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Before proceeding with this application, read all instructions posted on the KAOEF website.
DEADLINE: February 5, 2010
(NOTE: All materials and application MUST BE RECEIVED (NOT POSTMARKED) by February 5, 2010.) |
| Full Name |
| *First Name:* |
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| *Middle Name:* |
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| *Last Name:* |
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| Suffix (e.g. Jr., III): |
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| Permanent Home Address |
| *Permanent Home Address:* |
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| *Permanent City:* |
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| *Permanent state: |
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| *Permanent Zip:** |
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| *Permanent Home Telephone:** |
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| Cell Phone** |
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| *Email Address (most often checked):** |
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| Personal Information |
| Citizenship:* |
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| *Sex: |
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| Birthdate (MM/DD/YR)* |
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| *Age:* |
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| *Marital status: |
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| Spouse's name: |
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| Number of children: |
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| Is your father/grandfather a Kappa Alpha member? |
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| If yes, please name: |
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| Fraternity Information |
| *Are you an initiated KA? |
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| Initiated what year: |
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| Initiating chapter: |
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| Other chapters where active: |
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| *Have you previously recieved a KAOEF scholarship? |
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| Academic Information |
| *Institution where you expect to be enrolled in the fall of 2010: |
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| Have you been accepted for the fall of 2010? |
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| How will you be classified in fall 2010? |
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| What degree will you be working toward in fall 2010?* |
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| List all colleges or universities you have attended as well as dates attended, field of study, degree and GPA (NOTE: You must have an official transcript from each school sent to KAOEF) |
| * |
Characters Entered= (Max 600)
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| Leadership Information |
| *Academic Honors - list all academic honors and awards you have received and membership in academic honorary organizations as well as Dean's List, honor roll, etc. List other scholarships you have been awarded. |
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Characters Entered=0 (Max 1500)
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| Extracurricular Activities (excluding fraternity) - list all student government positions and memberships in Honorary or Service organizations which select members based on qualifications or elction or pursuant to application & interview; also list offices held in such organizations. |
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Characters Entered= (Max 1500)
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| Fraternity Activities - list all offices held, committees and chairmanships, awards for fraternity service or activities, and state, province or national meetings attended: |
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Characters Entered=0 (Max 1500)
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| Membership in organizations which one joins on ones own volition, such as Ducks Unlimited, College Democrats or Republicans, RUF, Campus Crusade, etc. AND indicate offices or committee chairmanships held |
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Characters Entered=0 (Max 1500)
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| Other Information |
| To the extent you are able, describe your plans for the future: |
| ** |
Characters Entered=0 (Max 1500)
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| List all summer and academic year jobs you have held in the last four years and while you have been attending college. Describe them briefly and give the approximate number of hours worked per week: |
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Characters Entered=0 (Max 1500)
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| Name of your hometown newspaper, along with its address and fax number: |
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Characters Entered=0 (Max 250)
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| What would receiving a KAOEF scholarship mean to you? |
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Characters Entered=0 (Max 250)
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| References |
| List name, address and telephone number of at least three references that will be submitting letters of recommendation. (NOTE: You must contact each reference regarding letters of recommendation.) |
| Reference 1:* |
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| Reference 2:* |
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| Reference 3:* |
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| Reference 4: |
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| Reference 5: |
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| Statement of Need (optional) |
| Do you have a fund in your name or are you the beneficiary of a trust or estate or some other instrumentality whereby all or a substantial portion of your college expenses are met. |
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| Approximately total college expenses for next year and itemize them generally below (in dollars): |
| Tuition: |
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| Room & Board: |
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| Books: |
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| Transportation: |
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| TOTAL EXPENSES: |
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| What percent of your college expenses have you earned? |
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| What percent of your college expenses have been met through instituational scholarship aid? |
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| What percent of your college expenses have been met through loans in your own name? |
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| What percent of your college expenses have been met through loans in the names of your parents or others? |
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| Are you relying upon anyone else for all or part of your support while you are in school? |
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| If yes, indicate the relationship of the person and answer the following questions. |
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Characters Entered=0 (Max 300)
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| Employment of each person relied upon: |
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Characters Entered=0 (Max 300)
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| If you are relying upon family members, the number of your siblings, in addition to yourself, who will be in college (or graduate school) next year: |
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| The number of siblings remaining at home: |
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| Applicant's name:* |
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| Application date:* |
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| Send to* |
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