Paul Whitfield Horn Fellowship Application

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THE PAUL WHITFIELD HORN FELLOWSHIPS
A Project of the University Women’s Club
STATEMENT FOR APPLICANTS
One or more fellowships may be awarded at the discretion of the Paul Whitfield Horn Fellowship Committee. The fellowship
shall be awarded only to a woman accepted for graduate study and working toward a degree at Texas Tech University.
The following factors will be considered in making the award:
1.
Professional achievements and potential for outstanding professional accomplishment.
2.
Academic ability, both demonstrated and potential.
3.
Character.
4.
Financial need.
5.
Likelihood of completing the degree in a timely fashion.
Preferences will be given to the applicant who has attained the highest level; whenever possible, the fellowship will be given to
a woman who previously has earned a Master’s degree and who is working toward a Doctor’s degree.
STATEMENT OF PHILOSOPHY
The Fellowships were established in the belief that the woman who reaches her goal will be more likely to fulfill the promise of
her ability.
PROCEDURE FOR APPLICATION
Incomplete applications will be removed from consideration!
Forward the following items to the committee chairperson before the application deadline:
1.
2.
3.
4.
5.
The completed application form
A letter to the Committee, stating your personal and professional goals and describing how you will use the
fellowship, if one is awarded.
A list of the courses in which you currently are enrolled, stating course titles, prefixes, and numbers.
If there are items of expense, which must be considered, that are not included on the Application Form, include that
information with the material that is submitted to the Committee.
The applicant who requests a grant, which is for a special purpose or project, must show how the project relates to the
major field of study.
Arrange to have the following items sent to the Chairperson:
6.
7.
Official transcripts of courses completed at Texas Tech University as well as all graduate work completed at other
universities or colleges.
Letters of support from at least two professors in the major area of study. (A personal reference may be sent in
addition to the references from faculty.)
Awards usually amount to $500-$1000. Requests for travel expenses in connection with professional meetings are not funded.
Persons chosen to receive award will be notified in April and are expected to attend a University Women’s Club meeting.
The Chair is Jana Packard
College of Education
Box 41071
Texas Tech University
Lubbock, Texas 79409-1071
806-742-1998 x460
MS. 1071
All application materials must reach the chair by the
deadline, Wednesday, March 16, 2011 at 4:00
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Paul Whitfield Horn Fellowship Application
The Chair is Jana Packard
College of Education
Box 41071
Texas Tech University
Lubbock, Texas 79409-1071
806-742-1998 x460
All application materials must reach the chair by the
deadline, Wednesday, March 16, 2011 at 4:00
Date__________________________
Name: _________________________________
Campus Address: ___________________
Home Address: __________________________
_________________________________
_______________________________________
Campus Phone: ____________________
Home Phone: ____________________________
Email: ________________________________________________________________________
Hometown: __________________________________________ (For publicity purposes only)
City
State
Current Academic Information
Department-Area of Study:
________________________________________________________
Program (check only one): ____________
____________
Master’s
Doctorate
GPA in program: ____________________________
Topic of Master’s Thesis (if applicable): _________________________________________________
Date of Comprehensive Exam for Master’s Degree: ________________________________________
Anticipated completion of Master’s program: _____________________________________________
Topic of PhD dissertation: ____________________________________________________________
Date of PhD qualifying exams: ________________________________________________________
Expected completion of Dissertation Proposal: ____________________________________________
Anticipated completion date of doctoral program: __________________________________________
Please mark the statement that best describes where you are in your graduate studies:
_____Beginning master’s degree program
_____Mid-way in master’s degree program
_____Master’s degree program complete except for comprehensive exams and/or thesis
_____Beginning doctoral degree program (with or without a master’s degree)
_____Mid-way in doctoral degree program
_____Doctoral coursework essentially complete
_____Doctoral coursework complete with significant progress on dissertation
Family Information
Husband’s Name, if married: ________________________________________________________
Children’s names and ages if applicable: _______________________________________________
2
Name and address of person who will always know your address:
___________________________________________________________(____)______________
Name
Address
Phone
Financial Information
Amount Requested: $___________________________
(Awards average $500 - $1000.)
Current Scholarships, Fellowships, Assistantships, Grants and other financial aid. Include sources,
dates awarded, and amounts:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Estimated Income from: (Indicate monthly &/or annual income) Monthly
a) Parent(s), guardian(s), or spouse
b) Scholarships and other student financial aid
c) Social security
d) Personal savings or other assets
c) Government subsidy (international students only)
d) Veterans Administration or U.S. Military
e) Gifts
f) Salary
g) Other
Annual
TOTAL:
Estimated Expenses: (Indicate monthly &/or annual expenses) Monthly
a) Tuition and fees
b) Books, instructional equipment/materials
c) Housing and property:
Room and board (dormitory)
Apartment or house rent
Mortgage payments
Payments on other real estate owned
d) Organizational memberships
e) Automobile
1) Make ____________ Model _________ Year _____
2) Operating Expenses
3) Car Payment
f) Other transportation expense
TOTAL:
3
Annual
Past Education:
Degrees held, where earned, dates conferred, and major fields of study:
______________________________________________________________________________
______________________________________________________________________________
Organizations and Activities:
Current Memberships related to your area of study:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Community and civic organizations in which you are active and positions held (last 5 years):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Honors (last 5 years):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Publications or Presentations of Research (last 5 years):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Professional and Personal Goals:
Write a letter to the Committee describing your professional and personal goals, and explaining how you
will use the Fellowship, if awarded, to further your goals. (Please attach your paper to this form.)
*
Complete this form and the letter of application. Arrange to forward official transcript(s)
and letters supporting your application. Review the “Suggestions to Applicants” and the
deadline for applications. Indicate in the letter of application that the transcripts and letters of support are
being forwarded if they are not enclosed with the letter.
*
Do not send this application to the Graduate School. Send the completed application to: Jana Packard,
College of Education, Box 41071, Lubbock, TX 79409-1071 or TTU, Mail Stop 1071
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