DOCTORAL FELLOWSHIP APPLICATION
Kappa Omicron Nu Doctoral Fellowships

Five (5) copies of this application form, typed or printed, and all<br> 
supporting documents should be postmarked on or before January 15 and <br>
submitted to the Kappa Omicron Nu Awards Committee, 4990 Northwind Drive, <br>Suite 140, East Lansing, Michigan 48823-5031

1.	___________________________________________________________
	Name (First, Middle Initial, Last)	    E-mail address

2.	___________________________________________________________
	Present Address (Street)

	__________________________________________(   )____________
	(City, State, ZIP Code)				Telephone

3.	___________________________________________________________
	Home Address (Street)

	__________________________________________(   )____________
	(City, State, ZIP Code)				Telephone

4.	Degree sought:		___________________________________

5.	Major area:		_________________________________________

6.	Related area:		___________________________________

7.	University:		_________________________________________

8.	College/School:		___________________________________

9.	Department:		_________________________________________

10.	Academic Record:	_________________________________________

College/University
(most recent first)	Dates		Major		Degree	GPA
___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

11.	Name and address of major academic adviser:

12.	Progress toward doctoral degree (indicate month and year scheduled for completion):
						Date completed		Date scheduled
Admitted to graduate school		________			________
Course work completed			________			________
Preliminary exams taken			________			________
Research proposal developed		________			________
Research proposal approved		________			________
Pilot study completed			________			________
Admitted to candidacy			________			________
Data collected				________			________
Data analyzed				________			________

Respond to items 13-18 on an attachment (not to exceed 2 pages) in numbered sequence. For readability, use type size not less than 11 pt. and single spacing.

13.	Kappa Omicron Nu: _________________________________ Chapter, 
	Year initiated_______
	Participation/activities:

14. Professional positions, incl. graduate assistantships (most recent first):

POSITION	NAME OF EMPLOYER		DATES		MAJOR		RESPONSIBILITIES


15. Honors and Awards (names and dates):

16.	Professional Activities --membership and participation in professional organizations, including professional involvement in community organizations--give evidence of involvement--offices, committees, etc.:

17.	Recent professional development activities:

18.	Publications (books, refereed articles, technical publications):

19.	Attach a one-page summary of your professional goals and plans.

20.	For the developed research problem, attach a one-or two-page summary that includes a) title,b) objectives, c) significance of study, its contribution to knowledge and application to the field, d) relevance to significant concerns related to home and family, e) description of design and methodology including sample, and f) contribution of study to professional goals.

21.	Names of three persons who will submit letters of recommendation:

	a.  Academic Adviser: ____________________________________
	b.  ___________________________(role):___________________
	c.  ___________________________(role):___________________

I do___ do not___ waive the right of access to the recommendations.

___________________________________________________________________
Signature				Social Security Number		Date

To Be Completed by the Applicant:

I do___ do not___ waive the right of access to the recommendations.

Signature__________________________________________





RECOMMENDATION FOR KAPPA OMICRON NU DOCTORAL FELLOWSHIP

Return by January 15 to Kappa Omicron Nu, 4990 Northwind Drive, Suite 140, East Lansing, Michigan 48823-5031

___________________________________________________________________
Name of Applicant

How long and in what capacity have you known the applicant?


The criteria for this award are membership in Kappa Omicron Nu, demonstrated ability in graduate study, demonstrated interest and competence in research, and potential for professional leadership in home economics or one of the specializations.

Your letter of recommendation should address the above criteria, with particular emphasis on the nature and significance of the research and assessment of progress toward completion of the degree and dissertation.

In addition to the letter of recommendation, please rate the applicant by checking (X) one term which best describes the candidate with respect to

					Outstanding	Excellent	Good
Academic ability			_____		_____		_____
Leadership potential		_____		_____		_____
Research ability and		_____		_____		_____
progress

_______________________________________________________________
Signature				Title					Date

_______________________________________________________________
Institution or Agency