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.