XI ALPHA KAPPA

SCHOLARSHIP FUND

$250.00

Xi Alpha Kappa, Marysville, KS, has an established scholarship fund in the amount of $250.00 available to aid a young man or woman for his or her post high school education. Any MHS Senior who is college or trade school bound and is NOT related to a member of our organization is eligible.

The application will be judged on financial need, scholastics, and the overall character of the applicant.

Our Sorority is a non-profit organization. We are a social group who meet to better ourselves by having more tolerance for our fellow beings through a better understanding of them, a clearer and deeper appreciation for the cultural and finer things in life, and a determination to give the best that is in us. The recipient of this scholarship will be who we feel best reflects our ethics.

The members of Xi Alpha Kappa want to thank you for taking the time to complete our application and wish you the best of luck in your future.

Gina Bartels Kim Hanke Lisa Roever

Megan Behrens Amy Heiman Jane Seematter

Melodee Bruna Leslie Holthaus Jamie Slupianek

Cheri Dettke Amy Larkin Robin Throm

Jessica Draper Denise Nordhus Gina Ward


XI ALPHA KAPPA

SCHOLARSHIP APPLICATION

Name of Applicant

Address

Telephone number

Parents’ Names

Name of School Planning to attend

Course of Study/Major

A current high school transcript must be submitted along with the application.

Please answer the following questions as accurately as possible.

1. Indicate your family’s adjusted gross income from the most recent Federal Income Tax Return:

___Below $25,000 ___$35,000-$45,000 ___$55,000-$65,000

___$25,000-$35.000 ___$45,000-$55,000 ___Above $65,000

2. Indicate the total number of individuals (including parents and dependents) living in your household:

___1-3 ___4-5 ___6-7 ___Above 7

3. Do you work outside of the home:_____Yes _____No

If you marked yes, how many hours per week do you work?

___1-10 hours ___11-15 hours ___16-20 hours ___over 20 hours


4. Describe how you plan to pay for your post high school education and why you need financial assistance.

5. Please state your current GPA:

List any academic awards you have received:

6. What high school class do you think best prepared you for your current career plans and why?

7. Please list 5 volunteer, church, community, and school sponsored activities you participated in during high school.

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8. Describe where you see yourself in the next 5 years.

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