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Delta Sigma Theta Sorority, Inc.

Hayward-Tri-City Alumnae Chapter

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For Sorors Only
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First name*

Last name*

Country/Region

Address

City

Zip / Postal code

Home Number

Cell Number

To which gender do you most identify?*

Male

Female

FOR NEW APPLICANTS ONLY

Do you reside in or attend school in Hayward, Fremont, Newark or Union City?

Yes

Do you reside in or attend school in Castro Valley, Dublin, Pleasanton, San Leandro or San Lorenzo?*

Yes

Name of current high school (including city and state)*

What is your current classification (grade level) in high school?*

Freshman (9th grade)

Sophomore (10th grade)

Junior (11th grade)

Senior (12th grade)

FOR PREVIOUS APPLICANTS ONLY

Single choice

Option 1

Option 2

Please list the year(s) you received a scholarship from the Hayward-Tri-City Alumnae Chapter

Year

Name of current college (include city & state)

Undergrad Classification?*

Freshman

Sophomore

Junior

Senior

GPA (on 4.0 scale)*

College Major:

Graduation Date*

Pick date from drop down

EXTRACURRICULAR ACTIVITIES

Please list your extracurricular activities, including the dates of participation and the approximate number of hours spent per week or month on each activity. (Include offices held, awards received, honors, clubs, committees, athletics, etc..)

COMMUNITY SERVICE

Please list all community, public, volunteer and/or church service activities with dates of participation and the approximate number of hours spent per week or month on each activity. (Include name of organization, awards received, etc.)

EMPLOYMENT PROFILE

DISCLAIMER

This website is the sole property and responsibility of the Hayward-Tri-City Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated.

For more information, visit our national website at

www.deltasigmatheta.org

Visit the Farwest Region's website at

www.dstfarwestregion.com/

STAY CONNECTED

For Sorors Only

Hayward-Tri-City Alumnae Chapter, Delta Sigma Theta Sorority, Inc. • P.O. Box 4113 • Hayward, CA 94540 • info.htcac@gmail.com

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