East Carolina University Phi Delta Kappa

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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
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