TRI KAPPA TRADITIONAL

SCHOLARSHIP APPLICATION 2019

Carmel’s Epsilon Mu Chapter of Tri Kappa, an Indiana service organization, will award four
$3000 scholarships. The scholarships will be awarded according to the following criteria:

* Financial Need
* Academic performance
* Extra Curricular Activities
* Community service

The applicant must be a female, be a resident of Indiana, be a US citizen, and reside within the
Carmel Clay/Westfield Washington School District.

Traditional Scholarship Application:

High School graduating senior attending college. This applicant may attend any high school:
Bishop Chatard, Brebeuf, Cathedral HS, Carmel HS, Guerin Catholic, Heritage Christian,
Options High School, University High School, or Westfield HS. She may also be a Homeschool
student. (Students who are the child of a Tri Kappa member are not eligible to apply.)

The Scholarship will be a one-year, non-renewable award, paid directly to the college/university
of the Recipient’s choice. The recipient must be enrolled in their selected college/university
beginning with the Fall 2019 Semester. One Half of the scholarship will be applied to the First
semester with the remaining half applied to the Second semester. Scholarship monies will be
mailed directly to the Recipient’s selected college/university.

The Recipient must remain ‘in good academic standing’ as determined by the college/university
during the school year. In the event the Recipient does not meet the criteria set by the
college/university, or if for any reason does not remain in school, the scholarship will be
forfeited.

Upon notification of being awarded the Tri Kappa Scholarship, the Recipient will sign a
scholarship agreement that stipulates the award amount, the college/university to be attended,
and the distribution of funds.
 TRI KAPPA SCHOLARSHIP APPLICATION
Deadline: MARCH 01, 2019
Send application and essays to: CarmelTriKappaScholarship@gmail.com

INSTRUCTIONS: Read each question carefully, answering each to the best of your ability.
Incomplete or late applications will be ineligible.

Name

_____________________________________ __________________________________
LAST FIRST

Address

__________________________________ _______________ ______ ___________

STREET CITY STATE ZIP

Phone ________________ _________________

Home Cell

Email________________________________

Please check one: I am a

Carmel Clay School District Resident

Westfield Washington School District Resident

Number of siblings: _________________ Ages of siblings: ___________________________

Number of siblings currently in college: _________________

High School you attend: ________________________________________________________

Weighted GPA: _____________ Unweighted GPA: ______________

List any prizes, honors and awards you have received during grades 9-12:

List all extra & co-curricular activities in grades 9-12:

1. Clubs (include offices held):

2. Athletics- Varsity, JV, Intramural, Club (including non-school related):

3. Performing Arts:

4. Community Service (Examples: Scouting, Church, etc):

5. Any other? (Examples: internships, study abroad programs, etc):

What colleges have you applied to - which have you been accepted to and what scholarships
have you been offered?

Accepted? Scholarship offer

Yes No

School: _______________________________________ $ ______________

School: _______________________________________ $ ______________

School: _______________________________________ $ ______________

School: _______________________________________ $ ______________

What school do you plan to attend? ________________________________________

Have you committed? _________________

Intended major: ___________________________________

List any other scholarships you have been awarded (Including National Merit awards):
Employment during vacations or outside school hours, if any:

____________________________________________________________________________
EMPLOYER DATES EMPLOYED HOURS PER WEEK

____________________________________________________________________________
EMPLOYER DATES EMPLOYED HOURS PER WEEK

____________________________________________________________________________
EMPLOYER DATES EMPLOYED HOURS PER WEEK

Please attach two Short Essays of up to 200 words each

➢ Essay 1
The spirit of Tri Kappa is to bring women together to promote charity, culture and
education. In what ways do you feel your academic, extracurricular, and community
service activities have influenced your life? And/or how do you see yourself using your
experiences in your future plans?

➢ Essay 2
The Tri Kappa Scholarship was created to assist those who embody the spirit of Tri
Kappa and who also demonstrate financial need. Please indicate why you would
benefit from receiving this scholarship.

Please sign below. A parent signature is also needed for any high school senior applications.
This will allow your school to release your records to Tri Kappa for evaluation.

I hereby give my high school permission to release my school records to the Carmel Epsilon Mu
Chapter of Kappa Kappa Kappa, Inc. for evaluation to be used in my application for a Tri Kappa
Scholarship.

_________________________________________ __________________
APPLICANT SIGNATURE DATE

_________________________________________ _____________ ____________________

PARENT OR GUARDIAN SIGNATURE DATE PHONE