GAMMA MU OMEGA CHAPTER
ALPHA KAPPA ALPHA SORORITY, INCORPORATED
DAYTONA BEACH, FLORIDA

General Scholarship Application

Application must be received and postmarked by March 30, 2008. 

Please Type/print 
NAME: ______________________________________________________
               Last                                            First                                         MI 

ADDRESS:  ______________   City: __________ State: ____ Zip: _______ 

TELEPHONE #: ________________ With whom do you live? ___________ 

Father’s Name: _________________________________________________

Address: ___________________ City: __________ State: ____Zip: ________

Number of dependents: ___________________ 

Mother’s Name: ________________________________________________

Address: ___________________ City: __________ State: ____Zip: ________

Number of dependents:  __________________ 
 

Do you work? ______YES     NO______ How many hours?__________

Employment Firm ___________________

Name of supervisor: ___________________ Telephone#: ________________ 

Do you have volunteer hours? YES___ NO____ How many? ______

Name of Supervisor: __________________ Telephone#: ________________ 
 

Have you filed the FAFSA ____FFS ___ Institutional Financial Aid Form _____ 

Rank in Class _____  GPA ____Test – Composite SAT Score ____ACT____ 

List school activities on separate sheet. 

List community volunteers activities on separate sheet. 

Honors and Awards:
___________________________________________________

___________________________________________________

To what college(s) have you applied?
___________________________________________________

___________________________________________________ 

College admission granted?  YES_____NO_______

Proposed major? _____________________________________ 

Signature of Applicant: ________________________________________

Signature of Parent: __________________________________________

Name of high school: _________________________________________

THIS APPLICATION WILL NOT BE CONSIDERED WITHOUT THE FOLLOWING ATTACHMENTS:

• One letter of recommendation from your high school principal or guidance counselor
• Listing of school activities/hours (Name sponsor for each activity.)
• Listing of community/volunteer activities/hours (Name sponsor for each activity.)
• Official high school transcript
• Essay (typed) Topic: “Today’s Preparation Determines Tomorrow’s Future” (250 -500 words maximum) 
  

REMEMBER TO COMPLETE ALL PARTS OF THE APPLICATION.

RETURN TO:

Barbara Gamble
42 China Moon Drive
Ormond Beach, FL 32174