Alpha Delta State Ohio Educational Foundation
The Jane Brundige Stein Scholarship Application
For students in the college of education or nursing who are not members of Delta Kappa Gamma
The Ohio State University Marion Branch
Only complete applications will be considered. Have your letters of reference and photo ready to attach to this application.
Deadline February 1st.
Personal Data
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Mobil phone numbers preferred.
Email
*
example@example.com
University Email
*
University ID
*
Major
*
Area of Concentration
*
Additional degrees/ Licensure
*
Grade Point Average
*
Anticipated Date of Graduation
*
Explain in 200 words or less how receiving this grant will benefit you during this year in your education.
*
Have you applied for or received any other scholarships or grants? Please list.
*
Have you been employed throughout your college career? If so, briefly describe position/s held and the average number of hours worked each week.
*
Professional Information
List college activities, awards, and achievements
*
List professional and civic organizations
*
List volunteer experience.
*
In 250 words or less, give your philosophy of teaching or nursing statement.
*
Upload the first Letter of Reference on official letterhead.
*
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of
Upload the second Letter of Reference on official letterhead.
*
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Upload a headshot photo that is appropriate for publication.
*
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Signature (use finger to sign)
*
Submit
Should be Empty: