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Texas Student Dietetic Association (TSDA) Scholarship Application 2014 Submission Deadline: Tuesday, April 1, 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
Last First Middle

Name: ___________________________________________________________

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: