Skip to content
Home
About Us
DSL Chapter
Community Service
Leadership
Member Dues
Life Members
Chapter History
Scholarships
Scholarship Application
Reccomendation
Foundation
Foundation Donations
The Sphinx
News
Home
About Us
DSL Chapter
Community Service
Leadership
Member Dues
Life Members
Chapter History
Scholarships
Scholarship Application
Reccomendation
Foundation
Foundation Donations
The Sphinx
News
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Alpha Phi Alpha Application
*
Your first name, middle initial and last name
*
First
Middle
Last
Your home address, city, state, zip
*
Your email address
*
Student mobile phone
*
Home phone (leave blank if none)
Your graduation date
*
Your GPA
*
Your class rank
*
The high school(s) you attended
*
Your high school address, city, state and zip
*
Honors earned and community services you have performed
*
Your extracurricular activities
*
Your parent or guardian name
*
First
Middle
Last
Parent/guardian Home address/city/state/zip
*
Your parent or guardians mobile phone
*
Your parent or guardian's home phone, if none, leave blank
Your parent or guardian's email
*
Your signature
*
Clear Signature
Enter your signature above with your finger, stylus, or mouse. By signing this form, I acknowledge that all information provided by me in this application is true, complete, and accurate.
Date / Time
*
Date
Time
Parent/guardian signature
*
Clear Signature
Sign only if the student is under 18 years old. By signing this form, I acknowledge that all information provided by the student in this application is true, complete, and accurate.
Date / Time
Date
Time
250 word essay
*
Attach your jpeg picture
*
Click or drag a file to this area to upload.
Attach your professional jpeg picture file here
Attach your transcript here
*
Click or drag a file to this area to upload.
Attach your transcript here in pdf format
Attach a letter of recommendation from a teacher. See requirement 2 on the Scholarship page
Click or drag a file to this area to upload.
Please scan the letter to pdf format. No phone pictures please
Attach a letter from a non-relative community-based-organization official scanned to pdf format
Click or drag a file to this area to upload.
Please scan the letter to pdf format. No phone pictures please
the rank or
Remember to ask a teacher or counselor to complete and submit a recommendation form, a requirement for your scholarship application.
Submit