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