Phi_Zeta_Zeta_Scholarship_2010

							           Zeta Phi Beta Sorority, Inc.
             Phi Zeta Zeta Chapter
        Phenomenal Phoenix Scholarship
                          Academic Scholarship Application
(Application must be typed or computer generated)

First Name                                           Last Name

Home Address
                                       Street (include apartment number)

City                                                 State                        Zip

Telephone Number:                                        Student E-Mail

Age:                                    Date Of Birth:

Name and Address of High School:




Guidance Counselor Name:                                   Telephone Number:

Name of Colleges Applied to: (attach sheet if additional space is needed)

1)                                                           Accepted:      Yes           No

2)                                                           Accepted:      Yes            No

If accepted to more than one college, which college will you attend in the fall? ____________

Family Background

Mother’s Name

Occupation

Approximate Annual Income
Father’s Name

Occupation

Approximate Annual Income


Names of Siblings                                                                        Age




Will any of the above named siblings be enrolled in college full time in the fall? Yes   No
If yes, please list the name and address of the college they will be attending

School Name

School Address

School and Community Activities in which you participate
             Organization                                                    Position




Employment (Please list most recent employment)




Hobbies




What other scholarships have you applied for?
The definition of Finer Womanhood is different for every woman. We invite you
to tell us in your own words what Finer Womanhood means to you. What are the
characteristics of a Finer Woman? What is your personal benchmark for
attaining this goal as a woman? In this essay please include your career path,
academic goals and personal interest. Essay must be no less than 500 words.




If you are under the legal age of 18 years, please have parent/ legal guardian sign and date
below.

I (We) _____________________________ authorize Zeta Phi Beta Sorority Inc., Phi
            (Parent/Guardian Name)
Zeta Zeta Queens Graduate Chapter to obtain and review school records, and understand that
records will be used to determine the qualification of my daughter for this scholarship. I (We)
understand that all information will be confidential.

Parent Signature                                         Date


I (We) also give permission to take pictures and videotape of our daughter for the purpose of
marketing and publicity of the scholarship.

Parent Signature                                          Date

I hereby acknowledge and certify that all the information and documents that I have provided to
Zeta Phi Beta Sorority Inc, Phi Zeta Zeta Queens Graduate Chapter are accurate. Any false
information will automatically disqualify/forfeit the scholarship application.


Student Signature ___________________________________ Date

Application Deadline: Must be submitted on or before February 5, 2010.
Please mail this application along with an Official High School Transcript to:

                               Zeta Phi Beta Sorority, Inc.
                                 Phi Zeta Zeta Chapter
                               Attn : Nashia Whittenburg
                                    P.O. Box 300387
                                     Jamaica, NY 11434