Scholarship Application "*" indicates required fields PhoneThis field is for validation purposes and should be left unchanged.Please respond to all questions even if the answer is “none” or “not applicable,” etc. Your InformationName* First Middle Last Go by*Home Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code College Address* Same as home UNA dorm Other off-campus address Mobile Phone*Email* InstagramSnapHigh School Attended*City*State*AcademicsAcademic information will be kept confidential and will have to be verified through the university. Click on this link or go to una.edu/fsl/FSL-Forms/fsl-academic-form.html and complete the FSL Academic Verification Form. You will need your UNA L-Number. Select Alpha Tau Omega. Please check all that apply My high school GPA was 3.0 or greater. My ACT score was 24 or greater. I have completed the FSL Academic Verification Form. High School Activities: ATΩ is nationally known as “America’s Leadership Development Fraternity,” and we believe that the best predictor of a person’s future performance is his past performance. Accordingly, we believe leadership positions and participation in activities in high school are a premium. Participation in high school activities such as athletics, clubs, honor societies and other organizations as well as awards and recognitions will be considered in awarding scholarships. Tell us about your high school-related activities you would like to have considered:High School Activity #1High School Activity #2High School Activity #3High School Activity #4High School Activity #5Community Involvement: Activities outside of school will also be considered, particularly community service and leadership opportunities. Examples include volunteer work, scouting, youth group leadership, etc. Tell us about any of your community activities you would like to have considered:Community Involvement Activity #1Community Involvement Activity #2Community Involvement Activity #2Community Involvement Activity #3Community Involvement Activity #4UNA Involvement: We encourage members to become involved in other organizations and activities on campus. We have many connections, and we can assist members in becoming involved. Tell us about any activities or organizations you have considered becoming involved in on campus:Activity #1Activity #2Activity #3Fraternity Involvement*Please give a brief statement about what you hope to gain through fraternity membership:Any other factors you would like us to consider?Agreement* I certify that the information I have provided is true and correct to the best of my knowledge. As membership in the fraternity is a condition for receiving a scholarship, I understand and agree that contact information in the application will be shared with the fraternity chapter so they can contact me regarding opportunities to meet and get to know chapter members.