ALPHA PHI ALPHA FRATERNITY, INC. ALPHA PHI ALPHA EDUCATION FOUNDATION, INC. Distinguished Collegian Award Application Please type all information. The application will be rated on appearance, verifiability of information, clarity, and evidence of achievements. Incomplete applications will not be considered.
PERSONAL INFORMATION Full Name________________________________
Alpha Account # _________________________________
School Address____________________________
Permanent Address________________________________
City_________________________ State __________
City________________________ State ___________________
Zip Code___________ Preferred Address
Phone________________
Zip Code___________ Phone__________________________ Preferred Address
E-MAIL ADDRESS____________________________
Cell Phone__________________________________________
SCHOOL/PROFESSIONAL INFORMATION College/University _____________________________________________________________________________ G.P.A ______________ Major/Minor ____________________ 2010 – 2011 Classification ________________
_____________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Campus /Community Involvement (include: offices held, honors, awards)
FRATERNAL INFORMATION Chapter & Chapter Seat____________________________ Key Number____________ Region________________ Fraternal Activities (include offices held, honors, awards)__________________________________________________
___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Application Requirements -
(a) A Completed Application Packet (b) Official Transcript (Certified by Registrar and in a sealed envelope)* (c) Two (2) letters of recommendation - Alpha Leadership Source (chapter advisor, area or district director, chapter president)
Institution Source (college letterhead)
(d) Resume (e) List involvement with Alpha National Programs and Special Projects
Supporting documents should be unbound, loose pages. Please provide seven additional copies of the application packet. * All applicants must be Alpha men in good standing, currently enrolled as full-time, degree-seeking undergraduates. Minimum G.P.A REQUIREMENT is a 3.0/4.0 or equivalent. Application Deadline: Postmarked by May 1
For Additional Information Or To Forward Materials, Contact: Distinguished Collegian Award Alpha Phi Alpha Education Foundation, Inc. Attention: Brother Jodie Ansel James, Director of Educational Activities
2313 Street Paul Street Baltimore, MD. 21218-5234 (410) 554-0040 - Office (410) 554-0054 – Fax