Grants and Loans Application-Greater Kansas City-Deadline February 10, 2007
Mail
application information to: Grants
and Loans Committee
Alumnae Panhellenic of Greater Kansas City
P.O. Box 7073
Shawnee Mission, KS 66207-7073
Application for (A) Grant___________ or (B) Loan____________Check A or B or Both
If your first choice is for the grant and it is not available, are you interested in
applying for
the interest-free loan? Yes___________ No____________
1. Name_________________________________________________________________________
Birth date_____/____/____ SSN__ __ __ --__ __ __--__ __ __ __
2. Permanent Home
Address__________________________________________________________
City________________ State_________Zip_____County__________________________________
Home Phone____-_______-________ E-mail_________________________
*Must be a Greater Kansas City Area Resident (includes
Cass, Clay, Jackson, Platt, and Ray counties in Missouri
and Johnson, Leavenworth, Miami, and Wyandotte counties in Kansas.
SUMMER CONTACT INFORMATION: From_______/______2006 to _________/________2006
3. Summer
Address_________________________________________________________________
City_________________________________ State____________________
Zip_________________
Summer Phone:_____ ______-_______
Email____________________________________________
4. High School
Attended______________________________________________________________
5. College
Address_________________________________________________________________
City_____State__________________
6. College
Attending________________________________________________________________
Grade Point Average_____________
*To be eligible for a grant or loan, you must have at least
a 3.0 grade point average to date.
7. Number of semester hours completed by the end of this
academic year?____
Anticipated date of
graduation?________________________
*Applicant must be a senior or a graduate student at the
beginning of the next academic year.
8. Number of semester hours anticipated in next year. Fall
Term______Winter/Spring________
9. Major area of study________________________
10. What career path do you intend to
follow?____________________________________________
11. If married, husband's
name_____________________________________________________________
Address:______________________________________________________________________________
Employer and Employer's
address____________________________________________________________
12. Parent(s)
names_______________________________________________________________________
Address ___________________________________________City _______________State____
Zip_________ Phone______--________--___________
13. Parent(s) occupation and
business__________________________________________________________
Address_________________________________________________________________________________
14. How many in family are dependent on father's/mother's financial
support?______________________________
Spouse's financial
support___________________________________________________________________
15. What amount of financial support do you anticipate from your
family?$______/_________annually.
16. Have you contributed to all, part, or none of your support while in
college?____________________________
17. List other sources of income (If employed, give name and address of
employer)________________________________________________________________________________
________________________________________________________________________________________
18. Have you ever received any academic loans or scholarships?_____If so, please
list by name, grant/loan, and amounts of
each.___________________________________________________________________________
________________________________________________________________________________________
19. Sorority affiliation( if
applicable)____________________________________________________________
20. Name & address of person, other than parent(s) who would always
know your address__________________
____________________________________________________________________________________
21. If you are chosen as a recipient of the Alumnae Panhellenic Association of
Greater Kansas City's student grant of loan, does the association have your permission to
use your name and likeness to publicize your receipt of the grant or loan? Yes_______
No__________
22. Please list a hometown
newspaper(s):_______________________________________________________
REQUIRED ATTACHMENTS:
____Complete list of extra-curricular activities (organizations, public service work,
honoraries.)
____Statement from your Financial Aid Office regarding any financial assistance you are
receiving
____Attach a detailed statement of estimated costs and resources for the coming year.
____Letter of recommendation from a college/university faculty member
____Complete and current transcript
____Written autobiography, not to exceed 300 words, giving reasons for requesting
financial assistance and
including any other information not covered that you feel would be
helpful.
APPLICANT SIGNATURE________________________________ DATE_______/______/__________
For any questions concerning this application, please contact:
Launa Hanson, Grants and Loans Chairperson 2007 e-mail to be updated soon/web
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