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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