Personal Information














School Organizations (List memberships and/or offices held while in high school)



Community Organizations (List memberships and/or offices held)






Employment (Previous and current work experience)


BusinessDentalHealth RelatedLaw or LegalMedicineNursingSocial WorkTeachingOther

School Applications




CommutingResidential (on campus)



Family and Financial Information












OwnRent

Identify of financial aid applied for and write date of application.





Identify the sources of funds for payment of your educational expenses and write the amount you expect to receive.








Character References (Local people other than relatives who know you well)















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Once you have submitted your completed application, you must then:

If you have any questions, please feel free to contact:
Gwynne S. Hoye 1235 East Durham Street 19150 215-248-4076
Edith P. Williams 3900 Ford Road #15-O 19131 215-473-1025
or email: akaomegaomegascholarships@gmail.com

All scholarship application and aforementioned documents must be completed and received by the chair of the scholarship committee by April 1.