SCHOLARSHIP APPLICATION

FOR

GRANT-IN-AID AWARDED BY LAMBDA GAMMA CHAPTER OF

DELTA KAPPA GAMMA SOCIETY INTERNATIONAL

DATE:______

NAME:______

LAST FIRST MIDDLE

PHONE # (HOME)______MARITAL STATUS:______

(CELL)______

CURRENT

ADDRESS:______

STREET CITY STATE ZIP

NAME OF

MOTHER/GUARDIAN:______

CURRENT

ADDRESS:______

STREET CITY STATE ZIP

NAME OF

FATHER/GUARDIAN:______

CURRENT

ADDRESS:______

STREET CITY STATE ZIP

LIST BELOW ALL PERSONS WHO LIVE IN YOUR HOUSEHOLD, INCLUDING ADULTS AND CHILDREN: (use back side of page, if needed)

NAME / AGE / RELATIONSHIP / SCHOOL (IF APPLICABLE)

Please answer the following questions as completely as possible.

1.  What is your career goal?______

______

______

2.  Have you applied for admission to college?______

Where?______

Have you been accepted?______

3. Do you intend to teach?______

4. In what activities, organizations, societies, or clubs have you been active?

______

5. What honors, offices, or special recognitions have you received? (school, church,

community).

______

5. Are you employed? If so, number of hours per week:_____

Earnings per week: $______

6. Name and address of your employer:

______

______

7. Have you secured summer employment? ______If not, would you accept

employment for the summer?______

8. List the names of those who financially support you.

NAME / AGE / RELATIONSHIP / LOCATION / OCCUPATION

IMPORTANT:

The following must be attached to this application form:

1  An official high school transcript.

2.  Proof of acceptance to a college or university.

3.  Short, handwritten autobiography (one page) that includes family information, interests, hobbies, and why you have chosen education as your field. You may include reasons why student aid is desired and any special circumstances that may exist that may qualify you for student aid. Since economic necessity is a substantial factor in awarding this grant, we encourage you to be as detailed as possible.

4.  Letter of recommendation from two teachers

5.  Recent photograph

All information will be kept confidential except to the Grant-In-Aid Committee of Lambda Gamma Chapter. Any information requested on this application that you feel uncomfortable sharing, please omit.

______

I certify that the information supplied on this information sheet is factual and correct to the best of my knowledge.

Signature of Applicant______

Date:______

Eligibility Requirements

for Applicants for the Lambda Gamma Grant-In-Aid Scholarship

1.  Application is open to female students pursuing a career in the field of education.

2.  Student must have at least a B average on senior year high school transcript.

3.  Student must be a graduating senior.

4.  Student must plan to enter a junior college or a university in the summer or fall semester of the current year.

5.  If applicant is selected as a Grant recipient, before the Grant is awarded, her grades at the end of the first semester of college study must be submitted to the Lambda Gamma Grant-in-Aid committee chairman. Transcript must verify that classes are in a field of study toward a degree in an area of education and that all grades are passing. After grades and classes of first college semester are submitted and verified, the Grant monies will be awarded.

Completed applications and accompanying documents are due by March 31, 2016.

Please send to:

Martha Steele

14031 Conway Landing

Cypress, Texas 77429