LUCILLE HODGINS SELECTIVE RECRUITMENT GRANT 2015 APPLICATION REQUIREMENTS RE: $1,000 grant to future educators Deadline: March 21, 2015 Beta Beta State of Delta Kappa Gamma Society International is pleased to announce its 20152016 Selective Recruitment Grant Program open to women and men pursuing careers in education. Lucille Hodgins Selective Recruitment Grants of $1,000 per grant will be awarded for the 2015 2016 academic year. The criteria for selection includes: 1. 2. 3. 4. 5. 6. Academic achievement Leadership qualities Commitment to education as a profession Financial need Potential for success Enrollment in an accredited college or university(preference given to Hawaiʻi institutions) 7. Preference given to Hawaiʻi residents and military personnel stationed in Hawaiʻi The application, an official transcript and two (2) letters of recommendation must be postmarked on or before March 21, 2015. An electronic application is available by request to Lori Furoyama via [email protected]. Applications postmarked after March 21, 2015 will not be considered. Mail all required documents to: Selective Recruitment Grant Committee c/o Lori Furoyama 94-406 Kealohi Place Mililani, HI 96789 1 LUCILLE HODGINS SELECTIVE RECRUITMENT GRANT 2015 APPLICATION Directions: 1. Applications should be typewritten or written legibly. If necessary, please attach additional pages. (Electronic application is available by request to Lori Furoyama via [email protected]) 2. Must include separate page in response to Career Goals/Personal Statement section. 3. Must include official transcript from institution currently attending and two (2) letters of recommendation. 4. Mail all documents postmarked on or before March 21, 2015 to: Selective Recruitment Grant Committee c/o Lori Furoyama 94-406 Kealohi Pl. Mililani, HI 96789 Applicant Information Name_______________________________________________________________________ Last First Middle Initial Maiden Name (if applicable) Street Address__________________________________________________________ _________________________________HI___________________________________ City State Zip Code Phone________________________ Email____________________________ Birthplace_________________________ U.S. Citizen _____yes _____no Years Residing in Hawaii ________ Where will you reside during the 2015-2016 school year? with parents_____ with spouse_____ off-campus____ dormitory____ Educational Background High School ___________________________________________________________ Name City State/County Dates Attended _____to_____ Date of Graduation___________________ 2 Name of College/University attended: City/State Dates Attended Degree/Diploma College or University You Will Attend in 2015-2016: ___________________________________________________________________ Name City State/County Class Standing__________(Freshman, sophomore, etc.) Cumulative GPA______ Expected date of graduation_________________________________________ Employment Information Are you currently employed? ____yes ____no How long?______ (months, years) ______________________________________________________________________ Employer Address Phone ____________________________________________ Name of Immediate Supervisor Phone Monthly earnings__________ Scholarships, Achievements and Honors Other scholarships applied for/date: Other scholarships received/date: 3 List leadership positions you have held: List academic and other achievements and honors: Career Goals/Personal Statement Please respond to the following questions on a separate sheet of paper and attach to application. 1. Briefly describe your career goals. 2. Why have you selected the teaching profession and what can you contribute as an educator? 3. Why are you applying for this grant and why would you be a worthy recipient? I have examined this application and certify that all given information including the attached personal statement is complete and accurate. ______________________________ (Print your name) _____________________________ _______ (Signature) (Date) 4
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