KDP Education Scholarship Application Form Spring 2011

The Executive Council and General Membership of UNI’s Psi Chapter of Kappa Delta Pi are happy to announce the one hundred forty-second, forty-third, and forty-fourth awarding of our KDP Education Scholarship. After over twenty-eight years of ongoing fundraising by members, the chapter is ready to award $2500 to three Spring 2011 initiates. This is the forty-fifth semester in which we have been able to make as many as three awards!

The scholarship is designed to honor future educators of special promise who have demonstrated academic excellence and high ideals during their college careers. Consideration will also be given to financial need. To be eligible, candidates must have at least one full-time semester remaining at UNI before graduation.

APPLICATION FORM General Information

Name ______Student # ______

E-mail ______

Campus Address ______Telephone ______

Permanent Address ______Telephone ______

Expected Semester of Student Teaching ______

Major ______Minor ______

Overall GPA ______GPA in Major ______Advisor ______

Other Post Secondary Schools (Including Community Colleges) Attended ______

Names of student organizations of which you are a member ______

Voluntary (not for class) educational and service activities while at UNI ______KDP Education Scholarship Application Page 2 Work Experience related to education ______

Are you working to support your schooling at UNI? Yes No

If Yes, Employer(s) ______

Position(s) ______

Current Income $ ______Summer $ ______Academic Year $ ______Total

Approximate Current Indebtedness $ ______UNI Financial Aid $ ______Other $ ______Total

Are you receiving financial aid for your tuition and/or room and board for this academic year? Yes No Scholarships? Yes No

2010-2011 Loan Total $ ______Grant Total $______Scholarship Total $ ______

Please attach a personal statement of approximately one typewritten, single-spaced page, in which you express your reasons for believing that you are qualified to receive the KDP Education Scholarship. If you are applying for more than one KDP scholarship, please submit a distinctly different statement for each one.

Please have two letters of recommendation submitted which can help the Selection Committee assess your qualifications for this scholarship. If you are applying for more than one KDP scholarship, please have distinctly different letters submitted for each.

1 ______. _ Name Address Telephone

2 ______. _ Name Address Telephone

I, ______, hereby make application for the Kappa Delta Pi Education Scholarship and authorize the Selection Committee to review my academic and financial aid records.

______Signature Date

Please forward your application and have your letters of recommendation sent directly to: Dr. Stephen Fortgang, KDP Faculty Counselor, 117 Schindler Education Center, University of Northern Iowa, Cedar Falls, IA 50614-0607. The absolute deadline for receipt of applications and materials is NOON on Wednesday, January 26, 2011, so those who are interested should begin the application process IMMEDIATELY!!! Candidacies of students with applications or letters received after that time will not be considered. The recipients of the Kappa Delta Pi Education Scholarship will be announced during the spring initiation program on Sunday, February 13, 2011.