Fill - Free fillable NATIONAL KAPPA KAPPA IOTA, INC. SCHOLARSHIP APPLICATION PDF form

NATIONAL KAPPA KAPPA IOTA, INC.

SCHOLARSHIP APPLICATION

Revised 1/2021 1

Dear Scholarship Applicant:

Thank you for applying for a National Kappa Kappa Iota Scholarship. One of the missions of Kappa Kappa Iota is to provide monies

for chapter members through regular scholarships and for non-members through educational grants. Scholarships will be awarded

based on educational and professional leadership, service to Kappa Kappa Iota and other organizations, memberships and activities,

and purpose/need. Scholarships will be announced during the Annual Banquet at the National Convention in June.

If you receive an award, the scholarship money will be paid after receiving verification of

enrollment and payment for the courses/programs indicated on the application. Verification

information (bursar’s statement and/or other receipts) must be submitted to National

Headquarters by June 30 of the award year (see A below).

I. INSTRUCTIONS

A. SCHOLARSHIP AWARDS ARE FOR COURSES/PROGRAMS ENROLLED IN FROM JUNE 1 OF THE

CURRENT APPLICATION YEAR THROUGH JUNE 30 OF FOLLOWING YEAR. ONLY NEW AND ADDITIONAL

COURSES/PROGRAMS WILL BE CONSIDERED FOR SCHOLARSHIP AWARDS. NO PREVIOUSLY

COMPLETED COURSES/PROGRAMS ARE ELIGIBLE FOR AWARD PAYMENT.

B. ONLY TYPED APPLICATIONS, ON THE CURRENT FORM, WILL BE ACCEPTED.

C. INDICATE THE SCHOLARSHIP FOR WHICH YOU ARE APPLYING.

D. ANSWER ALL SECTIONS COMPLETELY AND CONCISELY.

E. BE SURE TO OBTAIN THE REQUIRED SIGNATURES.

F. ADDITIONAL PAGES MAY BE ADDED IF NECESSARY.

G. THE ORIGINAL SCHOLARSHIP APPLICATION MUST BE SUBMITTED TO THE NATIONAL

SCHOLARSHIP CHAIR AND SHALL BE POSTMARKED NO LATER THAN JUNE 1.*

H. A COPY OF THE SCHOLARSHIP APPLICATION MUST BE SENT TO EACH MEMBER OF THE NATIONAL

SCHOLARSHIP COMMITTEE, POSTMARKED NO LATER THAN JUNE 1.*

I. INFORMATION CONCERNING DEADLINES FOR STATE SCHOLARSHIPS SHOULD BE OBTAINED FROM THE

STATE SCHOLARSHIP CHAIR.

*(Contact your Local Chapter President or State President for mailing address information. You may also contact Kappa Kappa

Iota National Headquarters at 1-800-678-0389 or by mail at 1875 E. 15

St, Tulsa, OK 74104-4610 for mailing information.)

Any instructions and/or individual scholarship requirements not followed will result in the applicant’s scholarship/grant

application being ineligible for award.

2020-2021 NATIONAL SCHOLARSHIP CHAIR

Wanda Huhn, Chair, PO Box 308, Princeton, LA 71067~ wandahuhn12@gmail.com

COMMITTEE MEMBERS

Judy Craig, 5223 Riverbend RD, Claremont, NC 28610 ~ jcjc216charter.net

Debbie Witt, 2103 Center ST, Dardanelle, AR 72834 ~ debbiewitt9@gmail.com

Carolyn Dye, 23220 HWY T, Waynesville, MO 65583 ~ carolyndye@embarqmail.com

Jane Watson, 5715 S 69th E Ave,Tulsa, OK 74145 ~ gww7391@cox.net

Andrea Barrett, 2301 E Church, Booneville, MS 38829 ~ andjerben@gmail.com

Sue Bell,1818 State RT 14, Deerfield, OH 44411~ dbell1@neo.rr.com

NATIONAL KAPPA KAPPA IOTA, INC.

SCHOLARSHIP APPLICATION

Revised 1/2021 2

. INDICATE THE SCHOLARSHIP FOR WHICH YOU ARE APPLYING

NATIONAL KAPPA KAPPA IOTA SCHOLARSHIPS TO MEMBERS:

 MABLE CALDWELL SCHOLARSHIP, IVA DUGGAN SCHOLARSHIP, JEAN TERRELL

SCHOLARSHIP, OR GENERAL SCHOLARSHIPS (Complete all Sections)

 SCHOLARSHIP ESTABLISHED BY THE PAST STATE PRESIDENTS (Complete all

Sections)

 RETIRED EDUCATOR GRANT (Complete all Sections)

 RUTH FOSTER MCCLAIN SCHOLARSHIP awarded to doctoral candidates (Complete all

Sections)

