Kansas Extension Association of Family and Consumer Sciences
APPLICATION FOR KEAFCS SCHOLARSHIP
1.Name:
2.Address:
3.List dependents and ages:
4.Professional experience (job title, location, and dates of service).
5.Professional and honorary organizations in which you hold membership (number of years).
6.Colleges attended, periods of attendance, degrees received.
7.List name of workshop, training or course(s) to be taken and credit hours (if applicable):
8.How will this scholarship be used: (please check and complete information)
IntersessionSchool (Place) (Date)
Summer School (Place) (Date)
Short Course (Place) (Date)
Full Time Graduate
School (Place) (Date)
Workshops (Place) (Date)
Online/Distance
(Place)(Date)
Other (describe)
9.Do you expect to take this course(s) for graduate credit?
IF YOU PLAN TO TAKE THIS COURSE(S) FOR GRADUATE CREDIT, PLEASE
COMPLETE 10-12 and attach a copy of your transcript(s).
10.Proposed area of graduate study
11.Have you been admitted to graduate school?
If so, where
12.What other scholarships or grants have you applied for or received for this study period?
A.Applied for
B.Received
13.Give the date that scholarship funds, if awarded, need to be made available:
14.Describe in approximately 100 words how this professional workshop, training, or
course(s) applies to your plans for professional improvement.
15.OPTIONAL. List any other information that you feel would be helpful to the committee
reviewing your application. (Example: statement of financial need, or qualifications not otherwise stated.)
16.The following letters of recommendation should be submitted:
Recommendation from Executive Board member or member of the Family and Consumer
Sciences Program Development Committee
(Name)
Recommendation from Area Extension Specialist, Family and Consumer Sciences
(Name)
(Those who write recommendations should send them directly to the chairman)
QUALIFICATIONS
1.The recipient must have had a minimum of two (2) years experience in Extension work and must be a member of the Kansas Extension Association of Family and Consumer Sciences (KEAFCS).
2.The recipient is expected to work one year after using the scholarship.
3.The recipient is expected to give a brief report on how the scholarship was used to the
KEAFCS at a regular meeting.
4.The scholarship may be used for professional workshops, trainings, as well as for college
credit.
GUIDELINES FOR DISTRIBUTION
1.$150.00 may be divided among recipients.
2.Members may receive the Kansas Extension Association of Family and Consumer Sciences Scholarship more than one year. Applicants not having received the scholarshipwill receive preference.