Delta Tau Delta International Fraternity

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Application for the Kershner Scholar Award

Chapter Information
School:
Chapter:
Please select the year and term for the data being reported. This is not the current year and term
Calendar Year:
Term:
Current Chapter Mailing Address
Street Address:
City:
State:
Postal Code:
Chapter Phone Number (xxx-xxx-xxxx):
Chapter President Name:
Chapter Director of Academic Affairs:

To be eligible for the Kershner Scholar Award a brother must either:
1. Achieve a GPA greater than or equal to 3.3 on a 4.0 scale
2. Be recognized on the campus Dean's List (or equivalent honor)

Complete name(s) of candidate

Class Rank

GPA > 3.3

Dean's List

Shirt size

Submitted By:

I hereby certify on my Fraternal Oath that this information is accurate

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If you have more brothers to submit, please use another form



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