Pi Beta Phi Educational Foundation Women’s Scholarship 2014 Application Form Page 1

The scholarship is for women undergraduate students at the University of Kansas. Applicants do not have to be a member of a sorority. It may be renewed (with committee approval) if the original criteria continue to be met. Criteria might include, but are not limited to, graduation from a high school in Kansas, financial need, student debt already accrued, academic performance, future goals, and community service.

This is a three page application, please provide additional information on additional sheets or the back of these forms.

Please type or print application and mail to Joanna Glaze, 1023 Westover Road, Kansas City, MO 64113-1123. Questions may be submitted to Mrs. Glaze via [email protected] prior to application deadline. Applications are only accepted via US mail.

Applications are due before April 1st, 2014. Scholarships are awarded for the fall semester 2014. Decisions & notifications are made in summer 2014. Applications are kept on file for one year in case additional funds become available.

Personal Information today’s date: _

Full name:

What class level will you be in school in the fall semester of 2014? (junior, etc)

How many hours do you plan to take in the fall semester of 2014?

Birth date: age:

Home address: (street, city, state)

Current KU address:

Address fall 2014 (if known): email: Summer 2014 email if different: your cell phone: Pi Beta Phi Educational Foundation Women’s Scholarship Application Form Page 2

Educational Experience _

High school from which you graduated: in which year?

Did you attend any other college or University before KU? If so, when & where.

High School GPA at graduation: College GPA to date:

If you have declared a major, what is it? GPA in your major:

Parents or Guardian’s personal information _ May we contact your parents if we are unable to reach you on your cell phone? If your parents do not contribute financially to your college expenses, please indicate.

Father/male guardian: His address: his phone #:

His occupation/title: His estimated annual income: Employed by: length of employment?

Mother/female guardian: Address if different: her phone#:

Her occupation/title: Her estimated annual income:

Employed by: length of employment?

Additional Family Information

Ages of your siblings: Any siblings attending college next year?

If so, which college or University: Pi Beta Phi Educational Foundation Women’s Scholarship Application Form Page 3

Topics you may choose to cover on an additional sheet or the back of one of these forms ( type or print please)

Distinctions or honors you have won or earned, academic or others.

School and community activities in which you have participated.

Work experience during high school and college.

Your family.

Please comment on the interest, talent or activity that you think has contributed the most to your development.

What kind of life would you choose for yourself in 15 years from now?

If some important aspect of your life is not covered by the questions above or elsewhere in the application, please make additional comments you think appropriate.

Letters of Recommendation

These are not mandatory, but will be considered if you choose to submit them. You may also have them sent directly to Mrs. Glaze at the address on page 1 of the application. Please submit them at the same time as the application if possible, in a sealed envelope.

Financial Information

In the fall 2014 semester, how many hours do you plan to take?

Do you or your parents have any loans for college expenses?

If yes, how much debt do you/and or your parents have for college at this time?

If you do not receive our scholarship award, what are your alternatives for financial aid?

Please sign your application, verifying that the information you have given us is correct.

Thank you for your time!