The Phi Delta Kappa - ECU Chapter’s Educational Foundation annually awards scholarships to prospective educators. Eligible applicants are graduating high school seniors intending to major in education; graduate students who are currently pursuing a masters degree in education (must be members of PDK); and doctoral students who are currently pursuing a doctorate in education (must be members of PDK). PDK – ECU chapter also awards a professional development scholarship to a currently employed, licensed, public education teacher who is a current PDK member. The application of graduating high school senior who is awarded the local PDK scholarship will be forwarded to Phi Delta Kappa International to be in competition for available scholarships at that level. For more information about PDK International Prospective Educator Scholarships, please visit the following web address: http://www.pdkintl.org/awards/prosedapp_usa.pdf Four scholarships will be awarded in the amount of at least $400.00 in April. The criteria used to select PDK’s scholarship recipients are academic standing, written essay, letters of recommendation, leadership activities and plan on attending ECU and majoring in education. The executive board of the PDK – ECU chapter will review all applications and determine the recipients. All applications are to be submitted no later than February 15th. Applications should be mailed to: PDK Scholarship, PO Box 637, Winterville, NC 28590. Recipients will be selected and notified by March 1 . The application for the winning, graduating high school senior will be forwarded to PDK International by this date. Application Guidelines Essay – Word process or type your response to the essay question on 8 1/2 x 11 inch white paper. Include your name and Social Security number on each page. Limit your response to 500 words or less. (NOTE: An average single-spaced page equals approximately 560 words; a double-spaced page is about 300 words.) PDK identifies one best essay from the finalist pool and provides an additional financial award to the recipient. (SEE APPLICATION FOR CONTENT REQUIREMENTS) Reference Letters – Two letters of reference are required, and only two will be accepted. One letter must be from a person familiar with your academic abilities and school activities; the second letter may come from a person of your choice. Both letters should address your interest in teaching and qualities that will make you a successful educator. Your name and Social Security number should appear at the top of each letter of recommendation. Transcript – Your high school counselor or college academic advisor must make available a copy of your transcript. High school counselors also must determine class size, class rank, and grade point average. If your high school uses percentages instead of letter grades, the standard for converting percentages to letter grades (i.e., 93-100=A, 86-92=B, etc.) must be included. Documentation Check List (Submit the following as a packet in this order) _____ Application _____ Reference #1 _____ Reference #2 _____ Essay _____ Transcript Instructions: 1. Type or print legibly using black ink. Essay must be typed or word processed. 2. Include your name and Social Security number on each page of the application. 3. Do not send folders, binders, photographs, or other attachments. 4. Make a copy of the completed application for your records. REMINDER: Deadline is February 15th RETURN YOUR COMPLETED APPLICATION TO THIS PDK CHAPTER REPRESENTATIVE: Mary Edwards Atten: PDK Scholarship Committee PO Box 637 Winterville, NC 28590 Continue to scroll down for application APPLICATION – Page 1 PHI DELTA KAPPA – ECU Chapter PHI DELTA KAPPA INTERNATIONAL Graduating High School Senior Please type or print legibly in black ink . _____________________________________________________ Last Name First Middle Initial __ __ __ - __ __ - __ __ __ __ Social Security Number ____________________________________________________________________________________ Street Address City State Zip Code M F GENDER: Male or Female (circle one) _____________________________(______)________________ E-mail Address Telephone _______ ETHNICITY: Indicate one classification and put the number corresponding to it in the box to the left. 1. White 3. Hispanic (Non-White) 5. American Indian/Alaska Native 2. Asian/Pacific Islander 4. Black 6. Other: ___________________ _______ ACADEMIC RECORD: A copy of your academic transcript must accompany your application. Indicate to the left with an X, that a transcript is attached. *GPA ________ Class rank ________ ACT ________ PSAT ________ SAT ________ Class Size ________ *Note: Grade point averages are to be figured on a 4.0 scale. __________________________________________________(_______)_________________________ Name of High School Telephone Number ___________________________________________________________________________________ Street Address City State Zip Code Country ___________________________________________________________________________________ Name of Guidance Counselor E-mail or Telephone Y N PHI DELTA KAPPA: Circle “Y” if your parent(s) or guardian(s) are member(s) of PDK International and provide chapter name. Circle “N” if they are not member of PDK. PDK Chapter ____________________ Y N FEA: Circle “Y” if you are a member of FEA – Future Educators Association. Also give the name of your FEA advisor. Circle “N” if you are not a member of FEA. Advisor’s Name: ________________________ ________ EDUCATION MAJOR: PDK scholarships for prospective educators are awards to students pursuing careers in education. * Select one of the academic majors below and put the corresponding number in the box to the left. (05) Early Childhood Education **(20) Secondary Education (10) Elementary Education **(25) Higher Education (15) Middle School Education (26) Special Education ________ **If secondary or higher education is marked on previous page, indicate the subject area you plan to teach. Put number on line to the left. (41) Art (42) Business (43) English and /or Language Arts (45) Family/Consumer Science (46) Technology Education Y N (50) Mathematics (55) Speech and