Chief Darryl C. Smith Scholarship

Iota Phi Theta Fraternity Inc.
2026 Chief Darryl C. Smith
Scholarship Application

Applicant Information:

First name

Last name

Mailing Address

City:

State:

Zip:

Telephone Number:

Date of Birth

Community College Name

Proposed Major:

School Address:

Extracurricular Activities: Please list all extracurricular activities you participated in during high school and provide a brief overview of activity.

Activity Name:

Overview:

Activity Name:

Overview:

Activity Name:

Overview:

Activity Name:

Overview:

Activity Name:

Overview:

Community Service: Please list all community service activities/projects you have been actively involved in during the past three years. Please specify dates and organizations associated with each activity.

Community Service:

Date

Overview / Purpose:

Community Service:

Date

Overview / Purpose:

Community Service:

Date

Overview / Purpose:

Community Service:

Date

Overview / Purpose:

Community Service:

Date

Overview / Purpose:

Awards and Recognition: Please list all awards received over the past five years, listing the name of the organization(s) giving the award

Award Name & Date

Awarding Organization Name:

Award Name & Date

Awarding Organization Name:

Award Name & Date

Awarding Organization Name:

Award Name & Date

Awarding Organization Name:

Award Name & Date

Awarding Organization Name:

The following documents must be attached to your application upon submission for consideration:

High School Transcript: Applicants must provide a sealed copy of their high school transcript bearing the seal of the Registrar’s office issuing the transcript.

A. High School Transcript:

College Acceptance Letter: Applicants must attach a copy of their acceptance/enrollment letter from the college, or program they plan to attend.

B. College Acceptance letter(s):

Documentation of Financial Need: Applicants must provide documentation of any/all financial assistance including FAFSA awards (grants and/or loans), awarded scholarships from other organizations (faith based,community, or service groups).

C. Documentation of Financial Need:

Letters of Recommendation: Applicants must submit two letters of recommendation from a teacher, guidance counselor or principal from their high school. The name, contact telephone number, and title of the person completing the letter must be included.

D. Letters of Recommendation:

Typed essay on the following topic: What/who are the inspirations for your chosen college major, and how will you utilize your education to impact future generations?

E. Applicant Essay:

Applicant Signature: (electronic)

Applicant Signature

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Date

Iota Phi Theta Fraternity Inc. 2026 Chief Darryl C. Smith Scholarship Application

Iota Phi Theta Fraternity Inc.
2026 Chief Darryl C. Smith
Scholarship Application