PHI ALPHA THETA GRADUATE SCHOLARSHIP APPLICATION Entries must be received by March 1, 2017 Eligibility: For student members of Phi Alpha Theta entering graduate schoo! for the first time in fall 2017 and pursuing a Master’s Degree in History. Students currently enrolled in a graduate program are not eligible to apply. ‘Name: Date: College/University: Email: Permanent Address: City: State: Zip’ COLLEGES/UNIVERSITIES ATTENDED Name of School Location Dates Attended Degrees Received From | To Name Date UNDERGRADUATE Major: Cumulative GPA: # of Semester Hours in History: Cumulative GPA in History: Phi Alpha Theta initiation date: College/University: Foreign Janguage(s) in which you have Ammeneaive eneKey Consideration: Phi Alpha Theta involvement, ic. .offices held, specific chapter activities in which you were involved Other honor/professional societies to which you belong: ‘Area of History in which you plan to major at the graduate level: Name of college/university where award will be used or, if applicable, graduate school where admission is cai (green ERNST " . : : ‘Names & institutional affiliations of three (3) individuals submitting letters of recommendation: 1 [ —= a a Applicants must submit all items listed below as a complete package to be considered for competition: + Application (six copies) Official transcripts (one official copy of each from each undergraduate and graduate institution where work was credited toward a degree) Curriculum Vitae or resume (six copies) GRE scores (Phi Alpha Theta does NOT have an institution code; photocopy is acceptable) Letter of recommendation from each of the three individuals listed above (original only) Letter from the Department Chair confirming the student is not enrolled in an online program Entries must be received by March 1, 2017 , Send your application packet to: Graduate Scholarship Award Committee Phi Alpha Theta History Honor Society University of South Florida Print Form 4202 B. Fowler Ave, SOC107 ‘Tampa, FL 33620-8100 Itis the responsibility of the applicant to ensure that all required documentation is received by the competition deadline. Incomplete applications or those submitted after the deadline or by individuals whose membership in Phi Alpha Theta cannot be verified will not be considered for the competition.