Delta Gems 2021-2022 Application

Thank you for your interest in the Dr. Jeanne L. Noble Lansing Delta GEMS (Growing & Empowering Myself Successfully) program.

We are now accepting applications for the 2021-2022 program year!

The following criteria/requirements will be used to determine eligibility:

Female student attending a Lansing-area high school in the fall (grades 9-12)
3.0 GPA or higher
Both applicant and a parent or guardian must be available to attend a mandatory orientation session on Wednesday, August 25, 2021 from 6:30-8:30pm EST.

Completed applications must be received by the new deadline of Sunday, August 15, 2021 by midnight for consideration.

Applicants will be notified of our decision following review of applications.

If you have any questions, please e-mail our program chair, Ms. Carmen Harden at dstlacgems@gmail.com

Personal Information
Name*
First Last
Age (as of 9/1/21)*
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone
Cell Phone
Email Address*
Parent / Guardian Name*
First Last
Parent / Guardian Email*
Parent / Guardian Cell*
Referred By (if applicable):
School Information
School*
Grade (as of 9/1/21)*
Guidance Counselor
Last Semester GPA*
Cumulative GPA*
Honors / Awards*
Additional Information
Talents / Hobbies
Church/Community Activities
Adult T-Shirt Size*
Adult Button-Up Size*
Please write a short statement explaining why you would like to be a participant of the Lansing Delta GEMS program. (150 - 250 words)*
In your opinion, what is a significant issue or development, either positive or negative, that is affecting your generation? How will your participation in a program such as the Delta G.E.M.S. enable you to confront or contribute to this issue or development?*
Please attach a copy of your most recent report card.*
Accepted file types: jpg, png, pdf, Max. file size: 32 MB.
Please attach a photograph of the applicant*
Accepted file types: jpg, png, pdf, Max. file size: 32 MB.

Personal Information