Application For The Emma Foree Scholarship
                                                 or
                        The Birdie Adams Scholarship

 

Theta State Organization of the Delta Kappa Gamma Society International
Mail or deliver to the State Scholarship Chairman,

Sheri Williams


on or before March 1
Application must be typewritten and a recent photograph must be attached.

 Place recent  photo here

Name

Home Address

Delta Kappa Gamma Chapter

Present Position

Business Address

I. Bachelor’s Degree
   Date Obtained
   Institution
   Graduate Degree
   Date Obtained
   Institution
   Additional education and training experiences:
 
 
 

PLEASE SEND A CERTIFIED COPY OF TRANSCRIPTS OF
UNDERGRADUATE AND GRADUATE WORK.

II.  Teaching Experience:  (in chronological order)
 
 

III.  When were you initiated into Delta Kappa Gamma?  (date)

      Chapter:     State:

List your participation in the work of Delta Kappa Gamma at the Chapter, State, and
International levels.
 
 
 

IV. List your participation in community projects and professional organizations.
 
 
 
 
 

V. How would this scholarship be used?  Toward what degree?

     In what field?
     For academic year or summer school?
     Proposed place of study?
     Additional information concerning the use of this scholarship:
 
 

VI. Personal Data:
     Place of birth:     Date of Birth:
     Single:   Married:  Divorced:
     Husband’s name:
     Names and ages of children:
 

     General Health Information:
 
 

     Your responsibility for the financial care of others:
 
 
 

VII.  References:
Please ask three or more persons who are in a position to judge your qualifications for receiving the
Birdie Adam’s Scholarship or the Emma Foree Scholarship to mail their letters of recommendations
or to seal them in envelopes for the applicant to mail to the Theta State Scholarship Chairman,

Sheri Williams
1111 W. Taos
Hobbs, NM 88240 
on or before March 1

on or before March 1.

Please include in your persons for references your Chapter President, major professor, and one of your school administrators.
 

VIII. On a separate sheet of paper, please send an autobiographical sketch.
 
 
 
 

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 last updated 7-20-09