 SARA SUNDERMAN CAMPUS SCHOLARSHIP established by the Past State Presidents

(Complete all Sections)

OTHER:

 STATE SCHOLARSHIP awarded by a State Chapter (Complete all Sections)

III. REQUIRED: EVALUATION, RECOMMENDATIONS, AND SIGNATURES

A. The following signatures are required: (My signature below indicates that I have read and agree to the stipulations of this

award)

____________________________________________________________________________________________________

Applicant Local Chapter

Date

____________________________________________________________________________________________________

Local President or Campus Kappa Sponsor Local or Campus Chapter

Date

____________________________________________________________________________________________________

State Scholarship Chair State Chapter

Date

B. Attach written and signed recommendations from the:

(1) Local Chapter President or Campus Chapter Sponsor

(2) State Scholarship Chair

C. All signatures must be handwritten.

D. As State President, I have reviewed the applicant's information, the Local Chapter President’s (or Campus Chapter

Sponsor’s comments and those of the Scholarship Chair.

I, too, recommend the applicant for the scholarship or grant indicated.

STATE PRESIDENT'S SIGNATURE ___________________________________________________________________________

STATE CHAPTER __________________________________________________________________________________________

Date

click to sign

signature

click to edit

NATIONAL KAPPA KAPPA IOTA, INC.

SCHOLARSHIP APPLICATION

Revised 1/2021 3

IV. B

IOGRAPHICAL DATA

_______________________________________________________________________________________________________

Name

_______________________________________________________________________________________________________

Street Address

_______________________________________________________________________________________________________

City State Zip

_______________________________________________________________________________________________________

Phone E-mail Address

_______________________________________________________________________________________________________

Current Professional Position/Student Classification

_______________________________________________________________________________________________________

*Chapter *Years of Membership

*not applicable for non-member grant applications

V. EDUCATIONAL AND PROFESSIONAL BACKGROUND (list most recent first)

A. Educational Institutions Attended Degree Earned Graduation Date Major

B. Teaching Experience Place Years

NATIONAL KAPPA KAPPA IOTA, INC.

SCHOLARSHIP APPLICATION

Revised 1/2021 4

C. Other Professional Experience Place Years

I. SERVICE TO KAPPA KAPPA IOTA

A. Local or Campus Chapter

1. Committees and number of years served ___________________________________________________________

____________________________________________________________________________________________

2. Chair ships and number of years served ___________________________________________________________

3. Offices held and number of years served ___________________________________________________________

4. Other _______________________________________________________________________________________

B. State Chapter

1. Number of State Conventions attended ____________________________________________________________

____________________________________________________________________________________________

2. State Committees and number of years served ______________________________________________________

____________________________________________________________________________________________

3. State Committee Chair ships and number of and years served __________________________________________

4. State Offices held and number of years served ______________________________________________________

5. Other ______________________________________________________________________________________

C. National Chapter

1. Number of National Conventions attended___________________________________________________________

2. National Committees and number of years served ___________________________________________________

_____________________________________________________________________________________________

3 National Committee Chair ships and number of years served ___________________________________________

4. National Offices held and number of years served ___________________________________________________

5. Other ______________________________________________________________________________________

NATIONAL KAPPA KAPPA IOTA, INC.

SCHOLARSHIP APPLICATION

Revised 1/2021 5

II.

EMBERSHIPS AND ACTIVITIES IN OTHER ORGANIZATIONS

A. Educational/Professional

Name Committee/Office/Activity Year

B. Civic/Others

Name Committee/Office/Activity Year

C. Honors/Awards

VIII. PURPOSES FOR APPLYING FOR THIS SCHOLARSHIP/GRANT

A. Please check one of the following: Please check one of the following:

Working toward a degree College Freshman/Soph/Junior

Working for professional/personal enrichment College Senior

Advancement/addition to a degree program College Graduate Level

Certification/recertification College Doctoral Level

Other (specify) _______________

B. List Current Grade Point Average (not applicable for Retired Educator Grant)

NATIONAL KAPPA KAPPA IOTA, INC.

SCHOLARSHIP APPLICATION

Revised 1/2021 6

C. Estimate the amount of Scholarship monies needed: ____________

List all scholarship/grant monies (amount and source) that you have been awarded for this award period plus any other

scholarship/grant applications that are currently pending.

Scholarship/Grant Amount Award Pending (yes/no) Date/Amount Awarded

Loans Amount Date Received Date to Begin Payoff

D. Give the college, type of program, and degree or enrichment sought. List anticipated dates of attendance for

upcoming courses/programs outlined for application award period. Be specific in describing your educational

goals.

E. Discuss why you are applying for this scholarship/grant or explain your special need for financial assistance.

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