NACAC of Delta Sigma Theta Dr. Betty Shabazz Program Interest Form

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Anne Arundel County girls ages 11-14 are invited to participate in the Dr. Betty Shabazz Delta Academy. Named after Dr. Betty Shabazz, an Honorary Member of Delta Sigma Theta and widow of civil rights leader Malcolm X, the Delta Academy was created as a way to offer opportunities for personal, academic, and social development to preteen and early teenage girls.

Interest Forms will be accepted through August 31, 2021.

Participant Full Name *

Participant Email *

If the participant doesn't have an email - enter a parent/guardian email

Phone *

Name of School You Attend *

Brooklyn Park Middle

Chesapeake Middle

Corkran Middle

George Fox Middle

Lindale Middle

MacArthur Middle

Marley Middle

Meade Middle

Old Mill Middle

Other:

Grade for the 21-22 School Year *

6th

7th

8th

Age as of September 1st, 2021 *

Have you previously participated in a Delta Academy? *

Yes

Please list your years of participation.

List any extra-curricular activities you participate in. *

Write a brief statement about your interest in the Dr. Betty Shabazz Delta Academy program. *

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