APPLICATION

PHI KAPPA PHI HONOR AWARD / MAY IRELAND PKP SCHOLARSHIP

LOCK HAVEN UNIVERSITY OF PENNSYLVANIA--2010

Name _______________________________________________________ 

Date  _____________________________

Local Mailing Address  _________________________________________   

Local Phone  _________________________________________________

Major  ________________________________________________________  

Expected Graduation Date  _____________________________________

Do you expect to be enrolled at Lock Haven University as a full-time student (12 or more semester hours) in the coming fall semester? Students must be enrolled for the May Ireland Scholarship but not the Honor Award.

Please list the honors and awards you have received in college:

List co-curricular and community activities to which you are committed:

Give the names of two Lock Haven University professors with whom you have studied who may be consulted by the Scholarship Committee regarding your application:

1)  ____________________________________________________________________

2)  ____________________________________________________________________

Attach a separate TYPED page with a statement descriptive of your major academic accomplishments (such as creative projects in which you have been involved, independent studies, research, original papers, involvement in honorary societies, and similar achievements or contributions) and your vocational aspirations.

Signature of applicant:  _________________________________________________

Check with Prof. Terry Brink, Robinson 105, to determine his deadline for this application--usually in February.