Pi Beta Phi Educational Foundation Women’s Scholarship
University of Kansas
2016-2017 Application Form
Page 1
The scholarship is for women undergraduate students at the University of Kansas. Applicants do not have to be a member of a sorority. It may be renewed (with committee approval) if the original criteria continue to be met, or may be a one-time grant. Criteria might include, but are not limited to, graduation from a high school in Kansas, financial need, student debt already accrued, academic performance, passion for your major, future goals, and community service.
This is a three page application, please provide additional information as an attachment.
Please snail mail completed application to
Joanna Glaze. 1023 Westover Road, Kansas City MO 64113
Questions may be submitted to Mrs. Glaze via the first letter in that email address is a j, and is lower case.
Applications are due before March 30th, 2016. Decisions & notifications are made in June 2016. Applications are kept on file in case additional funds become available.
Personal Information today’s date: _
Full name:
What class level will you be in the Fall semester of 2016? (junior, etc)
How many hours do you plan to take in that semester?
Birthdate: current age:
Home address: (street, city, state)
Current KU address:
Address Fall 2016 (if different from your current):
email:
your cell phone: last 3 digits of your KU id:
Pi Beta Phi Educational Foundation Women’s Scholarship
Application Form Page 2
Educational Experience _
High school from which you graduated: in which year?
Did you attend any other college or University before KU? If so, when & where.
High School GPA at graduation: College GPA to date:
If you have declared a major, what is it? GPA in your major:
Financial Information .
Do you or your parents have any loans for college expenses?
If yes, how much debt do you/and or your parents have for college at this time?
What other financial aid helps to further your education at KU?
Parents or Guardian’s personal information _
May we contact your parents if we are unable to reach you on your cell phone?
If your parents do not contribute financially to your college expenses, please indicate.
Father/male guardian:
His address: his phone #:
His occupation/title: His estimated annual income: Employed by: length of employment?
Mother/female guardian:
Address if different: her phone#:
Her occupation/title: Her estimated annual income:
Employed by: length of employment?
Pi Beta Phi Educational Foundation Women’s Scholarship
Application Form Page 3
Additional Family Information
Ages of your siblings: Any siblings attending college now or next year?
If so, which college or University:
Topics you may choose to cover in an addition to your application.
Personalize yourself to us!
Distinctions or honors you have won or earned, academic or others.
School and community activities in which you have participated.
Work experience during high school and college.
Your family. Biological or chosen.
Please comment on the interest, talent, passion or activity that you think has contributed the most to your development.
What kind of life would you choose for yourself in 15 years from now?
If some important aspect of your life is not covered by the questions above or elsewhere in the application, please make additional comments you consider appropriate.
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A resume may be attached as well, but is not mandatory.
Written reccommendations from someone in your academic, spiritual or community service life will be considered, but are not mandatory.
Do you verify that the information you have given us is accurate?
Your signature: