SDX Application

SDX Foundation of Washington, DC
Sigma Delta Chi Journalism Scholarships

DEADLINE: MARCH 1, 2008

Responses must be typed and the form must be fully completed and signed. The form may be photocopied. Use extra sheets of paper as needed for longer responses.
1. Name: Mr./Ms. _________________________________________________
2. Birth date: ______________________
3. Social Security #: __________________

4.University: _______________________________________________________

5. Local Address
(street):__________________________________
(city):_____________________ (state)_________ (zip)__________
6. Phone: (day) _____________________
(evening) _________________________
7. E-mail address(s): ______________________________________________
8. Parents’ (name/names):__________________________________________
(street):__________________________________
(city):_____________________ (state)_________ (zip)__________
(phone)_______________________
9. Address and phone after school ends, early June and summer (in case SDX needs to contact you):
(street):__________________________________
(city):_____________________ (state)_________ (zip)__________
(phone)_______________________
10. I will be a JUNIOR or SENIOR (circle one) next academic year, which will be: ________
11. My major is : ______________________and my minor is _________________
12. GPA: _______________
NOTE: Please include with this application a copy of your up-to-date academic transcript containing grade points for classes taken since entering as a freshman.
13. Tuition for next academic year* (year total): $______________
Room/board: ______________
Other expenses (est.): $_____________________
Brief explanation (include semester abroad, if applicable): _____________________
______________________________________________________________
______________________________________________________________
TOTAL expenses for next academic year:$_____________.
Use this space to list sources of income (including wages, scholarships and loans)
*Academic year means fall and spring semesters combined.
14. Income/funds available for next academic year:
Earnings: $______________
Savings: $______________
Loans: $______________
Parents: $______________
Scholarships: $______________
Awards: $______________
Other: $______________
TOTAL: $______________
15. Current employment: ______________________________________________
Upcoming summer employment: _________________________________________
After graduation: ____________________________________________________
Please answer the following questions on a typed separate sheet of paper, responding in a brief narrative.
16. How are you paying for your education this academic year? Please provide details, including all sources of income.
17. If you do not receive this scholarship, how will you pay for your education?
Answer all of the following questions. Please choose one to answer in greater detail than the others. Please circle your choice.
18. Please tell us about your journalist activities and accomplishments. What are you proudest of? Why? What were you least satisfied with? Why?
19. I believe I am a worthy applicant for this award because:
In five years, professionally, I want to have achieved…
In ten years, I want to have achieved….
20. To me, the First Amendment of the U.S. Constitution means …..
21. Please provide the name, title, address and phone number of the faculty member you asked to provide a letter of support/endorsement. The letter must be postmarked by the deadline and mailed directly from that faculty member to the below address.
___________________________________________________________________
Phone: ________________________________
I will be available in early April for an interview, if invited, unless other arrangements are made with the judges. I have read the guidelines regarding the SDX Foundation DC scholarships, and believe I am eligible for an award. All statements in my applications are true, accurate and complete, to the best of my knowledge. I have attached up to six (6) samples of my journalistic work, which I understand will not be returned to me.
Signature: _______________________________________________
Date: ________________________
Send completed applications and letter of recommendation, postmarked by March 1, 2008 to:
The Scholarship Committee
SDX Foundation of Washington, D.C.
P. O. Box 19555
Washington, DC 20036

Contact: Michelle Duke, Scholarship Chair

or
Lee Thornton, Co-chair