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Scholarship Application

About You

Name(Required)

First Last

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Date of Birth(Required)

MM slash DD slash YYYY

Phone(Required)

Name of Your School(Required)

Your School's Telephone Number(Required)

Your School's Address(Required)

Street Address Address Line 2 City State ZIP Code

Your Principal's Name(Required)

SAT Verbal Score(Required)

Insert N/A if you are using your ACT score. SAT or ACT is required.

SAT Math Score(Required)

Insert N/A if you are using your ACT score. SAT or ACT is required.

SAT Combined Score(Required)

Insert N/A if you are using your ACT score. SAT or ACT is required.

ACT Score(Required)

Insert N/A if you are using your SAT score. ACT or SAT is required.

Class Rank(Required)

Grade Point Average (GPA)(Required)

Graduation Date(Required)

MM slash DD slash YYYY

Please list your extracurricular activities at school and/or in the community.(Required)

Please list your awards, honors, or special recognition you have received.(Required)

What college do you plan to attend? Include the city and state.(Required)

Have you been accepted?(Required)

Yes

No

Identify the semester you plan to attend.(Required)

Summer

Fall

References you have requested to write recommendations on your behalf must be other than family members. One of them must be a teacher from your school. Click the + symbol to add your second reference's name.(Required)

First and Last Name

Reference type

Address

Telephone

Letters may be emailed to 1911scholarship@gmail.com

Scholarship Assets

Official High School Transcript(Required)

Max. file size: 50 MB.

Write a 300-word essay that is organized, developed with specifics, and free of grammatical errors describing your aspirations and career goals. Include the reason you should be a recipient of a scholarship from Kappa Alpha Psi Fraternity, Inc.(Required)

Upload a video statement between 60 seconds and 120 seconds in length about why achievement matters.

Accepted file types: mp4, Max. file size: 50 MB.

About My Parents

Father's Name(Required)

First Last

Father's Address(Required)

Street Address Address Line 2 City State ZIP Code

Father's Phone(Required)

Father's Education(Required)

High School

College

Graduate School

Other

Other(Required)

Father's Yearly Income(Required)

This information helps to determine need, one of the criteria for selection.

Mother's Name(Required)

First Last

Mother's Address(Required)

Street Address Address Line 2 City State ZIP Code

Mother's Education(Required)

High School

College

Graduate School

Other

Other(Required)

Mother's Yearly Income(Required)

This information helps to determine need, one of the criteria for selection.

Acknowledgement(Required)

I hereby state that the information contained in this application and related documents are authentic and true. My official electronic signature verifying the authenticity and truth of information contained in this submission.

Parent's Signature(Required)

Acknowledgement(Required)

I hereby state that the information contained in this application and related documents are authentic and true. My official electronic signature verifying the authenticity and truth of information contained in this submission.

Student's Signature(Required)

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Contact

Ronald C. Williams, Ph.D.
Scholarship Committee Chair
1911scholarship@gmail.com
410-951-3452

Annapolia (MD) Alumni Chapter

Annapolis (MD) Alumni Chapter of Kappa Alpha Psi ^® Fraternity, Inc.

Kappa Alpha Psi's "Coat of Arms" is a registered trademark of Kappa Alpha Psi Fraternity, Inc. Unauthorized use is strictly prohibited. Authorized personnel only. The Annapolis (MD) Alumni Chapter is part of Kappa Alpha Psi's Eastern Province. The Eastern Province comprises Washington, D.C., Virginia, Maryland, and Bermuda. Kappa Alpha Psi is strategically divided into 12 provinces. For more information on the Eastern Province of Kappa Alpha Psi, please visit www.epkapsi.org.

Eastern Province

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©2025 by Annapolis (MD) Alumni Chapter, Kappa Alpha Psi^® Fraternity, Inc.

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