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The Delta Kappa Gamma Society International
Phi State (Kansas) Organization
Helen D. Bobbitt Hostelship Award

Note: This form may be completed online using the application form on the left or offline using the Microsoft Word document on the left. Once completed, the application must be printed and sent by mail to:

Kim Oatney
Phi State Scholarship Committee Chair
415 W. Commercial
Waterville, KS 66548-9110

Guidelines

The applicant must:

  1. Have been a member of The Delta Kappa Gamma Society International for at least five (5) years, with initiation prior to April 1 of the initiation year.
  2. Be 55 years of age or older. (Requirement of the Elderhostel Program)
  3. Be accepted for an Elderhostel program before mailing the application for the Hostelship. (Secure catalog, registration form, etc., from:
    ELDERHOSTEL, INC.
    11 Avenue de Lafayette
    Boston, MA 02111-1746

    Call toll free:
    1-800-454-5768
    M-F 9 AM to 9 PM EST.)

  4. Mail a completed application, including a small, recent photograph, to the Phi State Scholarships Chairman postmarked by August 15 (October-December), November 15 (January-March), February 15 (April-June), May 15 (July-September) programs.
  5. Write a brief (one page) summary of the Elderhostel experience, to be filled with the Phi State Scholarship Committee Chair four (4) weeks from date of completion of the Elderhostel Program. Please include one (1) or more photo(s) or slides to share with Phi State at the State Convention display.

The application for a Phi State Hostelship will include:

  1. Completion of the form available from the Phi State Scholarship Committee Chair or the Phi State website.
  2. Application must be signed and dated by the applicant and the chapter president or other chapter officer if the applicant is the president.

Importance is attached to a candidate's contributions to Delta Kappa Gamma (offices, participation at chapter, state, regional, international levels).

Applicants are urged to apply again if unsuccessful in obtaining a Hostelship Award.

Eight (8) Hostelship Awards of $300 each will be available during any one (1) year.

Please address application materials to:

Kim Oatney
Phi State Scholarship Committee Chair
415 W. Commercial
Waterville, KS 66548-9110

Hostelship Application (Microsoft Word document)

Helen D. Bobbitt Hostelship Award Application

(Phi State members 55 years of age or older)

Application and supporting documents must be filed with the Phi State Scholarship Committee Chair by:

August 15 (October-December Programs)

November 15 (January-March Programs)

February 15 (April-June Programs)

May 15 (July-September Programs)

Personal Information
First:
Middle:
Last:
Street:
City:    State:    Zip Code:
Phone:
Email: (ALL CAPS)
Delta Kappa Gamma Chapter Information
Chapter:
Initiation Date:
Membership
  Active
  Honorary
  Reserve
Offices Held and Services Rendered

Chapter level:
Office or Service Held:
Committee Chairmanship:
Committee Membership:
Participation year(s):

Office or Service Held:
Committee Chairmanship:
Committee Membership:
Participation year(s):

State level:
Office or Service Held:
Committee Chairmanship:
Committee Membership:
Participation year(s):

Office or Service Held:
Committee Chairmanship:
Committee Membership:
Participation year(s):

International level:
Office or Service Held:
Committee Chairmanship:
Committee Membership:
Participation year(s):

Office or Service Held:
Committee Chairmanship:
Committee Membership:
Participation year(s):

Proposed Use of Hostelship
Place of Study:
Type of program:
Time required to complete the program:
Importance of program to you and/or others:
Amount of award you are applying for is $300.
Reference

Give the name, title, and address of the person you have requested to send a letter of reference to the Phi State Scholarship Committee Chair. This reference must be a chapter officer.
Name:
Title:
Street:
City:    State:    Zip Code:
Phone:
Email (ALL CAPS):

Photo

Please send a recent small photograph for publicity.
Applicant Signature
Name:
Signature:
Date:
Chapter President
Name:
Signature:
Date:


Please send application materials to:

Kim Oatney
Phi State Scholarship Committee Chair
415 W. Commercial
Waterville, KS 66548-9110

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modified: 6/28/2010 | contact webmaster