Phi Upsilon Omicron Scholarship App

Phi Upsilon Omicron Undergraduate Scholarship Application

2017-2018
Undergraduate Scholarships are awarded to students enrolled in baccalaureate degree programs in Family and Consumer Sciences or a related area, ranging from $500-$5,000.
Scholarship Application Directions
IMPORTANT: This application cannot be saved and resumed later. Please review and obtain ALL information and requested documentation before you begin.
Name *

Last Name First Name Middle Initial

Current Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Permanent Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail *
Phone Number *

- Area Code Phone Number
Cumulative GPA *
Phi U Chapter (Where Initiated) *
Date of Initiation (Month and Year) *
Phi U Chapter Advisor Information
Name of Chapter Advisor *
Institution Where Degree is Being, or Will Be Pursued *
(College/University)
Overall Family and Consumer Science Unit Name *
(e.g., Family and Consumer Sciences)

Advisor *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Advisor E-mail *
Advisor Phone *

- Area Code Phone Number
Phi U Chapter Advisor Signature
Please print and sign
Classification
Major *
Year in School *
Degree Currently Pursued *
Expected Graduation Date *
(for current degree)
Academic Unit Administrator Information
Name of Unit Administrator *
(name, position, title, e.g., Dean, Ph.D.)
Institution Where Degree is Being, or Will Be Pursued *
(College/University)
Overall Family and Consumer Sciences Unit Name *
(e.g., Family and Consumer Sciences), not sub-unit

Administrator *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Adminstrator E-mail *
Adminstrator Phone *

- Area Code Phone Number
Current Status of Degree (Institutions Attended)

List all *

Institution
Dates Attended
Hours Completed	Degree Pursued
Postal / Zip Code	Country

If applicable

Institution #2
Dates Attended
Hours Completed	Degree Pursued
Postal / Zip Code	Country

If applicable

Institution #3
Dates Attended
Hours Completed	Degree Pursued
Postal / Zip Code	Country

Honors and Recognitions Received while Attending College *
Professional Service

Please list specific dates and service, including but not limited to officers and committees, for each of the three categories below.
Phi Upsilon Omicron
Other Family and Consumer Sciences Organizations
Other University and/or Community Organizations
Professional Goals' Statement and How Goals Contribute to Family and Consumer Sciences (500 words or less) *
Financial Information

Explanation of 'Other' Income:

	INCOME
Personal Employment
Parental Contribution
Grants
Savings
Scholarships
Loans
Child Support/Alimony
Other Relatives
Other
TOTAL INCOME:

	EXPENSES
Tuition and Fees
Books
Other School Supplies
Rent/Mortgage/Dorm
Food/Meal Plan
Utilities
Insurance
Transportation (car payments, etc.)
Clothing
Personal Items
Entertainment
Communications
Credit Card Payments
Child Care
Child Support/Alimony
Loan Payments
Medical Expenses
Other
TOTAL EXPENSES:

Explanation of 'Other' Expenses:
A Written Justification Statement of Financial Need (*Required for Howe, Sampson, and/or Schoephoerster Scholarships) *

List three references. (*References must include a current or previous academic advisor and a current or previous professor.) Recommendations need to address character, leadership, service and ability. Financial need should be addressed in recommendations for Howe, Sampson and/or Schoephoerster Scholarships. *

	Name	Title
Reference 1
Reference 2
Reference 3

Scholarship Listing

Several scholarships have specific requirements. PLEASE CHECK ALL FOR WHICH YOU ARE APPLYING. You are automatically considered for the following General Scholarships: Century, Challenge, Clewell, Closs/Parnitzke/Clarke, Forthun, Golden Anniversary, Hollenbeck, Members/Centennial, Past Presidents, Rust, Seidel and Sanders.
The Howe, Sampson and Schoephoerster Scholarships are available to Phi Upsilon Omicron members to be enrolled during the FULL 2017-2018 academic year.
Financial Statement Required for the Following:

Phyllis S. Howe
Financial Statement Required for the Following:

Margaret Jerome Sampson (*Preference given to Dietetics or Food and Nutrition Major; One recommendation should be from Chapter Advisor)
Financial Statement Required for the Following:

Lillian P. Schoephoerster (*Preference given to Non-Traditional Student)
The following Scholarships are available to Phi Upsilon Omicron members to be enrolled for the fall 2017 academic quarter/semester OR during the full 2017-2018 academic year:
Additional Scholarships with Specific Requirments:

Treva C. Kintner (*Preference given to Non-Traditional Student. Must have at least half of academic work completed.)
Martha Combs Jenkins (*Exemplary commitment to Phi Upsilon Omicron.)
Jackman (*Preference given to Family and Consumer Sciences Education Major. Exemplary commitment to Phi Upsilon Omicron.)
S. Penny Chappel (*Peference given to Fashion Design and Construction, Textile Design and Development and/or Textile Preservation Major.)
Tommie J. Hamner (*Exemplary Commitment to Phi Upsilon Omicron.)
Hazel Hatcher (*Preference given to student who has overcome obstacles to their educational career.)
Susan M. Rickards (*Exemplary Commitment to Phi Upsilon Omicron.)
Nell Bryant Robinson (*Preference given to Dietetics or Food and Nutrition Major.)
Sutherland/Purdy (*Preference given to Clothing and Textiles, Apparel Design or Fashion Merchandising Major, holding a leadership position in a Phi U Chapter.)
Mary Weiking Franken (*Preference given to Child and/or Family Major or Family and Consumer Sciences Education Major.)
Delores M. Kluckman (*Preference given to Family and Consumer Sciences Educational Major. NOT required to be a chapter officer.)
Marty Bickett Frost (*Available to all Family and Consumer Science Majors; Cumulative GPA: 3.3 minimum.)
Applicant Responsibility

IMPORTANT: Applicants are responsible for notifying the Phi Upsilon Omicron National Office if status should change from the information provided on the applications. (e.g., name, address, in stitution) By signing below, you are confirming your understanding and willingness to comply.
Applicant Signature
Please print and sign
I have read and understand the Scholarship Application Directions. *

I agree
Rules Governing Phi Upsilon Omicron Undergraduate Scholarships

1. Recipients will be selected without bias toward race, color, national origin, age, sex, religion, disability, veteran status, or sexual orientation.

2. Alternate recipients will be selected and notified if the original recipient is unable to accept.

3. Picture and resume will be requested of undergraduate scholarship recipients for publicity purposes.

4. Scholarship payments will be sent to the chapter advisor or unit administrator. Recipients must be enrolled as fulltime students for the semester(s) in which scholarship money is received.
IMPORTANT: You MUST PRINT your application (2 copies to be submitted to the National Office) PRIOR to hitting the SUBMIT button. You will NOT be able to access your application after it has been submitted. Your submission will be confirmed with a green check mark.
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Phi Upsilon Omicron Undergraduate Scholarship Application

Phi U Chapter Advisor Information

Classification

Academic Unit Administrator Information

Current Status of Degree (Institutions Attended)

Professional Service

Financial Information

Scholarship Listing

Applicant Responsibility