New York State
BOCES Media/Technology Association

Memorial Scholarship Fund Grant Application

Philosophy Statement

The intent of the Memorial Scholarship Fund is to provide an annual stipend in the amount of $1,000 to assist a student planning a career in the field of instructional technology.  The fund is intended for students enrolled in a graduate or under-graduate program leading to a degree or certification.  Only students enrolled in colleges in the State of New York are eligible to apply.  The money is non-designated; it may be used for tuition, fees, book, research projects or other expenses.  There is no obligation to pay back the stipend but, as with funds of this type, a contribution once the recipients' career is in progress assures the continuation of the Memorial Scholarship Fund to assist others.  Preference will be given to those students able to demonstrate need, scholarship, and a desire to conduct their professional life in New York State. 

General Information:

Applicant's name: ___________________________________________________________________________

Address: _________________________________________________________________________________

Telephone: _______________________________   NYS resident since: ________________________________

College/Address: ___________________________________________________________________________

Faculty advisor: ________________________________   Telephone: _________________________________

Academic Major/Minor: _______________________________________   Grade Point Average: ____________

Work History:

    Job Title: ________________________________________________________________________

    Job Description: __________________________________________________________________

    ________________________________________________________________________________

    Job Title: _______________________________________________________________________

    Job Description: __________________________________________________________________

    ________________________________________________________________________________

    Job Title: _______________________________________________________________________

    Job Description: __________________________________________________________________

    ________________________________________________________________________________


Grant Attachments: (Each application is required to supply information for each of the following three (3) categories). 

I.

Statement of Need: Typewritten not to exceed 250 words.

II.

Future Personal Goal Statement: Typewritten not to exceed 250 words.

III.

Letters of Recommendation: Three letters are requred; one (1) of these recommendations must come from persons employed in the field of Instructional Technology.

Return completed application and attachments to:

Barbara Wall, Chair
Memorial Scholarship Fund
NYS BOCES Media/Technology Association
Orange-Ulster BOCES
163 Harriman Heights Road
Monroe, NY  10950

Incomplete Applications Will Not Be Reviewed.

Applications are due by May 1, 2003