C. Y. Thomas Education Scholarship - Application

Before submitting the online application form, please prepare each of the following documents for upload. Acceptable formats include Microsoft Word, .pdf, .jpg, and .png.

1. Official copy of transcript or letter from school Registrar verifying current status and G.P.A.
2. Headshot photo
3. Personal letter of recommendation from a colleague, organization, church, or family member
4. Academic letter of recommendation from an Administrator or Faculty member
5. 1-2 Page essay describing how you will use your college degree to impact your community

If you have any questions or need assistance, please contact [email protected].

Form to be completed by the Scholarship Applicant.

First Name

Last Name

Email *

Phone *

High School *

Current GPA *

Address

Street Address *

City *

State

Country

USA

Afghanistan
Albania
Algeria
American Samoa
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Anguilla
Antarctica
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Austria
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Bouvet Island
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Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Cote D"Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic Of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea People's Democratic Republic
Republic of Korea
Kuwait
Kyrgyzstan
Land Islands
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
North Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Federated States of Micronesia
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
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Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Eswatini
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
UK
Ukraine
United Arab Emirates
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
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Zambia
Zimbabwe
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Zip Code *

Parent/Guardian (Name, Email, and Phone) *

Date of Your School Awards Ceremony

Organizations and Leadership Positions *

Scholarships and Awards *

Prospective College(s) *

Career Aspirations *

Photo *

Upload a Recent Photo (headshot)

G.P.A .Verification *

Official transcript or letter (certified by School Registrar) verifying G.P.A. and classification

Essay *

1-2 pages describing how you will use your degree to impact your community. Single spaced in 12 pt. Arial or Times New Roman font

Letter of Recommendation - Personal *

Letter of Recommendation from a personal friend or family member

Letter of Recommendation - Academic *

Letter of Recommendation from an Administrator or Faculty Member

Parental Consent *

I have my Parent or Guardian's consent to apply for C. Y. Thomas Education Scholarship

I attest that I am a High School Senior planning to attend college this year. I consent to receiving communications from Phi Beta Sigma Fraternity, Inc - Alpha Theta Sigma Chapter. I attest I was born male.