Delta Cultural Educational & Service Foundation, Inc. Judith D. Asbury Scholarship In Conjunction with South Palm Beach County Alumnae Chapter of Delta Sigma Theta Sorority, Inc.
Dear Applicant: Delta Sigma Theta Sorority, Inc. is a public service sorority with chapters nationally and abroad. Each year, the South Palm Beach County Alumnae Chapter awards a number of scholarships to deserving students to assist in furthering their education. To be considered for a 2013–2014 scholarship award, the scholarship committee must receive an application in compliance with the following conditions:
Completed application postmarked no later than February 20, 2014.
An official transcript (with school seal) inclusive of the first semester, which shows a minimum, un-weighted cumulative grade point average (GPA) of 3.0 (unrounded).
Formal letter of application from the applicant. (reason for applying & leadership roles)
A personal interview with the scholarship committee. Professional attire required.
Application and supporting documents mailed to:
Delta Cultural Educational & Service Foundation, Inc. C/O Scholarship Committee P.O. Box 243825 Boynton Beach, Florida 33424
It is the sole responsibility of the applicant to have all materials in by the February 20, 2014, postmarked deadline. Materials received late or without an official U. S.
postmark will invalidate the application. Sincerely, Revia Lee JeTawn Shannon
Delta Cultural Educational & Service Foundation, Inc.
A nonprofit 501C (3) tax exempt public service organization
P.O. Box 243825 • Boynton Beach, Florida • 33424
Delta Cultural Educational & Service Foundation, Inc. Judith D. Asbury Scholarship
Scholarship Application
Please complete all the information on this form which will help the Scholarship Committee select students eligible for the scholarship award. The information provided by you will be kept in the strictest confidence. 1. Personal Information Name _________________________________________________________________
Address _______________________________________________________________ Street Date of Birth ____________________________ Day Telephone_____________________ Evening Telephone______________ Mother’s Full Name _____________________________________ (If your mother is a member of Delta Sigma Theta Sorority please check box) Father’s Full Name ______________________________________
2. Scholastic Information
Please submit an official transcript (with the school seal) to the Scholarship Committee. High School _______________________________________________________ Date Transcript Requested __________________________________________
Please list the colleges to which you have applied and indicate the status of acceptance. College/University
____________________________________________________________________
____________________________________________________________________ ____________________________________________________________________
Delta Cultural Educational & Service Foundation, Inc.
A nonprofit 501C (3) tax exempt public service organization
P.O. Box 243825 • Boynton Beach, Florida • 33424
Delta Cultural Educational & Service Foundation, Inc. Judith D. Asbury Scholarship
What is your anticipated major/minor? Major ______________________________ Minor _____________________
3. References
Please submit three character reference letters and list their names below. ________________________________ ____________________________________
________________________________ ____________________________________ Name
________________________________ ____________________________________ Name
4. Letter of Application
Submit a formal letter of application to the Scholarship Chairperson. The letter should include your reason(s) for applying for this scholarship, school leadership roles and short or long-term goals. NOTE: A RESUME CAN BE INCLUDED, BUT WILL NOT BE ACCEPTED AS A SUBSTITUTE FOR A LETTER OF APPLICATION. 5. Certification I certify that all the information provided herein is true to the best of my knowledge. I realize that my application may be disqualified if false or misleading information is provided. Signature of Applicant ________________________
Delta Cultural Educational & Service Foundation, Inc.
A nonprofit 501C (3) tax exempt public service organization
P.O. Box 243825 • Boynton Beach, Florida • 33424
Gabriel Maislos, DPM, FACFAS BIOGRAPHICAL DATA: Date of Birth: June 24, 1974 Place of Birth: Detroit, MI HIGH SCHOOL EDUCATION Kinkaid High School Houston, TX 1988-1992 UNDERGRADUATE EDUCATION: Tufts University Medford, MA Bachelor of Science, Biology 1992-1996 MEDICAL EDUCATION: Dr. William M. Scholl College of Podiatric Chicago, IL Medicine