2011-2012
Dr. Michaeline Chance-Reay Community Woman
KSU SOCIAL CLUB SCHOLARSHIP APPLICATION
Administered by Non-Traditional & Veteran Student Services
Postmark Deadline: March 1, 2011
The Kansas State University Social Club will award one (1) $250 Scholarship to a part-time, non-traditional graduate student. Dr. Chance-Reay, author of “Land Grant Ladies: Kansas State University Presidential Wives,” is long-time member of the KSU Social Club, serving one term as President. This scholarship was established when Dr. Chance-Reay was given the 2006 “Outstanding Faculty Member Award for Community Service: Inspire by Example.” This award recognized her ongoing effort in promoting service to campus and the community through teaching, research, and outreach by encouraging students to volunteer and develop a personal commitment to service. This scholarship will be awarded to a student who demonstrates financial need, academic commitment and community service.
The following criteria will be used to select the scholarship recipient:
1. Must be a first-time recipient of this scholarship. Previous Dr. Michaline Chance-Reay
Community Woman Scholarship recipients are not eligible.
2. The recipient will be a new or continuing non-traditional, female graduate student in a degree-seeking program during the 2011-2012 academic year. The student must also have demonstrated financial need, academic commitment and community service.
3. The recipient must meet one of the following criteria: 25 years of age or older, married, a parent, a veteran, or returning to school after an absence of 3 or more years.
HOW TO APPLY
1. Fill out the application form on the reverse side.
2. Provide documentation of financial need in ONE of the following formats:
a) Apply for Student Financial Aid (complete a 2011-2012 FAFSA).
b) A copy of 2010 Federal Income Tax Form(s).
c) Any additional records such as, copies of veteran’s benefits.
3. Submit a one-page, typed summary describing:
a) Your academic and career goals, and your plans toward achieving them,
b) Your activities and experiences related to your academic and career goals,
c) How this scholarship would help you to meet your goals, and
d) Any unique circumstances and obstacles you may be facing.
4. Submit application packet on time! Late or incomplete applications will not be considered.
5. The scholarship recipient may be asked to speak at a 2011-2012 KSU Social Club luncheon.
Please write your name and Wildcat identification number on all attachments.
Dr. Michaeline Chance-Reay Community Woman
KSU Social Club Scholarship Application Form
Please complete the following: (Type or print clearly)
I am (check all that apply): ______25 years of age or older ______married ______a parent
______a veteran ______returning to school after an absence of 3 or more years
Name__________________________________________Wildcat ID: 8__ __ __ __ __ __ __ __
Local Address___________________________________ Phone ________________________
City/State/ZIP___________________________________Work Phone____________________
Major________________________________________________________________________
Employment within last five years: (please indicate average hours per week) _______________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Honors, achievements, or scholarships: _____________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Other colleges attended: _________________________________________________________
Hours completed toward degree (including transfer credits) __________
Anticipated classification for upcoming semester:
_____Master’s _____PhD.
KSU date of entry_______________ K-State: total hours_____GPA_____
Transfer: total hours_____GPA_____
Signature_________________________________Date_________________
Return to: Dr. Michaeline Chance-Reay Community Woman -
KSU Social Club Scholarship Committee
Non-Traditional & Veteran Student Services
101 Holton Hall
Manhattan, KS 66506
Questions? Contact Non-Traditional & Veteran Student Services (785) 532-6434