Dramatics (51) Music (52) Physical Education (53) Science (54) Social Studies (56) Other: ______________ EMPLOYMENT: Circle “Y” if you are employed part time and indicate below what job you hold, your responsibilities, and the number of hours per week. Circle “N” if you are not employed. ____________________________________________________________________________________ Employer Number of hours per week ____________________________________________________________________________________ Job Responsibilities LEADERSHIP and ACTIVITIES: List significant activities for each category. Mark an X for the class level when the activities occurred. Please do not abbreviate club or organization names. Education Activities: List those where you worked with students as a teacher, supervisor, coach, tutor, or other leader. Freshman Sophomore Junior Senior Total Hours Community Activities: List those where you participated in service projects or leadership activities outside of school. Freshman Sophomore Junior Senior Total Hours Other Activities: List other significant extracurricular activities not mentioned above. Freshman Sophomore Junior Senior Total Hours REFERENCES: List the two persons you have asked to provide letters of reference. One should be an educator who knows your academic ability, and the other may be a person of your choice. List the name, correct mailing address, and telephone number or e-mail address for each reference. Attach both letters of reference to this application form. Make sure that each letter has your name and Social Security number in the upper right corner. 1. _______________________________________________________________________________________________ Name Title Telephone or E-mail Address _______________________________________________________________________________________________ Street Address City State Zip Code Country 2. _______________________________________________________________________________________________ Name Title Telephone or E-mail Address _______________________________________________________________________________________________ Street Address City State Zip Code Country PARENT(S) or GUARDIAN(S): List the names of your parent(s) or guardian(s) below and indicate if either is active in or retired from the U.S. Military. _________________________________________________________________________________________________ Mother’s Name *Occupation _________________________________________________________________________________________________ Father’s Name *Occupation Note: *If military, indicate branch of military and years of service: _____________________________________________ ESSAY QUESTION: Respond to the following essay question with 500 words or less. Answer all parts of the question. The essay must be typed or word processed and double spaced. Your name and Social Security number should appear on each page in the upper right corner. Attach your response to this application. Why have you selected education as your career choice? What are the skills and attributes that will make you a successful educator? How do you plan to use your education degree to make a difference in the lives or your students? SOME OF THE SCHOLARSHIPS THAT PDK INTERNATIONAL EDUCATION FOUNDATION AWARDS HAVE SPECIAL ELIGIBILITY CRITERIA ESTABLISHED B THE DONOR. IT WILL BE HELPFUL TO KNOW IF YOU QUALIFY FOR ONE OF THESE AWARDS SHOULD YOU BE SELECTED AS A SCHOLARSHIP RECIPIENT. PLEASE REVIEW THE LIST BELOW AND CHECK THOSE FOR WHICH YOU ARE ELIGIBLE. ___ PHI DELTA KAPPA INTERNATIONAL ENDOWED SCHOLARSHIPS WITH SPECIAL ELIGIBILITY CRITERIA DR. JOSEPH H. BLACKSTEAD SCHOLARSHIP – High school seniors in DoDDS schools in Germany pursuing education careers. ___ BESSIE F. GABBARD MEMORIAL SCHOLARSHIP – High school seniors with preference to those in Florida and Ohio and with average GPA. ___ PAULINE B. GOUGH MEMORIAL SCHOLARSHIP – High school seniors entering college to study journalism or English and will teach. ___ MARGARET L. HANSHAW AND FAMILY SCHOLARSHIP – Students in the field of music education, especially returning students with a specific interest in choral music. ___ LANNY HOLM MEMORIAL SCHOLARSHIP – High school seniors from California with preference to Oakland and Bay area students. ___ KERSEY/OGLESBY FAMILY SCHOLARSHIP – High school seniors preparing to major in elementary education or early childhood education with preference to male students from IN, KY, NC, OH, SC, TN, VA, WV. ___ SOL and MOLLIE LIEBOWITZ FUND – High school seniors from Pennsylvania. ___ PETERMICHEL FAMILY FUND – Catholic high school seniors with preference to those who are members of any of the following Catholic parishes: St. Patrick’s in Cairo, Ill.; Pope Pius X in Chula Vista, Cal.; or St. Vincent’s in Bedford, Ind., or who are students at Bedford North Lawrence High School or Monroe County Community high schools in Indiana. ___ GEORGE J. and JESSIE M. SCHMALZ SCHOLARSHIP – High school seniors of need planning to pursue careers in education at any level in any subject. (Please attach statement of need if eligible.) ___ DONOVAN R. WALLING FAMILY MEMORIAL ENDOWED SCHOLARSHIP – High school seniors whose parents are on active duty in or retired from the United States Army and who intend to study music or art and to pursue a career in teaching. ___ RUEY WITTEN FELLOWSHIP FUND – Student teachers pursuing careers in elementary music education. ----------------------------------------------------------------------------------------------------------------------------- -----------------------------------_________________________________________________________________________________________________ Applicant’s Signature Date _________________________________________________________________________________________________ Space Below is for PDK Chapter USE ONLY Mary Edwards Name of PDK Chapter Representative (print clearly) PDK – East Carolina University Chapter Name Mary.Edwards@mail.wilson.k12.nc.us Telephone or e-mail address Chapter Number _________________________________________________________________________________________________ Signature of Chapter Representative Date