Phi Kappa Phi Application Form

EMERGING SCHOLAR AWARD As part of its efforts to recognize and encourage academic achievement in all disciplines, The Honor Society of Phi Kappa Phi is pleased to sponsor this Emerging Scholar Award. The Phi Kappa Phi Board of Directors encourages qualified undergraduates in all areas of study to apply. The program is designed to help support you as you continue to seek knowledge and experience in your academic field. 2008–2009 A P P L I C AT I O N PA C K E T FOR FURTHER INFORMATION : 1-800-804-9880, ext. 35 fax 225-388-4900 E-mail: EmergingScholar@phikappaphi.org Web site: PhiKappaPhi.org Mailing Address The Honor Society of Phi Kappa Phi 7576 Goodwood Blvd. Baton Rouge, LA 70806 EMERGING SCHOLAR AWARD COMPETITION General Instructions for Completing the Emerging Scholar Grant Application Before completing the Award Application, carefully read all instructions and information. Sixty $250 Emerging Scholar Awards are available for 2008–2009. DEADLINE The complete application and supporting documents must arrive at Phi Kappa Phi Society Headquarters on or before July 14, 2008. Materials arriving after the due date will not be considered. ELIGIBILITY The competition is open to students in all fields of study. Applicants must meet the following eligibility requirements based on the 2007–2008 academic year: You must be enrolled at an institution that has an active Phi Kappa Phi chapter (see www.PhiKappaPhi.org/Web/Chapters for listing). You must have a cumulative grade point average (GPA) of at least 3.75 on a 4.0 scale. You must have been enrolled as a full-time student during the fall 2007 and spring 2008 academic year. You must have earned at least 30 semester hours (excluding all AP, Credit by Exam, transfer credits, etc.) of academic credit. PLEASE NOTE: You must have earned no more than 60 semester hours (excluding all AP, Credit by Exam, transfer credits, etc.) during your post high school academic career. PREPARATION OF THE APPLICATION 1. Applications must be typed. You may download a “writeable” application online (type directly on the online application and print) on our Web site–PhiKappaPhi.org. Prepare all documents in 11 or 12 point font size. 2. Please answer each item on the application in the space allowed. Do not add supplemental sheets other than the required transcript. 3. In your “Personal Statement,” clearly (a) identify the goals you plan to accomplish if you are awarded an Emerging Scholar Award and (b) address the other topics indicated. 4. An original of the application should be submitted, along with one official transcript in a sealed envelope or sent electronically from your academic institution. Unofficial transcripts (ie, personal files, downloaded copy of grades) will not be accepted. 5. Complete the Applicant’s Checklist, then read and sign (electronic signatures will be accepted) the Applicant’s Certification, which indicates that you understand and accept the conditions under which the award is granted. MAILING OF THE APPLICATION AND SUPPORTING MATERIALS 1. Deadline: A complete typed application must arrive at Phi Kappa Phi Society Headquarters on or before July 14, 2008. 2. Send the application and supporting documents to: Emerging Scholar Award The Honor Society of Phi Kappa Phi 7576 Goodwood Blvd. Baton Rouge, LA 70806 OR EmergingScholar@phikappaphi.org IF SELECTED TO RECEIVE A PHI KAPPA PHI AWARD Recipients of the Phi Kappa Phi Emerging Scholar Award will be required to: Provide a high-quality color photo and brief biographical description for publicity purposes, which may include, but not be limited to, press releases, advertisements, Phi Kappa Phi publications both print and electronic, and any other venues used to promote and educate about The Honor Society of Phi Kappa Phi and/or its award programs. Submit, on time, any reports required by Phi Kappa Phi and notify Society Headquarters of any circumstances that may alter your enrollment status during the 2008–2009 academic year. At the completion of the 2008–2009 academic year, submit a summary report of how you used the funds (approximately 350 words) to Society Headquarters by August 1, 2009. You will receive the award by the end of August 2008. Application for the Phi Kappa Phi Emerging Scholar Award for 2008–2009 Submission to Society Headquarters Deadline: July 14, 2008 APPLICANT INFORMATION (must be typed) Name: ______________________________________________________________________________________________________ first middle last College/University: ____________________________________________________________________________________________ Applicant’s Mailing Address: _____________________________________________________________________________________ number and street ___________________________________________________________________________________________ city state zip code Permanent Address: _________________________________________________________________________________________ number and street _________________________________________________________________________________________ city state zip code Telephone No.: _____________________________ E-mail Address: __________________________________________________ Undergraduate Field of Study (Major): _____________________________________________________________________________ Date Degree Expected: _____________________________ Please indicate how you learned about the Phi Kappa Phi Emerging Scholar Award Competition (check all that apply): ______ Local Phi Kappa Phi Chapter ______ Phi Kappa Phi Forum (magazine) ______ Announcement Poster ______ Honor Cord (e-zine) ______ Phi Kappa Phi Web site ______ Faculty Member ______ Phi Kappa Phi E-mail ______ Friend ______ Phi Eta Sigma ______ Other, explain ________________________________________________ SUMMARY OF EDUCATIONAL BACKGROUND Include only post-high school institutions: academic, professional, technical, and so forth. A. List of All Institutions Attended: Name & Location Degree(s), Certificate(s), or Diploma(s) earned or expected Period of Enrollment (mo./yr.-mo./yr) GPA (4.0 scale) Hours Earned 1. __________________________/___________________/________________/_________/_______________________________ 2. __________________________/___________________/________________/_________/_______________________________ 3. __________________________/___________________/________________/_________/_______________________________ 4. __________________________/___________________/________________/_________/_______________________________ B. Academic Recognition and Awards Identify your academic awards, recognitions, and/or honors received as an undergraduate (scholarships, research grants, publications, juried shows, recitals, and so forth, participation in honors program): C. Community Activity and Leadership Identify activities in which you have participated during your high school and undergraduate careers (cultural, service, athletic, political, volunteer, employment) and leadership roles both on campus and in the community. Give dates and estimates of amount of time involved in each activity. (Estimated time should be specified in terms of hours per week or hours per month) 1. On-campus activities (high school/college): Dates Estimated Time 2. Activities in the community (high school/college): Dates Estimated Time 3. Leadership Activities (high school/college): Dates Estimated Time PERSONAL STATEMENT Describe your academic goals and personal interests. Explain how this award will be of use to you. Limit your statement to the space provided below using a minimum of 11-point type. PHI KAPPA PHI EMERGING SCHOLAR AWARD APPLICATION APPLICANT CHECKLIST To the applicant: Be sure that your application is complete by checking the following list: All pages of the application are complete. The original application must be submitted to Society Headquarters. Be sure your responses are confined to the space allotted to the application form. Do not add supplemental sheets other than those requested. Any additional materials will be disregarded. Please make sure that your transcript(s) and other official evidence of academic records are submitted for each college, university, or other postsecondary institution attended (transcript(s) must be submitted in sealed envelope(s) or via e-mail from the registrar’s office). The applicant’s certification statement below must be read, signed, and dated. Remember that applications must arrive at Society Headquarters no later than July 14, 2008. APPLICANT’S CERTIFICATION I hereby apply for a Phi Kappa Phi Emerging Scholar Award and, if selected, specifically agree to comply with the following stipulations, and understand that failure to do so may result in the revocation of the Award: 1. To submit a high quality color photo and brief biographical description for publicity purposes, which may include, but is not limited to, press releases, advertisements, Phi Kappa Phi publications both print and electronic, and any other venue used to promote and educate about The Honor Society of Phi Kappa Phi and/or its award programs. 2. To submit, on time, any reports required by Phi Kappa Phi and to notify Society Headquarters of any circumstances that may alter my student status. 3. To submit a summary report of my accomplishments (approximately 350 words) to Society Headquarters by August 1, 2009, on how the funds were used. I understand that The Honor Society of Phi Kappa Phi assumes no responsibility, obligations, or liability whatsoever beyond providing the amount of the award. I understand that should I be unable to accept the grant for any reason, Phi Kappa Phi reserves the right to award the grant to another applicant in my place. I have examined this application and certify that all information given in it is complete and accurate to the best of my knowledge. I have attached all required documents in the order stated in item #4 of the Preparation of the Application, General Instructions page. ________________________________________________________________ Signature of Applicant _______________________________________ Date Mailing/E-mail Address The Honor Society of Phi Kappa Phi 7576 Goodwood Blvd. Baton Rouge, LA 70806 EmergingScholar@phikappaphi.org REMEMBER! Application must arrive at Society Headquarters no later than July 14, 2008. Applications received after July 14, 2008, will be disqualified. Society Headquarters Phone: 1-800-804-9880, ext. 35