. Falsification of information may result in termination of any scholarship granted. This application becomes the property of the Omega Psi Phi Fraternity, Inc., Rho Chi Chapter



Applicant’s Signature Date

The Scholarship Committee must receive your complete application by 4:00 p.m. on April 17, 2015.
You may not fax or email your application.
Mail or deliver application to: Omega Psi Phi Fraternity, Inc.

Rho Chi Chapter

1740 Ryan Street

Lake Charles, LA 70601


If you have any questions, please contact Todd S. Clemons, Scholarship Committee Chairman at 337-477-0000.




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