FCCLA FCS Education Scholarship Application

Lisa Groth Memorial FCS Education Scholarship
The Ultimate Leader Scholarship supports Nebraska FCCLA members enrolling in a postsecondary institution with a major in Family and Consumer Sciences Education. To be eligible to apply, applicants must:
- Be a member of an affiliated Nebraska FCCLA chapter for at least one full year.
- Be actively involved in their chapter’s activities.
- Have completed at least one semester (or the equivalent) of Family and Consumer Sciences classes.
- Be a graduating senior with a cumulative GPA of at least 3.4 on a 4.0 scale (85% average).
- Be majoring in Family & Consumer Sciences Education.
In order to complete this applcation, applicants must also upload their Resume, which includes:
- FCCLA participation at the local, district, state, and national level
- FCCLA officer positions held
- FCCLA recognition received
- School participation & involvement
- Community participation & involvement
These are the minimum requirements for the Resume; additional categories & information can be included.

Once you submit your scholarship application through Jotform, your chapter adviser will automatically receive a Scholarship Materials Submission Form. This form is where your official transcript and the required two (2) Recommendation Letters will be submitted on your behalf.

Your chapter adviser is responsible for collecting and uploading the following materials in the Scholarship Materials Submission Form:
- Applicant's Official Transcript
- Two (2) Recommendation Letters
  - FCCLA chapter adviser
  - Adult familiar with the applicant's qualifications
If the applicant's chapter adviser is also their parent, select another adult school representative to write the recommendation letter.

For additional information about this scholarship, visit bit.ly/neFCCLAscholarships.

Applicant Information
Name*

First NameLast Name
Birthday*

DayMonthYear
Graduation Date*

MonthDayYear
Chapter Name*
School Email*
example@example.com
Cell Phone Number*
Please enter a valid phone number.
Personal Email*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Cell Phone*
Please enter a valid phone number.
Chapter Adviser Name*

First NameLast Name
Chapter Adviser Email*
example@example.com

Postsecondary Plans
Which postsecondary institution do you plan to attend?*
Explain why you have chosen a career in Family & Consumer Sciences Education.*

0/500
How has your FCCLA involvement prepared you for your future?*

0/500

FCCLA Involvement & Leadership
The grade level students could first be an FCCLA member at my school.*
The grade levels in which I have been/am a member of FCCLA.*

6th grade7th grade8th grade9th grade (Freshman)10th grade (Sophomore)11th grade (Junior)12th grade (Senior)
In 500 words or less, describe how your FCCLA experiences helped you develop & refine your personal leadership skills.*

0/500
In 500 words or less, describe how your leadership and involvement made an impact on your local FCCLA chapter.*

0/500
In 500 words or less, describe how your leadership at the chapter level helped your chapter receive state and/or national recognition.*

0/500

Submission
Upload your Resume here.*

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By signing below, I acknowledge that the information provided in this submission is accurate and complete, to the best of my knowledge.

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Lisa Groth Memorial FCS Education Scholarship