Graduate Student Application - Beta Delta Chapter-at

advertisement
Sigma Theta Tau Beta Delta Chapter at Large
GRADUATE Student Scholarship Application
Full Name _____________________________________________________________________
Home Address _________________________________________________________________
School Address _________________________________________________________________
Telephone Numbers: Work (____) _______________ Home (
)_______________________
E‐mail Address _________________________________________________________________
Current member of Beta Delta Chapter‐at‐Large? ___ Yes ___No
Member #___________
(Required for graduate applicants scholarships)
Year of Induction into Sigma Theta Tau ____________
Chapter Name _______________________________________________
(If induction was into a chapter other than Beta Delta, when did you become a member of Beta Delta Chapter-at-Large?)
Summarize your involvement in Beta Delta Chapter‐at‐Large activities:
__________________________________________________________________
__________________________________________________________________
Education History:
School (most recent first)
Degree
Years Attended
Position
Dates
Recent Employment History:
Employer (most recent first)
Professional Organization Membership/Community Service Activities:
Name of Organization
Activities/Roles
Page 1 of 3
Dates
Sigma Theta Tau Beta Delta Chapter at Large
GRADUATE Student Scholarship Application
List special awards and recognitions and other scholarships received:
Award/Recognition
Sponsor
Date
School where admitted for Graduate Study_______________________________
When did you begin your course of study? _________________
What is your estimated graduation date? ___________________
Anticipated degree? ____________________________________
What is your current status?
_____Full‐time student
_____Part‐time student
Number of hours completed ______
Number of hours enrolled ________
Describe your student plans for the graduate program you will be or are attending (area of
specialization, special interest for investigation, research areas, etc.) :
Please state in one paragraph why you feel you merit this scholarship.
Page 2 of 3
Sigma Theta Tau Beta Delta Chapter at Large
GRADUATE Student Scholarship Application
I certify that I have read the selection process guidelines for scholarship recipients and that all the
information in this application is accurate. I agree to respond to any requests for further information
from the Scholarship Committee.
Signature____________________________________________ Date______________________
Please check that completed application materials include:
_____ The Application form. Submit one copy.
_____ Two (2) letters of reference. Letters are to be sealed and marked confidential by the
individual(s) completing the reference. The letter should be included as part of the completed
packet. At least one reference must be from a current Sigma Theta Tau member.
_____ A scholarly paper written by applicant. Submit one copy.
_____ Verification of current enrollment in a graduate program.
Applications are accepted twice a year: Due on or before October 1st (Fall scholarships) and March 1st
(Spring scholarships). Please return application materials to address below. Thank you!
Mail to:
Sigma Theta Tau Scholarship Committee
Oklahoma Baptist University
College of Nursing, Box 61805
500 W. University St.
Shawnee, OK 74804
Fax (405) 585-4474
Scholarship recipients are usually announced at Sigma Theta Tau Spring and Fall Induction Ceremonies in
November and April. For questions, contact Wanda Robinson, Scholarship Task Force Chairperson
Wanda.Robinson@swbell.net or by phone (405) 623-2840
(Updated Sept .16, 2014)
Page 3 of 3
Download