Jason C EcklesEastern Regional Scholarship Application
IMPORTANT: / PLEASE TYPE WHEN COMPLETING THIS FORM. ALL ITEMS MUST BE COMPLETED. INDICATE “N/A” IF AN ITEM IS NOT APPLICABLE.PERSONAL DATA
Scholarship Period (Scholarship Application Window)
Choose scholarship period / Date
Current Date.
1.Name (Last, First, Middle Initial)
Enter Name. / 2. Email
Enter Email.
3. Address
Enter Address / 4. Phone (Select One: Choose one )
Enter Contact Phone Number
EDUCATION
5. Name of University
University Name / 6. Bursars Office Email
Bursar Office Email
7. Address
Enter Address here. / 8. Major
Enter Major of Study
9. Classification
Enter Classification / 10. GPA
Enter Current GPA
11. Student ID
Enter Student ID
CHAPTER AFFILIATION
12. Chapter Name
Select One / 13. Financial Status
Select One
14. Chapter Polaris
Current Chapter Polaris Name / 15. Chapter Email
Enter Email @iotaphitheta.org
ESSAY
(Essay must be typed 12 point font with at least 250 words, please put Full Name at top of essay) Required Topic:
Brother Eckles was a dedicated undergraduate whose collegiate career consisted of balance which showed itself from fraternal through social life. Write an essay explaining how you have exemplified the qualities of educational excellence, civic engagement, and camaraderie throughout your collegiate career.
Be sure to identify specific situations during your time in college where you were involved in all three (3) simultaneously.
I certify that I have By signing below, Applicant understands and agrees to all policies, terms, and conditions included in the NIFJason C Eckles Eastern Regional Scholarship eligibility requirements. Additionally, Applicant war rants that all materials submitted are true and correct to the extent of their knowledge. Further, Applicant agrees to waive all claims and releases the NIF including its members, volunteers, and board of directors from any liability or causes of action that may arise as a result of participating in the NIF scholarship process as well as for any information submitted to the NIF.
Signature / Date
STEP 2 – Please include the following via E-mail:
- Completed and signed application.
- Photo copy of your membership card -OR- Fraternity Member ID number.
- Proof of Enrollment for the current semester in which the application is submitted.
- Copy of transcripts for proof of GPA requirements.
- Written essay on the topic as indicated on application.
SPECIFIC ESSAY REQUIREMENT FOR SCHOLARSHIP
- Essay (Typed, 250 words minimum, 12 point Times New Roman)
- Topic: how you have exemplified the qualities of educational excellence, civic engagement, and camaraderie throughout your collegiate career.
(Be sure to identify specific situations during your time in college where you were involved in all three (3) simultaneously.)
STEP 3 – Submission
**All documents must be submitted via emailed.
Completed applications are due date-marked by April 1, 2018
Applications must be emailed to:
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NIF Jason C Eckles Eastern Regional ScholarshipApplication