Graduate Fellowship Application Form

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Association for Career and Technical Education (ACTE)
Family & Consumer Sciences Education (FACS)
Graduate Fellowship Application Form
Return application to: Debra Price debraprice81@gmail.com
Fellowships will be given to qualified family and consumer sciences education graduate students who are
citizens of the United States to promote further education and professional development within family and
consumer sciences education. (Number and value of fellowships granted is based on the previous year’s
interest earned in the ACTE-Family and Consumer Sciences Graduate Fellowship account.)
Applications with all supporting information and references should be received by October 1.
In order to promote minority participation and leadership at least one fellowship will be awarded to a
minority applicant, if applicable. Minority shall be defined as African-American, Hispanic-American, NativeAmerican, or Asian American descent. If you wish to be considered as a minority applicant, check the box
below and identify the minority group you represent in the blank provided.

1.
___________________________________________________________
Name __________________________________________
Social Security Number ________________________
Date ______________ _______
Email
ACTE Membership # ___________________________ FCSEA member _____yes
2.
Present Address __________________________________
______no
Phone ____________________
_______________________________________________
3.
Permanent Address _______________________________
Phone ____________________
_______________________________________________
4.
Date of Birth ____________________________________
5.
Degree Sought:
PhD ______ EdD ______
Major _______________________________
MS ______
MEd _____
Minor _________________________________
Name of Institution ______________________________________________________________
6.
Research idea/topic, problem_______________________________________________________
7. Undergraduate educational background:
Name of Institution
Dates Attended
Degree or Diploma
Date Received
______________________________________________________________________________
______________________________________________________________________________
8.
8/15
Undergraduate major ____________________________________________________________
9.
Graduate or Post-baccalaureate study (list current institution first):
Name of Institution
Dates Attended Credits Earned
Degree Received
Date Granted
______________________________________________________________________________
______________________________________________________________________________
10.
Membership and involvement in professional associations, including ACTE:
______________________________________________________________________________
11.
Professional experience:
Dates
Position Held
Employer
Address
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
12.
Publications:
______________________________________________________________________________
13.
Research conducted:
______________________________________________________________________________
14.
Send one official scanned copy of transcripts from all institutions you attended---both
undergraduate and graduate. If mailing, send to Debra Price 116 E Summit St Bolivar, MO 65613.
15.
Attach a brief (no more than three single-spaced pages) autobiographical sketch supporting
your application and stating your professional goals. Include designation of institution where study is
done, areas or emphases of study, possible research topic, and other pertinent information
regarding plans.
16.
References:
Attach three letters of recommendation from three persons whom can attest to your: professional and academic
qualifications, potential for graduate work;, and contributions to the profession. Include: professor, past employer
(someone who is most familiar with your work), and any other.
8/15
Note to applicant:
a.
Applications will be rated by considering:
The likelihood of your completing the degree;
b. The likelihood of contribution to family and consumer sciences education;
c. Previous academic work;
d. Professional association involvement;
e. Professional experience including scholarly work; and
f.
8/15
References.
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