KAPPA LAMBDA MU SCHOLARSHIP FUND Epsilon-Nu Chapter, Tau Kappa Epsilon NAME

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KAPPA LAMBDA MU SCHOLARSHIP FUND
Epsilon-Nu Chapter, Tau Kappa Epsilon
Scholarship Application
NAME__________________________________________________________________________________________
Last
First
Middle
ADDRESS______________________________________________________________________________________
Street
City/State
TELEPHONE #________________________
Zip
STUDENT ID#_______________________________________
SCHOLARSHIP APPLICATION REQUIREMENTS:
1. Gradepoint - attach transcripts or have them sent to the coordinator of the scholarship program with a
notation concerning their purpose (name and address of coordinator on back of form).
2. Proof of initiation into Tau Kappa Epsilon on any campus, or if not a TKE, proof that the applicant’s father
was an initiate of Epsilon-Nu Chapter of TKE at UW-Stevens Point.
3. Activities which demonstrate citizenship, service, leadership, involvement such as: church work,
community involvement, political activities, publications, athletics, employment, university activity, other
than TKE.
ACTIVITY
EMPLOYMENT
YEARS
INVOLVED
OFFICES
YEARS
EXTENSIVE
MODERATE
PARTICIPATION
LIMITED
POSITION(S)
Attach additional sheet, if necessary. Graduation Date?______________________________
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4. On a separate sheet state your goals and ambitions in 100 words or less.
5. Two letters of recommendation, one each from a faculty member and employer must accompany your
application or be sent to the University at the address below. In the event there is no employer, the second
letter may also be from a faculty member or person with knowledge of your abilities. Name those furnishing
letters of recommendation.
Name ______________________________Relationship_______________________________
Address_________________________________________________________________________
Telephone # _________________________
Name _____________________________ Relationship ________________________________
Address_________________________________________________________________________
Telephone # ________________________
________________________________________________________________________________
Applicant's Signature
Date
Applications must be sent to the below address no later than six weeks after the beginning of
each semester, or in the case of summer school, prior to the start of classes. The scholarship
will be in the form of a credit to the tuition bill upon registration for the forthcoming semester.
SEND THIS COMPLETED FORM AND SUPPORTING DOCUMENTS TO:
Terri Taylor
UWSP Foundation
2100 Main Street, Room 134
Stevens Point, WI 54481
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