The
Eligibility
This scholarship is for a student
pursuing a career in a related Family & Consumer Sciences area of study.
Priority will be given to students who have taken
Award: $500 - Deadline: April 1, 2013
Applicant’s name: _______________________________________________________
Last First MI
Address: ________________________________________________________
Number Street
________________________________________________________
City State Zip code
Parent/Guardian: _________________________________________________________
Last First
Telephone number: _________________ Email ________________________________
High School: ____________________________________________________________
Guidance Counselor: _____________________________________________________
Recommending FCS Teacher: ______________________________________________
Requirements:
1. List the high school FCS courses completed. Specify if ¼, ½, 1 yr course.
a.______________________________________________________________________
b.______________________________________________________________________
c.______________________________________________________________________
d.______________________________________________________________________
2. List extracurricular activities, sports, student council, clubs, band, etc. (Use a separate paper if needed)
a. ____________________________________________________________________
b._____________________________________________________________________
c._____________________________________________________________________
3. Leadership: Identify any leadership roles/officer positions held and years of participation, awards or recognitions.
a. _____________________________________________________________________
b. _____________________________________________________________________
c. _____________________________________________________________________
4. List years for FCCLA membership, identify any offices held
Year(s) of Membership ________________________________
Chapter Office(s) held: ________________________________
State Office(s) held)___________________________________
5. List community service projects completed. Do not include service completed per court order, or fund raisers (walkathons, etc.). Include place, hours, & contact person with telephone number for credit.
Type of service #hours Contact Phone #
a._____________________________________________________________________
b._____________________________________________________________________
c._____________________________________________________________________
6. Indicate the colleges/schools you are applying to in order of preference and course
of study.
a. ____________________________________ Course of study___________________
b. ____________________________________ Course of study___________________
c. ____________________________________ Course of study___________________
7. Write a one page statement (minimum 200 words) stating how FCS courses have influenced you in your personal/career choices. (Use a separate piece of paper)
Attach a letter of recommendation from a Family & Consumer teacher.
Submit a high school transcript with form.
Only complete application packets will be reviewed. The packet can be mailed to:
RIAFCS Scholarship PO Box 10456 Cranston, RI 02910
The scholarship winner will be notified by May 15, 2013.
If you have questions, please contact Pat Kolanko: pkolanko@nsps.us