Sigma Pi Phi
Fraternity
Beta Theta Foundation
Knoxville, Tennessee
APPLICATION
2009 Copyright Beta Theta Foundation Knoxville * All rights reserved.(F)
Beta Theta Foundation Application
Name of High School
Guidance Counselor
Mail Transcript to Beta Theta Foundation
(The address is below.)
List the school activities and organizations you belong to or participated in.
Indicate any leadership positions you held in the activity or organization.
Name
Name
Position Held
Position Held
List the activities and organizations you articipate in outside of school . Indicate any leadership positions you held in the activity or organization.
Name
Name
Describe your work history. Who have you worked for, when, doing what and for how long.
Submit a 300 word or more essay on the topic: (1) "Describe What You Think Is America's Most Perplexing Problem It Faces Today and What You Would Recommend As Solutions: (2) Describe why you think you deserve this scholarship.
Applications for the Beta Theta Foundation Scholarship can be completed and sumitted online or you can mail it in. Each application MUST also submit a transcript, two reference letters and the essay by April 15th of the current appliaction year.
Mail to: Beta Theta Foundation, btfoundation.org
Dr. Sheadrick A. Tillman IV
620 Broome Road, Knoxvlle, TN 37909-2107
If you have any questions please contact Dr. Sheadrick A. Tillman IV,
President of the Foundation. 865.531.3525
Position Held
Position Held
Click here to add text.
List any college(s) you wish to attend
Possible field of study in college
Name of Reference and Position
Name of Reference and Position
mail both letters with application
High School GPA
Name and Number of AP courses
Phone
Address
Parent or Guardian
Parent or Guardian
Birth Date
Birth Place
Full Legal Name
First, Middle, Last
Current Address
City, State, Zip
E-mail Address
Home Telephone
Cell Telephone
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