Name in Full: Birthdate: Street Address: City: State: Zip code: Name of father, mother or guardian: How is your general health?

of Delta Kappa Gamma International Application Name in Full: Birthdate: Street Address: City: State: Zip code: Name of father, mother or guardian: How is your general health? Grade point average: Attendance: School District: Present High School Graduation Date: Address of High School: Your Counselor s Name: Counselor s email: Please list any activities, honors, or community service: 1. 2. 3. Are your parents interested in your college plans? Please describe your situation: Can you expect any financial assistance from your parents? College or University you plan to attend: Please write and attach to this application a one-page essay expressing your views of teaching and why you want to pursue the teaching profession. Signature of Applicant

Epsilon Nu Opal Pettit Recruitment Scholarship Application Deadline: April 15, 2017 Please mail application, the essay, plus three teacher recommendations to the following address: Epsilon Nu Scholarship Applications Nancy Trent 10736 Lipan Trail Fort Worth, TX 76108 Alternately, the pages can be scanned and e-mailed to nbtrent@me.com be sure to put Opal Pettit Recruitment Scholarship Application in the subject line: Scholarship Guidelines/Description: The Opal Petitt Recruitment Scholarship is given each year in the amount of no less than $200 to a graduating senior or currently enrolled college student pursuing a teaching certificate. The grant is a monetary stipend to encourage students to pursue careers in the field of teaching. The recruitment grant selection committee shall consist of the Professional Affairs committee and the Epsilon Nu Chapter president. The recruitment grant selection committee shall select the recipient from the applications submitted by the April deadline. Award winners must attend an accredited college or university. The award winner shall progress in a course of study leading to a Bachelor s degree or teacher certification. Applications are accepted from high school graduates within the ESC Region 11 area. The grant shall be made to the award winner upon proof of enrollment in college or university or to the institution so that enrollment may be accomplished.. Each grant shall be made for no more than two successive years. All funds are to cover direct school expenses only. In case of illness or other contingency, which shall prevent the enrollment of the selected applicant at the next regular semester in college, the money for the award shall be maintained in escrow for said applicant for a period of one year. If at the end of one year, applicant has not used funds, the grant will revert to the general recruitment grant fund. When conditions herein stated are fulfilled by the applicant, the award shall be made as stipulated. Guidelines are subject to review and revision when necessary by appointed committee of the Epsilon Nu Chapter of Delta Kappa Gamma Society International and accepted by the chapter. The Professional Affairs Committee will be responsible for administering the Opal Pettit Recruitment Grant.