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

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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 ________________________ 2
If married, your spouse’s occupation and approximate income _____________________________________________ Your occupation ______________________________________________________ <strong>Inc</strong>ome __________________________ Number of Siblings _____________________________________________________________________________________ Number of Siblings in College ________ Financial Support: Yes _______ No ________ Family <strong>Inc</strong>ome 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) $ ______________________ __________________________________________________________________________________________ __________________________________________________________________________________________ 3
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Shari-lyn Gordon-Jackson - Sigma Gamma Rho Sorority, Inc.

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