Graduate Study Scholarship Application

Name *

Contact Information

Address *

Apt/Unit #

City *

State *

Zipcode *

Email *

Phone *

Summer Information (if different)

Address

Apt/Unit #

City

State

Zipcode

Email

Phone

Undergraduate School Information

College/University *

Date of Graduation *

ΦΒΚ Chapter *

Year Initiated to ΦΒΚ *

Major/Degree *

Faculty Advisor or Major Department Chairperson *

Address *

City *

State *

Zipcode *

Graduate School Information

Graduate School and College/University *

Date of Admission *

Course of Study *

Address *

City *

State *

Zipcode *

Which of the following criteria describe your status at the time of your application (check all that apply): *

I have received or will be receiving an undergraduate degree from a Colorado university or college.

I have been accepted or am currently enrolled in a graduate program at a Colorado university or college.

I am residing in Colorado.

I am a current member of the Alpha Association of Colorado.

Personal Essay *

A personal essay of 600-1,000 words describing how your undergraduate education and experiences challenged you, changed you, added value to your life, shaped your goals and passions, and provided you with tools for your future success. Include several specific examples.

Please list any distinctions, awards, or honors you have received during your undergraduate or graduate studies. *

Please provide, or arrange to have sent, to the Scholarship Committee at the addresses below the
following materials:

Two letters of recommendation from individuals familiar with your academic studies or recent work experience. Each letter must be on the official letterhead of the recommender’s institution and must have an original signature or be emailed from a verifiable university faculty or business email address.
Written verification of graduate enrollment for the fall 2020 term from an accredited college or university in the United States. Graduate school attendance the year the award is given is required for eligibility, and the award may not be deferred.

Application Submission Addresses

Submit by email to scholarship@pbkcolorado.org:

Application form with your original signature (scanned as .pdf)
Personal essay
List of distinctions, awards, and honors
Fall 2020 enrollment verification
Two recommendation letters (from verifiable university faculty or business email addresses or scanned as .pdf documents with original signatures)

Rather than sending your original application documents by email, it is also acceptable to submit all items listed above by postal mail to:
ΦΒΚ Alpha Association of Colorado Scholarship Committee
Barbara Berryman, Chair
2068 Elm St.
Denver, CO 80207

All materials must be received by June 15, 2020.

By signing this application, you acknowledge that you have no family or financial relationship with any officer of ΦΒΚ Alpha Association of Colorado, or with any member of its Scholarship Committee, that would constitute a conflict of interest if you are awarded this scholarship.

Signature *

Printed full name will act as signature

Date *

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