DAYTON ALUMNAE PANHELLENIC ASSOCIATION
SCHOLARSHIP APPLICATION
To Be Awarded Spring 2021

Please complete each item as thoroughly as possible.  If filling out this form electronically, you may add additional lines as necessary.  If completing by hand, the back may be used for additional space.

Name of Applicant:_______________________________________________Student ID#:_____________

Permanent Address: _______________________________________________________________________

City:________________State: Ohio  Zip:____________County of Permanent Residence:__________________
(To be eligible, your permanent residence must be in one of the following Ohio Counties: 
Butler, Clark, Darke, Greene, Miami, Montgomery, Preble, Shelby or Warren)

College Address:__________________________________________________Phone:__________________

Email Address:___________________________________________________________________________

Parent or Guardian's Name:__________________________________________Phone:__________________

Father's Occupation:___________________________Mother's Occupation:___________________________

Number of Siblings:________________Ages & Grades in School:_________________________________

High School Attended:_____________________________________________________________________

College Attending:________________________________________________________________________
Year in School:  (circle one)  Freshman / Sophomore / Junior / Senior / Graduate Student

Major/Minor:_____________________________________________________________________________

Cumulative Grade Point Average:__________(attach copy of most recent non-official college transcript)

Sorority Affiliation:____________________________Date Pledged:___________Date Initiated:___________

Campus Involvement:______________________________________________________________________
________________________________________________________________________________________

Community Involvement:___________________________________________________________________
________________________________________________________________________________________

Sorority Involvement:  _____________________________________________________________________
________________________________________________________________________________________

Panhellenic Involvement:__________________________________________________________________
________________________________________________________________________________________

Employment:___________________________________________________________________________
_____________________________________________________________________________________

Reason for Scholarship Request:____________________________________________________________
_____________________________________________________________________________________



To be considered, your completed application and a copy of your most recent non-official college transcript must be mailed (postmarked by the U.S. Postal Service) no later than Feb. 1, 2021. 

 Send to:  Mary Taylor, DAPA Scholarship Chair, 2725 San Rae Drive Kettering, Ohio 45419

Questions? Call Mary at 937-974-0294 or email [email protected]

For Scholarship Committee Use Only:       Date Received:______________  Reviewed by:__________________