Genevieve Andrews Pershke

Genevieve Andrews Pershke Scholarship Application 2013-14

Students wishing to apply for this scholarship in the College of Liberal Arts for the 2013-14 academic year must complete the following application form. *Please read through the scholarship criteria to determine if you are eligible. Incomplete applications will not be considered.

Please direct any questions to the College of Liberal Arts Student Services Office at 737-0561.

Application Packets MUST be turned in to Gilkey Hall 213 no later than Wednesday, March 13, 2013 at 5:00 PM

Personal Information

Name: ______(Last Name) (First Name) (Middle)

OSU ID Number: ______-______-______

Major: ______Minor (if any): ______

First Term at OSU: ______/ ______Term Year

Total Completed Credits: ______as of ______/ ______Term Year Anticipated Date of Graduation: ______/ ______OSU GPA: ______Term Year

Contact Information

Local Address: ______

______

Local Telephone No: ____-______-______

Permanent Address: ______

______

Permanent Telephone No____-______-______Legal State of Residence: ______

High School Name and Hometown: ______Genevieve Andrews Pershke Scholarship ($1500)

This scholarship honors Genevieve Andrews Pershke, who was born in 1923. She attended college and was one of the first people in North Dakota to obtain a teacher’s license. This scholarship reflects her lifelong interest in learning.

Criteria:  Students must be enrolled as undergraduates in the College of Liberal Arts with the intent to study Elementary Education  Preference will be given to students with a cumulative 3.0 GPA and at least one classroom experience  Financial need will be considered in the decision process  Please be aware that the selection process for this scholarship may include a phone interview

A complete application packet includes:

1. College of Liberal Arts Scholarship Application.

2. A two (2) page essay describing your classroom experience and professional goals.

3. A completed financial worksheet (included).

4. ***Two (2) letters of reference and completed reference forms (included) from OSU faculty and/or classroom teachers who can attest to your outstanding academic performance. NOTE: No letters/references from family members, please.

All letters and forms must be received by 5:00 P.M. on Wednesday, March 13, 2013

Genevieve Andrews Pershke Scholarship Committee OSU, College of Liberal Arts Student Services Office, Gilkey Hall 213 Corvallis, OR 97331

FAX: 541-737-2434 EMAIL: [email protected] College of Liberal Arts Scholarship Financial Worksheet

Financial Information

Will you receive OSU financial aid for the 2013-14 academic year?

Yes _____

No _____

Please list the amount of awards you will receive for the 2013-14 academic year:

Scholarships/Grants _____

Loans _____

Please list other financial resources for the 2013-14 academic year:

Family/jobs/savings _____

Other _____

Total (estimated) financial resources:_____

Expected Costs for the 2013-14 academic year

Tuition/Fees _____

Room/Board _____

Transportation _____

Health Insurance _____

Travel _____

Books/Supplies _____

Clothing/Personal _____

Estimated Total Costs: _____ College of Liberal Arts Scholarship Reference Form Page 1

Student’s Name:

The student named above has applied for the Genevieve Andrews Pershke Scholarship. This scholarship honors Genevieve Andrews Pershke, who was born in 1923. She attended college and was one of the first people in North Dakota to obtain a teacher’s license. This scholarship reflects her lifelong interest in learning.

To be eligible for this award, students must be undergraduates in the College of Liberal Arts with the intent to study Elementary Education. Preference will be given to students who have a cumulative 3.0 GPA and at least one classroom experience. Financial need will be considered as part of the decision process.

A complete reference includes this 2-page form AND a detailed letter.

Application Deadline: Wednesday, March 13, 2013 by 5:00PM

Note: Please mail this recommendation form and reference letter in a sealed envelope to the address below. Applications will not be processed until the selection committee receives both. If you have questions, please call 541-737-0561.

Please submit directly to:

Genevieve Andrews Pershke Memorial Scholarship Committee OSU, College of Liberal Arts Student Services Office, Gilkey Hall 213 Corvallis, OR 97331

College of Liberal Arts Scholarship Reference Form Page 2

Student’s Name:

Please rate the applicant on the factors listed below:

Fair Average Good Excellent Outstanding Not Observed Interpersonal Skills Academic Skills and Knowledge Motivation and Perseverance Communication Skills Leadership Self-esteem and Confidence Responsibility and Self-direction Contribution to Community Ability to Work with Groups Attitude

Your Contact information:

Print Name Date

Title/Position Institution

Address and Phone

Signature College of Liberal Arts Scholarship Reference Form

Student’s Name:

The student named above has applied for the Genevieve Andrews Pershke Scholarship. This scholarship honors Genevieve Andrews Pershke, who was born in 1923. She attended college and was one of the first people in North Dakota to obtain a teacher’s license. This scholarship reflects her lifelong interest in learning.

To be eligible for this award, students must be undergraduates in the College of Liberal Arts with the intent to study Elementary Education. Preference will be given to students who have a cumulative 3.0 GPA and at least one classroom experience. Financial need will be considered as part of the decision process.

A complete reference includes this 2-page form AND a detailed letter.

Application Deadline: Wednesday, March 13, 2013 by 5:00PM

Note: Please mail this recommendation form and reference letter in a sealed envelope to the address below. Applications will not be processed until the selection committee receives both. If you have questions, please call 541-737-0561.

Please submit directly to:

Genevieve Andrews Pershke Memorial Scholarship Committee OSU, College of Liberal Arts Student Services Office, Gilkey Hall 213 Corvallis, OR 97331 College of Liberal Arts Scholarship Reference Form Page 2

Student’s Name:

Please rate the applicant on the factors listed below:

Fair Average Good Excellent Outstanding Not Observed Interpersonal Skills Academic Skills and Knowledge Motivation and Perseverance Communication Skills Leadership Self-esteem and Confidence Responsibility and Self-direction Contribution to Community Ability to Work with Groups Attitude

Your Contact information:

Print Name Date

Title/Position Institution

Address and Phone

Signature