Genevieve Andrews Pershke

Scholarship Application

2015-2016

Application Packets MUST be received at Gilkey Hall 213 before 5:00 p.m. on

Friday, March 20, 2015

Personal Information

Name:______

(Last Name) (First Name)(Middle)

OSU ID Number: ______

Major:______Minor (if any): ______

First Term at OSU: ______/ ______

Term Year

Total Completed Credits: ______as of ______/ ______

Term Year

Anticipated Date of Graduation: ______/ ______OSU GPA: ______

Term Year

Contact Information

Local Address: ______

______

Local Telephone No: ____-______-______

Permanent Address: ______

______

Permanent Telephone No____-______-______LegalState of Residence: ______

High School Name and Hometown: ______

Genevieve Andrews Pershke Scholarship ($1000)

This scholarship honors Genevieve Andrews Pershke, who was born in 1923. She attended college and was one of the first people in North Dakota to obtain a teacher’s license. This scholarship reflects her lifelong interest in learning.

Criteria:

  • Students must be enrolled as undergraduates in the College of Liberal Arts with the intent to study Elementary Education
  • Preference will be given to students with a cumulative 3.0 GPA and at least one classroom experience
  • Financial need will be considered in the decision process

A complete application packet includes:

  1. College of Liberal Arts Scholarship Application.
  1. A two (2) page essay describing: an issue you see impacting elementary education today OR your plans for professional development once you have your own classroom.
  1. A one (1) page detailed list of your classroom experience(s), if any. Not required if you don’t have any classroom experience.
  1. A completed financial worksheet.
  2. ***Two (2) letters of reference and completed reference forms (included)from OSU faculty and/or classroom teachers who can attest to your outstanding academic performance. NOTE: No letters/references from family members, please.

☼☼☼☼☼☼ ☼☼☼☼☼☼

Incomplete applications will not be considered

All letters and forms must be received by5:00 P.M. on

Friday, March 20, 2015. You may mail, fax, or email your documents

Genevieve Andrews Pershke Scholarship Committee

OSU, College of Liberal Arts

Gilkey Hall 213

Corvallis, OR 97331

FAX: 541-737-2434

EMAIL:

Please direct any questions to the College of Liberal Arts Student Services Office at 737-0561.

College of Liberal Arts Scholarship

Financial Worksheet

Financial Information

Will you receive OSU financial aid for the 2015-16 academic year?

Yes_____

No_____

Please list the amount of awards you will receive for the 2015-16academic year:

Scholarships/Grants_____

Loans_____

Please list other financial resources for the 2015-16academic year:

Family/jobs/savings_____

Other_____

Total (estimated) financial resources:_____

Expected Costs for the 2015-16 academic year

Tuition/Fees_____

Room/Board_____

Transportation_____

Health Insurance_____

Travel_____

Books/Supplies_____

Clothing/Personal_____

Estimated Total Costs:_____

College of Liberal Arts Scholarship Reference Form

Page 1

Student’s Name:

The student named above has applied for the Genevieve Andrews Pershke Scholarship. This scholarship honors Genevieve Andrews Pershke, who was born in 1923. She attended college and was one of the first people in North Dakota to obtain a teacher’s license. This scholarship reflects her lifelong interest in learning.

To be eligible for this award, students must be undergraduatesin the College of Liberal Arts with the intent to study Elementary Education. Preference will be given to students who have a cumulative 3.0 GPA and at least one classroom experience. Financial need will be considered as part of the decision process.

A complete reference includes this 2-page form AND a detailed letter.

Application Deadline: Friday, March 20, 2015 by 5:00PM

Note: You may submit your reference and letter via email, fax, or deliver it to the address below. Applications will not be processed unless the selection committee receives both documents.

Genevieve Andrews Pershke Scholarship Committee

OSU, College of Liberal Arts

Gilkey Hall 213

Corvallis, OR97331

FAX: 541-737-2434

EMAIL:

Please direct any questions to the College of Liberal Arts Student Services Office at 737-0561.

College of Liberal Arts Scholarship Reference Form

Pershke, Page 2

Student’s Name:

Please rate the applicant on the factors listed below:

Fair / Average / Good / Excellent / Outstanding / Not Observed
Interpersonal Skills
Academic Skills and Knowledge
Motivation and Perseverance
Communication Skills
Leadership
Self-esteem and Confidence
Responsibility and Self-direction
Contribution to Community
Ability to Work with Groups
Attitude

Your Contact information:

Print NameDate

Title/PositionInstitution

Address and Phone

Signature

College of Liberal Arts Scholarship Reference Form

Page 1

Student’s Name:

The student named above has applied for the Genevieve Andrews Pershke Scholarship. This scholarship honors Genevieve Andrews Pershke, who was born in 1923. She attended college and was one of the first people in North Dakota to obtain a teacher’s license. This scholarship reflects her lifelong interest in learning.

To be eligible for this award, students must be undergraduatesin the College of Liberal Arts with the intent to study Elementary Education. Preference will be given to students who have a cumulative 3.0 GPA and at least one classroom experience. Financial need will be considered as part of the decision process.

A complete reference includes this 2-page form AND a detailed letter.

Application Deadline: Friday, March 20, 2015 by 5:00PM

Note: You may submit your reference and letter via email, fax, or deliver it to the address below. Applications will not be processed unless the selection committee receives both documents.

Dean’s Scholarship Committee

OSU, College of Liberal Arts

Gilkey Hall 213

Corvallis, OR97331

FAX: 541-737-2434

EMAIL:

Please direct any questions to the College of Liberal Arts Student Services Office at 737-0561.

College of Liberal Arts Scholarship Reference Form

Pershke, Page 2

Student’s Name:

Please rate the applicant on the factors listed below:

Fair / Average / Good / Excellent / Outstanding / Not Observed
Interpersonal Skills
Academic Skills and Knowledge
Motivation and Perseverance
Communication Skills
Leadership
Self-esteem and Confidence
Responsibility and Self-direction
Contribution to Community
Ability to Work with Groups
Attitude

Your Contact information:

Print NameDate

Title/PositionInstitution

Address and Phone

Signature