Texas Student Dietetic Association (TSDA)

Scholarship Application 2014

Submission Deadline: Monday, March 3, 2014
Note: To be eligible for a TSDA scholarship to be applied toward tuition and fees for the 2014 school
year, a student must be:
1. Enrolled full-time in a dietetics education program (either didactic program in dietetics or
coordinated program in dietetics) for the 2014-2015 school year.
2. Have a GPA of 3.0 or greater.
3. Be a current (i.e. paid) TSDA member, which entails AND membership under the new bylaws.

One scholarship of $250 will be awarded. The scholarship award recipient will be notified
before April 26, 2014 (the TSDA meeting date) via email. Please be sure to provide a valid
email address.
Directions:
1. Type your responses for parts I, II, and III.
2. Send your completed application via email to eatrighttsda@gmail.com with TSDA Scholarship
Application in the subject line.
3. Email Emilyann Kinlaw, TSDA president, at leon_nnaylime@icloud.com with any questions.
Sign here, acknowledging that you have read the above directions.
___________________________________________________________________

I.

Personal Information

Name: ___________________________________________________________
Last

First

Middle

Email Address: _____________________________________________________

Telephone Number: _________________________________________________

Applicants Address:
_______________________________________________________________
________________________________________________________________
Permanent Address (if different):
_________________________________________________________________
________________________________________________________________

II.

School Information

Expected Graduation Date: ____________

Current Program: _________________________________________________________________
Cumulative GPA as of December 2013: ___________
Note to the scholarship applicant: Provide verification of GPA by requesting either that the registrars office
send an electronic copy of the transcript to eatrighttsda@gmail.com or that a faculty advisor sign below to
verify the GPA based on a transcript or grade report that you present to him/her.

By signing below, I (the faculty advisor) acknowledge that this student is enrolled in either
the Didactic Program in Dietetics or the Coordinated Program in Dietetics at the educational
institution I represent. I also acknowledge that the information on this application
(particularly the scholarship applicants GPA) is true to my best knowledge.
Faculty Advisors Signature: __________________________________________________________
Faculty Advisors Printed Name: _______________________________________________________
Institution: _________________________________________________________________________
Date: _____________________________________________________________________________
III.

Awards, Activities, and Organizations

List awards and honors you have received while in college:

List organizations to which you belong, including offices you currently hold/held in the past,
and dates of participation:

Describe your career plans as you envision them:

Describe your employment and/or volunteer history as it relates to dietetics and the
contribution it has made to your growth as a rising dietetics professional: