RHODE ISLAND ASSOCIATION OF FAMILY AND CONSUMER SCIENCES
An Affiliate of the American Association of Family and Consumer Sciences
Post Office Box 583, West Warwick, Rhode Island 02893
RIAFCS SCHOLARSHIP for Seniors
Kathleen Hird Memorial Scholarship
Eligibility: This scholarship is for a student pursuing a career in a related Family & Consumer Science area of study. Priority will be given to students who have taken FCS courses in high school.
Award: $500
Applicant�s name: ________________________________________________
Last First MI
Address: ________________________________________________________
Number & Street
_______________________________________________________________
City State Zip code
Parent/Guardian: ________________________________________________
Last First
Telephone number: _________________ Email ________________________
High School Name: _______________________________________________
Guidance Counselor�s name: _______________________________________
FCS teacher�s name: ______________________________________________
Requirements: All items must be completed in full, (use back side if needed.)
1. List the high school FCS courses completed (specify if �, �, 1 yr course)
a.
b.
c.
2. List extracurricular activities, sports, student council, clubs, band, drama, etc.
a.
b.
RIAFCS Scholarship form continued
c.
d.
e.
3. Identify any offices held and years of participation, awards or recognitions
a.
b.
c.
4. List years for FCCLA membership, identify any offices held
a.
b.
5. List community service projects completed. Do not include service completed per court order, or fund raisers (walkathons, etc.). Include place, hours, dates, & contact person with telephone number for credit.
a.
b.
c.
6. Submit a letter of recommendation from a Family & Consumer teacher.
7. Submit an official high school transcript with form.
8. Indicate in order of preference the colleges/schools you are applying to and indicate any schools that you have been accepted to as of this date.
a. _________________________ b. ________________________
c. _________________________ d. ________________________
9. If you have unusual circumstances which would enhance your eligibility, please write a brief paragraph explaining this, (i.e., several family members in college, handicaps, your determination, hobbies., other scholarships)
10. Write a brief statement how FCS course have helped you.
Thank you for applying. All applicants will be notified of results.
The scholarship winner will be announced at our annual dinner, May 4, 2006