Shari-lyn Gordon-Jackson - Sigma Gamma Rho Sorority, Inc.

SIGMA GAMMA RHO SORORITY
NATIONAL EDUCATION FUND, INC.
Dear Applicant,
This application is being forwarded to you per your request. Please complete the application along with all
requested information and mail to:
Shari-lyn Gordon-Jackson
8020 Maitland Avenue
Inglewood, CA 90305
Applications that are not accompanied by the information requested below will not be considered for funding.
Sigma Gamma Rho Sorority National Education Fund, Inc., was established to provide scholarship aid to student,
both male and female of all races for the pursuit of high education. Students must attend a university, college,
accredited business college or graduate school.
The recipient must be an individual with a scholastic record of C or better, and with a demonstrated financial
need each individual may reapply each year that he/she meets general requirements for consideration.
Each applicant must submit along with the application, the following items:
1. Most recent transcript of work completed in high school or institution of higher learning.
2. Brief statement of ambition and financial need.
3. A copy of the current or previous years W-2 Form and IRS Tax Return. (Parent/Guardian)(IRS Tax Return
if High School Student)
4. Outline of high school or college activities. (see page 3 of application form)
5. Scholastic Aptitude Scores. (High School Only)
6. Letter of acceptance by an institution of higher learning
7. Listing of involvement in church and community activities. (Optional for Graduates/Post Graduates)
8. Picture of applicant (wallet size – for publishing in our publications)
9. Two (2) letters of reference. (excluding family members)
10. A $20.00 money order or cashier’s check for processing. (no personal checks)
Make payable to: Sigma Gamma Rho Sorority National Education Fund, Inc.
DEADLINE: APRIL 30
SCHOLARSHIP AWARDED: VARIES
Thank you for requesting the services of Sigma Gamma Rho Sorority National Education Fund, Inc.
Sincerely,
Shari-lyn Gordon-Jackson
Shari-lyn Gordon-Jackson
Scholarship Chairperson
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Application for Scholarship
Name___________________________________________________________________ Sex: F _________ M __________
Mailing Address___________________________________________________ Telephone: Day ___________________
____________________________________________________
City State Zip
Night __________________
Home Address____________________________________________________
___________________________________________________
City State Zip
Date of Birth______________________________________________________
Month Day Year
Parent(s)
Mother ________________________________________________________________________________
Father ________________________________________________________________________________
Guardian ______________________________________________________________________________
Present School Status:
High School________________________________________ Citizenship _______________________
College/University_____________________________________________________________________
Technical Institute_____________________________________________________________________
Other_________________________________________________________________________________
Scholastic Aptitude Score: (SAT, ACT)
Math _____________________________________
Verbal ____________________________________
Total _____________________________________
Career Interest: _________________________________________________________________________________________
Most Recent Official Transcript attached: Yes _______ No _______
(Sealed with Registrar’s Signature)
SECTION A
(Check one)
Single Married Divorced
Dependents: 1 2 3 Social Security Number ________________________
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If married, your spouse’s occupation and approximate income _____________________________________________
Your occupation ______________________________________________________ Income __________________________
Number of Siblings _____________________________________________________________________________________
Number of Siblings in College ________ Financial Support: Yes _______ No ________
Family Income
Father’s Occupation: ________________________________________________ Salary ____________________________
Mother’s Occupation: _______________________________________________ Salary ____________________________
Other Financial Aid: ____________________________________________________________________________________
Explain Unusual Financial need and conditions: __________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________
Estimated Educational Expenses per Year
Tuition/Room & Board
Books/Supplies
Fees
$ ______________________
$ ______________________
$ ______________________
Other (List) _______________________________________________________________________________
__________________________________________________________________________________________
Total
$ ______________________
Have you applied for Federal or State Financial Assistance?
Other Financial Aid Available
Yes ________ No ________
A. GRANTS AMOUNTS
Pell Grant (BEOG)
$ ______________________
(SEOG)
$ ______________________
Legislative Tuition Grant $ ______________________
Work Study Grants
$ ______________________
Private Schlorships
$ ______________________
Graduate Assistantships $ ______________________
Other Sources (Specify) $ ______________________
__________________________________________________________________________________________
__________________________________________________________________________________________
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B. Loans (identify)
Total Funds Identified From Other Sources
Total Requested From National Education Fund
$ __________________
$ __________________
1. Outline of current school achievements and extracurricular activities:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
2. Church and Community activities:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
3. Goals after graduation:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
4. List two (2) references (excluding family members)
NAME _________________________________ ADDRESS __________________________________________________
NAME _________________________________ ADDRESS __________________________________________________
5. Have individuals listed above send letters of reference to:
Shari-lyn Gordon-Jackson, Scholarsip Chairperson
Sigma Gamma Rho National Education Fund, Inc.
8020 Maitland Avenue
Inglewood, CA 90305
DEADLINE: APRIL 30
Signed: ________________________________________________________ Date: ___________________________
(Applicant’s Signature)
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