Phi Beta Kappa Association of the Phoenix Metropolitan Area
Scholarship Application 2015-2016
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Deadline: June 12, 2015
Donor Information:
Phi Beta Kappa is the oldest undergraduate honors organization in the United States. The Society has
pursued its mission of fostering and recognizing excellence in the liberal arts and sciences since 1776.
The Phoenix area Phi Beta Kappa Association carries out the mission of the national organization by:
 Supporting local college students in the liberal arts with scholarships to ASU.
 Inviting all local members to an annual meeting, to vote for officers of the Board of Directors and
to listen to an eminent guest speaker.
 Organizing attendance at events such as special art exhibits, campus tours, and social occasions.
 Participating in community service activities.
More information can be found at the Society’s web site:
http://www.pbk.org/home/index.aspx
Award Amount and Conditions: $1,000 per year, renewable each semester while in an
undergraduate program. In order for the award to be renewed, the student must maintain at least a 3.50
cumulative GPA with at least 12 credit hours per semester. (Renewal is also subject to the PBK Association
having sufficient resources.) Within two weeks of the end of each semester, the student must submit the
ASU transcript to the address below for our review of the GPA and credit hours. The scholarship can be
used for any educational expense (tuition, housing, books/supplies, etc.).
To be eligible for the scholarship, an applicant must:
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Have completed at least 30 credit hours at ASU.
Have a cumulative GPA of at least 3.50.
Be in the College of Liberal Arts and Sciences.
Have a demonstrated financial need (as determined by FAFSA).
Application Materials (please submit in this order):
 Completed Phi Beta Kappa Association Application
 Personal statement (no more than 2 pages double spaced) describing:
 Personal and family background.
 Education and career goals.
 How this scholarship will assist in achieving your education and career goals.
 Copy of your most recent transcript (unofficial copies are acceptable).
 Copy of your current FAFSA.
 Copy of a graded writing assignment from an ASU course. Include the course name and
the name of the instructor.
Please submit the application and all required material either electronically or by mail (in one envelope) by
June 12, 2015 to:
Phi Beta Kappa Association - Scholarship Committee
c/o Wendy H. Chovnick
5501 E. Muriel Dr.
Scottsdale, AZ 85254
If submitting electronically, please scan and send to wrheller@hotmail.com.
For questions regarding this scholarship, please contact Wendy H. Chovnick at (480) 524-0442.
Notes:
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No application materials will be returned. You are encouraged to keep a copy for your records.
Applications may be downloaded online from www.asu.edu/fa/scholarships. Each application
must be printed out, signed, and submitted electronically or by mail.
Incomplete, late or faxed applications will not be considered.
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PHI BETA KAPPA ASSOCIATION SCHOLARSHIP
2014-2015 APPLICATION FORM
DEADLINE: June 12, 2015
PLEASE PRINT OR TYPE ALL INFORMATION:
Name: _______________________________________________________________________
Last
First
Middle
Address: _________________________________________________
Street
City
Local Phone: _____ ______ ________ Email Address: _______________________________
ASU ID # ________________________
Major: _____________________________________
Have you filed a 2015-2016 FAFSA?
ASU credit hours completed: ____
Yes
No
ASU GPA: ____
In addition to this form, please include in your application a personal statement describing:
 Personal and family background.
 Education and career goals.
 How this scholarship will assist you in achieving your education and career goals.
Also include a copy of your most recent transcript (unofficial copy is acceptable), a copy of your FAFSA,
and a graded writing sample from an ASU course (with the course and name of the instructor identified).
*** All Applicants ***
Consent To Release Records
The 1974 Federal Family Educational Rights and Privacy Act (FERPA) protects the privacy of educational
records that the university maintains about me. By signing below, I give permission for ASU to disclose to
the donor and any review committee the information provided in connection with this scholarship
application for the purpose of the review of my application, and the administration and promotion of the
scholarship program. This may include information from my educational records, such as my official
transcripts, letters of recommendation, and financial aid information. This permission is granted for each
semester I am awarded a scholarship from the Phi Beta Kappa Association.
I certify that the information throughout this application is accurate and that misrepresentation of any facts
or details could result in ineligibility for any scholarships/awards.
____________________________
Student Name
___________________________
Student Signature
_____________
Date
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