Eastern Kentucky University s1

REBECCA B. PELFREY ENDOWED MEMORIAL SCHOLARSHIP
EASTERN KENTUCKY UNIVERSITY DEPARTMENT OF OCCUPATIONAL SCIENCE AND OCCUPATIONAL THERAPY
APPLICANT INFORMATION
Name:
EKU Student ID Number: / Local Phone:
Local address:
City: / State: / ZIP Code:
Permanent address:
City: / State: / ZIP Code:
E-mail: / Other Phone:
Applicant Signature: / Date of Application:
SCHOLARSHIP CRITERIA
Criteria:
Enrolled in year 1 of the EKU, Master of Science in Occupational Therapy Program
Min. GPA of 3.0.
1-2 page essay, typed and doubled spaced, describing how being a student from Eastern Kentucky has influenced his or her occupational therapy education and career plans.
Completed Student Aid Report (SAR) (summary of rated FAFSA) demonstrating financial need
SUBMIT ALL COMPLETED APPLICATION MATERIALS TO PEGGY BOWMAN IN DIZNEY 103 BY THE DEADLINE DATE
FOR OFFICE USE ONLY
Application Form Complete: YES NO / Date Received:
ESSAY Attached: YES NO