<p> KAPPA KAPPA KAPPA Alpha Chapter, Bloomington, Indiana 2013 Scholarship Application (BHSN & BHSS) DEADLINE: April 15, 2016</p><p>INFORMATION AND INSTRUCTIONS</p><p>Kappa Kappa Kappa, Alpha Chapter, annually awards two $1,000 scholarships to a graduating senior from Bloomington High School North and Bloomington High School South (one scholarship at each school). Scholarships may be used at any approved and accredited college or university in the State of Indiana.</p><p>Scholarships must be used the year immediately following high school graduation. Payment is made in two installments: half at fall semester enrollment and the other half at second semester enrollment provided the recipient has maintained a “C” average.</p><p>Applicants must plan to remain enrolled at a college or university in the State of Indiana for the next academic year (or two consecutive semesters) to maintain eligibility for this scholarship. The scholarship is not transferable to an out-of-state college or university. Transferring to an out-of-state program during the award period will make the recipient ineligible for the full or any remaining portion of the scholarship.</p><p>Scholastic ability, academic potential, personal statement, financial need, and extracurricular activities are the criteria used to select recipients. The members of the Alpha Chapter Scholarship Committee will review all applications and determine the scholarship recipients. Applicants will not be interviewed. The recipients will be announced no later than April 30, 2016.</p><p>CHECKLIST FOR A COMPLETE APPLICATION</p><p> Completed application form (two pages). NOTE: An electronic version of the application is on file at the BHSN and BHSS Counseling Offices.</p><p> Official high school transcript. If your Social Security Number is printed on the transcript, please black it out.</p><p> A minimum of two (2) letters of recommendation in support of the applicant’s credentials. When seeking a letter of reference:  Be sure to give ample time so your reference can adequately support your application. Ask for letters of support now. Don’t wait until the last minute.  Consider how long and how well you have known the reference. For example, an occasional meeting with a counselor or a random meeting with an administrator doesn’t necessarily mean that the individual will feel comfortable serving as a reference.  Remember, letters of reference fulfill a specific function: to provide an honest evaluation of an individual. Try to identify someone who can provide an honest assessment of your abilities. Letters should include at least one (1) recommendation from each of the following groups: 1. Teacher, faculty advisor, school administrator, or guidance counselor (ex. teacher from a favorite class, school staff members who may know you from your involvement in school activities, a teacher you may work with outside of classroom activities) 2. Employer or extracurricular activity advisor (ex. coach, music/dance instructor, staff from volunteer organizations), or a personal reference from someone who knows you well (preferably not a relative)</p><p>You will need to submit the original documents, and one set of copies. All items should be submitted in the order listed above. Please staple or clip items together and place them inside a folder or large envelope. Completed application packets must be submitted directly to the BHSN or BHSS Counseling Office no later than April 15, 2016. KAPPA KAPPA KAPPA Alpha Chapter, Bloomington, Indiana 2013 Scholarship Application (BHSN & BHSS) DEADLINE: April 15, 2016</p><p>PLEASE PRINT or TYPE</p><p>ABOUT YOU Name: Birth Date:</p><p>Home Address:</p><p>City, State, Zip:</p><p>Phone Number: E-Mail Address:</p><p>Parent or Guardian Name(s):</p><p>ABOUT YOUR EDUCATION High School:  Bloomington High School North  Bloomington High School South SAT Score: ACT Score (if available)</p><p>Colleges you have applied to:</p><p>Colleges you have been admitted to:</p><p>At this time, which college do you plan to attend?</p><p>If you have chosen a course of study, what area(s) is/are of interest to you?</p><p>ABOUT YOUR FAMILY Occupation of Father or Guardian:</p><p>Occupation of Mother or Guardian:</p><p>Number of Children in Family: Number of Children in College:</p><p>Kappa Kappa Kappa Scholarship Application for BHSN and BHSS: Page 1 of 2 HOW DO YOU PLAN TO PAY FOR COLLEGE? What is the combined annual income of your parent(s)/guardian(s)? (Place an “X” in the appropriate box.):</p><p>Less than $25,000 $25,000 to $49,999 $50,000 to $74,999 More than $75,000</p><p>Amount you have saved for college Amount you need for college </p><p>How will you pay for your college education? (Place an “X” in boxes that apply.)</p><p>Parents Loans Savings Work-Study or Part-Time Job Scholarships/Grants Other (please specify)</p><p>WORK OR VOLUNTEER EXPERIENCE: Please list any work or volunteer experience, including summer jobs, or you may attach a resume to your application.</p><p>Job/Position Company/Organization Length of Time</p><p>PERSONAL STATEMENT On a separate sheet of paper, write a short autobiography. Include in this autobiography your reasons for desiring a college education and your current life goals. You may use this opportunity to give specific information concerning special interests, honors, awards, offices held, and extracurricular activities during high school.</p><p>Kappa Kappa Kappa Scholarship Application for BHSN and BHSS: Page 2 of 2</p>