Alpha Delta State Ohio Educational Foundation
The Jane Brundige Stein Postgraduate Scholarship Application
Postgraduates in education or nursing who are legal residents of Marion County, Ohio BOTH DELTA KAPPA GAMMA AND NON-DELTA KAPPA GAMMA MEMBERS
The Ohio State University Marion Branch
You cannot submit this application until all questions/requests are complete. 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
Postal / Zip Code
Phone Number
*
Mobil phone numbers preferred.
Email
*
example@example.com
Are you a member of Delta Kappa Gamma?
Yes
No
Current grade taught or area of nursing
*
example@example.com
Years at current position
*
List semester of enrollment
*
Estimated cost
*
Describe your current teaching or nursing position
*
Explain in 250 words or less your plans for advanced study and how you will plan to use your scholarship.
*
Have you applied for or received any other scholarships or grants? Please list.
*
Professional Information
List (not a paragraph) postgraduate activities, awards, and achievements
*
List (not a paragraph) professional and civic organizations
*
List (not a paragraph) 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
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