Scholarship Application for State Scholarship Funds (graduate work by members)
Name:__________________________________________________________Date:_____/_____/____
Address:___________________________________________________________________________
Phone:(_____)_____________Chapter:_______________________________Area:________________
Current position in education:____________________________________________________________
Current employer:____________________________________________________________________
Educational Background
BA/BS degree in:_____________________________________________________________________
College:____________________________________________________________________________
Master's degree in:____________________________________________________________________
College:____________________________________________________________________________
Other credentials/certificates/degrees:_______________________________________________________
____________________________________________________________________________________
Teaching experiences
Position:__________________________________________Level:___________Location:_____________
Position:__________________________________________Level:___________Location:_____________
Position:__________________________________________Level:___________Location:_____________
Studies for which award is requested
Degree/endorsement/certification/National Board Certification/credentials/for which you are applying:
College or other institution:____________________________________Location:______________________
Financial office address:___________________________________________________________________
Statement of financial need
(Money is not available for the full amount of applicants' needs, but it will be helpful to the committee to understand the financial requirements for the completion of the program you have described.)
Requirements ----------------------------Current Year's Need--------------Future
Tuition/Registration/Fees $___________ $_______________
Travel ------------------$___________ $_______________
Living Expenses---------$___________ $_______________
Thesis/Dissertation/Media/
Materials---------------- $___________ $_______________
Delta Kappa Gamma Activities
Chapter:________________________Year Initiated:_________ Current Office:_______________________
Offices and Chairmanships Held:____________________________________________________________
_____________________________________________________________________________________
State, Regional, or National Activities:________________________________________________________
_____________________________________________________________________________________
Recommendations
At least one letter of recommendation from professional associates, supervisors, or graduate advisors must be sent to the State Scholarship Committee chair. Please list their names and phone numbers or e-mail here.
1. ___________________________________________________________________________________
2.____________________________________________________________________________________
Information about Your Program of Study (may be completed on other paper to be attached to this form)
How will your studies help you contribute to the field of education?
How will your studies contribute to Delta Kappa Gamma Society International's purposes?
How will your studies contribute to your own personal and professional growth?
What are your personal and career goals when you complete this program?
Send by February 1 to Billie Hilton, 1825 South 68th Ave. Yakima, WA 98908
Homepage/Scholarhips/Chapter President's Recommendation Form/State Scholarship Fund Stipend