Scholarship Application

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

Parent/guardian your Alpha

Your parent or guardian's email

What college or university do you plan to attend

What is your intended major?

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

Please write a 250-word essay telling us three things about yourself, and what your career aspirations are.

Attach your jpeg picture

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Attach your professional jpeg picture file here

Attach your transcript with your current grade point average here in pdf format

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Attach your transcript here in pdf format

Attach a letter of recommendation from a teacher. See requirement 2 on the Scholarship page

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Please scan the letter to pdf format. No phone pictures please

REMEMBER YOUR RECOMMENDATION FORM REQUIREMENT

Remember to ask a teacher or counselor to complete and submit a recommendation form, a requirement for your scholarship application. You can find the recommendation form here.

MANDATORY ATTENDANCES FOR SCHOLARSHIP WINNERS:

1. PRE-GALA WORKSHOP
All scholarship recipients must attend a mandatory pre-gala workshop for all scholarship recipients (it will open to applicants as well) on Saturday, January 16, 2027 from 8 am to 12 noon at the Alpha Phi Alpha Fraternity Educational Center at 721 South Walnut, Pine Bluff, Arkansas.

2. ALPHA PHI ALPHA/SOUTHEAST ARKANSAS JEWEL FOUNDATION VALENTINE SCHOLARSHIP FUNDRAISER
All scholarship recipients must attend the Alpha Phi Alpha/Southeast Arkansas Jewel Foundation Valentine Scholarship Fundraiser on Friday, February 12 at 7:06 pm at the Pine Bluff Convention Center.