Copyright 2009 by Phi Theta Kappa, Inc. All rights reserved. No part of this publication may be reproduced without the consent of Phi Theta Kappa, Inc. Phi Theta Kappa is committed tothe elimination of discrimination based on gender, race, class, economic status, ethnic background, sexual orientation, age, physical ability, and cultural and religious background.
Phi Theta Kappa's Leaders o Promise Scholarships were established in 2001.The Leaders o Promise program is the Society's only scholarship initiative thatprovides inancial support to members while they are currently enrolled in a two-year college. The Leaders o Promise program also supports the development oleadership by encouraging recipients to participate in Society programs.
PURPOSE
The purpose o the Leaders o Promise scholarshipsis to provide Phi Theta Kappa members who arenew college students with inancial resources to helpderay educational expenses while enrolled in a two-year college and to develop leadership potential byengaging students in Society programs.
CASH AWARDS
Up to 30 Leaders o Promise scholarship recipients willbe named. Scholarship recipients will receive a $1,000stipend. The award will be disbursed in two equalpayments o $500 per semester.The irst $500 scholarship payment will be made oncethe student provides documentation o enrollmentin a minimum o six semester hours at a communitycollege. The second $500 stipend will be paid theollowing semester once the student 1) providesdocumentation o enrollment in a minimum o sixsemester hours, 2) has successully maintained aminimum 3.25 cumulative grade point average, and3) has met the minimum participation requirementsin his or her Phi Theta Kappa chapter as outlined inthe Participation Requirement Form. The ParticipationRequirement Form can be ound at
http://www.ptk.org/schol/leadpromise/#awards
.
CONDITIONS OF ELIGIBILITY
A student must be a Phi Theta Kappa memberin good standing and currently enrolled in acommunity college at the time of application.
Students must post a minimum 3.5 cumulative GPAout of a possible 4.0 at the time of application on allcollege-level course work.
Part-time students, full-time students andinternational students are eligible to apply.
Students who have completed 36 semester hoursor less (54 quarter hours or less) of college-levelcourse work by January 31, 2009, are eligible toapply. If the student has not been enrolled for fiveconsecutive years and has requested academicclemency from the institution in which they arecurrently enrolled, those previously earned grades/credits will not be counted toward the maximum of36 hours.
Students must not hold an associate degree orbachelor degree from any community college orfour-year college.
Students must enroll at a community college for thefall 2009 semester in a minimum of six semestercredit hours.
The student's record must be free fromsuspension, probation or other disciplinary action.
The student's record must be 1) ree rom anycriminal conduct, or 2) i a convicted elon, musthave completed all conditions o sentencing,including probation.
APPLICATION PROCEDURES
Materials cannot be submitted by ax machine ore-mail.
Partial materials, even submitted beore thedeadline, will be deemed ineligible.
Photocopied orms may be submitted.
Completed applications must be mailed in onepacket to be received (not postmarked) atPhi Theta Kappa Headquarters on or beoreMay 1, 2009.
APPLICATION MATERIALS
An application can be downloaded from the Phi ThetaKappa web site,
http://www.ptk.org/schol/leadpromise/.
Mail complete applications to be received(not postmarked) on or before May 1, 2009, to:
Phi Theta KappaLeaders of Promise1625 Eastover DriveJackson, MS 39211
Direct all questions to:
601.984.3504 extensions 3539 or 3545or
scholarship.programs@ptk.org
2009 LEADERS OF PROMISE OVERVIEW
BIOGRAPHICAL QUESTIONNAIRE AND CERTIFICATION FORM
To be completed by the applicant
Legal Name: ___________________________________________________________________________________________________
(Last) (First) (M.I.) (Former Name)
Phi Theta Kappa Member Number: ________________________________________________________________________________
(Your member ID# can be found on your membership card. If you do not have your membership card, please contact 800.946.9995)
Permanent Address: _____________________________________________________________________________________________
Number Street Apartment Number
______________________________________________________________________________________________
City/State/Province Zip Postal Code
( )Telephone: _____________________________________________________________________________________________________Date o Birth: ______ / _______ / _______ Social Security Number: _____________________________________________________E-mail: _________________________________________________________________________________________________________
(Please select an email address that will ollow you i you move.)
Name o Two-Year College: ______________________________________________________________________________________Location: ____________________________________________ Campus: _____________________________________________
City State/Province
Phi Theta Kappa Chapter Name: ___________________________________________________________________________________Based on all college coursework completed, what is your cumulative GPA?___________________ on a ___________ point scale.How many credits have you completed as o January 31, 2009? _________________ Quarter Hours Semester HoursWhat date do you expect to graduate rom the institution in which you are currently enrolled? _____________________________Describe briely your long-range goals and career ambitions. ________________________________________________________________________________________________________________________________________________________________________List courses in which you plan to enroll in all 2009. ________________________________________________________________________________________________________________________________________________________________________________
Applicant Certification
To be completed by the Phi Theta Kappa Chapter Advisor
Phi Theta Kappa Advisor: ________________________________________________________________________________________College: _______________________________________________________________________________________________________Address: _______________________________________________________________________________________________________( )Telephone: __________________________________________ E-mail: ______________________________________________
I verify that ________________________________________ is a Phi Theta Kappa member in good standing. Signature of Chapter Advisor: _________________________________________________________________________________
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| Upload Date: | 04/04/2009 |
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