KDP Education Scholarship
Application Form
Spring 2016
The Executive Council and General Membership of UNI’s Psi Chapter of Kappa Delta Pi are happy to announce the one
hundred sixty-seventh sixty-eighth, and sixty-ninth, awarding of our KDP Education Scholarship. Due to over thirty
years of fundraising by members, the chapter is awarding $2000 to three Spring 2016 initiates.
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 ________________________________________
Overall GPA ___________________
Minor _______________________________
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
Approximate Current Indebtedness
$ __________ Total
$ __________ 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
2015 - 2016 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 (by the writers) 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 transcript and financial aid records.
_________________________________________________________________________________________________
Signature
Date
Please forward your application and have your letters of recommendation sent directly to: Becky Hawbaker, KDP Faculty
Counselor, Rod Library 462, University of Northern Iowa, Cedar Falls, IA 50614. The absolute deadline for receipt of
applications and materials is NOON on Thursday, January 21, 2016, 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 fall
initiation program on Sunday, February 7, 2016.