Alpha Delta State Ohio Educational Foundation
The Jane Brundige Stein Scholarship Application
Post graduates in education or nursing who are legal residents of Marion county, Ohio (Non Delta Kappa Gamma members)
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
Current grade taught or area of nursing
*
example@example.com
Years at current position
*
List semester of enrollment
*
Estimated cost
*
Briefly tell about 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 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
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