David Morgan Kiekel Memorial - College of Liberal Arts
David Morgan Kiekel Memorial
Scholarship Application
2015-2016
Application Packets MUST be received at Gilkey Hall room 213 before 5:00 p.m. on
Friday, March 20, 2015
Personal Information
Name: __________________________________________________________________
(Last Name) (First Name) (Middle)
OSU ID Number: ______________________
Major: ______________________________ Minor (if any): _______________________
First Term at OSU: ______ / ______
Term Year
Total Completed Credits: _______ as of ______ / ______
Term Year
Anticipated Date of Graduation: ______ / ______ OSU GPA: ______
Term Year
Contact Information
Local Address: _________________________________________________________________
_________________________________________________________________
Local Telephone No: ____-______-______
Permanent Address: _____________________________________________________________
_____________________________________________________________
Permanent Telephone No____-______-______ Legal State of Residence: ______
High School Name and Hometown: _________________________________________________
David Morgan Kiekel Memorial Scholarship ($1500)
This scholarship honors the memory of David Morgan Kiekel, a Corvallis native and OSU alumni. The award, given by his family and friends, reflects David’s interests in travel, Latino culture, and his kindness to new people. This scholarship is awarded to a student pursuing an International Degree along with his/her primary degree.
Criteria:
• Students must be enrolled as undergraduates, majoring in both the College of Liberal Arts and an International Degree
• Must be in good academic standing and have an OSU GPA of 2.75 or higher
• Financial need will be considered in the decision process
A complete application packet includes:
1. David Morgan Kiekel Memorial Scholarship Application.
2. A two (2) page essay explaining the ways in which the international component of your degree enhances your liberal arts education.
3. A completed financial worksheet (included).
4. Any additional information you consider pertinent to the award committee.
5. ***Two (2) letters of reference and completed two (2) page reference forms (included in this packet) from OSU faculty and/or classroom teachers who can attest to your outstanding academic performance. NOTE: No letters/references from family members, please.
☼ ☼ ☼ ☼ ☼ ☼ ☼ ☼ ☼ ☼ ☼ ☼
Incomplete applications will not be considered
All letters and forms must be received by 5:00 P.M. on
Friday, March 20, 2015. You may mail, fax, or email your documents
David Morgan Kiekel Scholarship Committee
OSU, College of Liberal Arts
Gilkey Hall 213
Corvallis, OR 97331
FAX: 541-737-2434
EMAIL: liberalarts@oregonstate.edu
Please direct any questions to the College of Liberal Arts Student Services Office at 737-0561.
College of Liberal Arts Scholarship
Financial Worksheet
Financial Information
Will you receive OSU financial aid for the 2015-16 academic year?
Yes _____
No _____
Please list the (approximate) amount of awards you will receive for the 2015-16 academic year:
Scholarships/Grants _____
Loans _____
Please list other financial resources for the 2015-16 academic year:
Family/jobs/savings _____
Other _____
Total estimated financial resources:_____
Expected Costs for the 2015-16 academic year
Tuition/Fees _____
Room/Board _____
Transportation _____
Health Insurance _____
Travel _____
Books/Supplies _____
Clothing/Personal _____
Estimated Total Costs: _____
College of Liberal Arts Scholarship Reference Form
Page 1
Student’s Name:
The student named above has applied for the David Morgan Kiekel Memorial Scholarship. This scholarship honors the memory of David Morgan Kiekel, a Corvallis native and OSU alumni. The award, given by his family and friends, reflects David’s interests in travel, Latino culture, and his kindness to new people. This scholarship is awarded to a student pursuing an International Degree along with his/her primary degree.
To be eligible for this award, students must be enrolled as undergraduates majoring in both the College of Liberal Arts and the International Degree program. They must have a cumulative GPA of 2.75 or higher, be involved in co-curricular activities, and demonstrate financial need.
A complete reference includes this 2-page form AND a detailed letter.
Application Deadline: Friday, March 20, 2015 by 5:00PM
Note: You may submit your reference and letter via email, fax, or deliver it to the address below. Applications will not be processed unless the selection committee receives both documents.
David Morgan Kiekel Scholarship Committee
OSU, College of Liberal Arts
Gilkey Hall 213
Corvallis, OR 97331
FAX: 541-737-2434
EMAIL: liberalarts@oregonstate.edu
Please direct any questions to the College of Liberal Arts Student Services Office at 737-0561.
College of Liberal Arts Scholarship Reference Form
Kiekel, Page 2
Student’s Name:
Please rate the applicant on the factors listed below:
| |Fair |Average |Good |Excellent |Outstanding |Not Observed |
|Interpersonal Skills | | | | | | |
|Academic Skills and Knowledge | | | | | | |
|Motivation and Perseverance | | | | | | |
|Communication Skills | | | | | | |
|Leadership | | | | | | |
|Self-esteem and Confidence | | | | | | |
|Responsibility and Self-direction | | | | | | |
|Contribution to Community | | | | | | |
|Ability to Work with Groups | | | | | | |
|Attitude | | | | | | |
Your Contact information:
Print Name Date
Title/Position Institution/Business
Address and Phone
Signature
College of Liberal Arts Scholarship Reference Form
Page 1
Student’s Name:
The student named above has applied for the David Morgan Kiekel Memorial Scholarship. This scholarship honors the memory of David Morgan Kiekel, a Corvallis native and OSU alumni. The award, given by his family and friends, reflects David’s interests in travel, Latino culture, and his kindness to new people. This scholarship is awarded to a student pursuing an International Degree along with his/her primary degree.
To be eligible for this award, students must be enrolled as undergraduates majoring in both the College of Liberal Arts and the International Degree program. They must have a cumulative GPA of 2.75 or higher, be involved in co-curricular activities, and demonstrate financial need.
A complete reference includes this 2-page form AND a detailed letter.
Application Deadline: Friday, March 20, 2015 by 5:00PM
Note: You may submit your reference and letter via email, fax, or deliver it to the address below. Applications will not be processed unless the selection committee receives both documents.
David Morgan Kiekel Scholarship Committee
OSU, College of Liberal Arts
Gilkey Hall 213
Corvallis, OR 97331
FAX: 541-737-2434
EMAIL: liberalarts@oregonstate.edu
Please direct any questions to the College of Liberal Arts Student Services Office at 737-0561.
College of Liberal Arts Scholarship Reference Form
Kiekel, Page 2
Student’s Name:
Please rate the applicant on the factors listed below:
| |Fair |Average |Good |Excellent |Outstanding |Not Observed |
|Interpersonal Skills | | | | | | |
|Academic Skills and Knowledge | | | | | | |
|Motivation and Perseverance | | | | | | |
|Communication Skills | | | | | | |
|Leadership | | | | | | |
|Self-esteem and Confidence | | | | | | |
|Responsibility and Self-direction | | | | | | |
|Contribution to Community | | | | | | |
|Ability to Work with Groups | | | | | | |
|Attitude | | | | | | |
Your Contact information:
Print Name Date
Title/Position Institution/Business
Address and Phone
Signature
................
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