2019 NC SOPHE Undergraduate & Emily T. Tyler Graduate Scholarship Application Form
Before completing the scholarship application, please review the overview and guidelines for applying below.
The NC SOPHE Annual Scholarship Award and the Emily T. Tyler Academic Scholarship Awards are one-year scholarships in the amount of $500.00 for a NC SOPHE member who is actively enrolled in a health education undergraduate or graduate degree program (or related field). Determination will be based upon the eligibility criteria, selection criteria, and a complete application package.
A. Eligibility Criteria: To be eligible for the award, an individual must be:
1. A CURRENT, dues-paying member of NC SOPHE as of the date of application.
2. Pursuing an academic degree in health education or a closely related field at the baccalaureate, master’s or doctoral level during the 2019-2020 academic year.
3. Actively involved in the practice of health education or participating in academic health education activities, projects and/or research (performing health education activities at a professional level of competence).

B. Selection Criteria: Criteria for selection are as follows:
1. Show promise of making a significant contribution to the professional practice of health education in North Carolina.
2. Has been involved in health education activities over the past three years (if appropriate, school transcripts may be requested).
3. Preference will be given to the applicant who:
a. Has not received the award previously.
b. Is attending a North Carolina college or university.
c. Is enrolled in a health education program.
d. Has been actively involved in the delivery of health education services.

C. Application Package: To be considered for the award, applicants must:
1. Application Form: Complete and submit the following application form.
2. Obtain Three Recommendations: The recommendations should be from individuals familiar with the professional and/or academic skills and abilities of the applicant. Each person providing a reference should fill out the “Recommendation Form” found in the application packet and email it to northcarolinasopheawards@gmail.com or submit the recommendation form online at https://tinyurl.com/2019SCHOLARSHIPRECOMMENDATION. Recommendation forms must be submitted by the person making the recommendation. Recommendations will NOT be accepted if submitted by the applicant.
a. One recommendation must be from a current member of NC SOPHE.
b. One recommendation must be from a professional supervisor or, if the applicant is a student, from a department chair of the school in which the applicant is currently enrolled. The recommendation from the department chair must include a statement that the applicant has been accepted into a degree program and is currently working towards a degree.
c. One recommendation must be from a co-worker, professor or community member who has worked with the applicant on a health education project.
3. Deadline: The completed application packet, including recommendations, must be received by Wednesday, October 2, 2019 at 5:00 pm.

D. Notification of Scholarship Recipient: A letter will be sent to the scholarship winner and a check for $500.00 will be presented at NC SOPHE’s 2019 Annual Meeting, to be held November 7-8, 2019 at the Embassy Suites by Hilton in Greensboro, NC. The scholarship recipient is encouraged to attend the meeting but it is not required; if unable to attend, the check will be mailed to the address provided in the application.

For questions or additional information, please contact the Awards Committee at northcarolinasopheawards@gmail.com.

Contact Information
Name *
Your answer
Mailing Address (Include City, State, Zip Code) *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Educational Information
Are you pursuing an Undergraduate or Graduate degree? (Select one) *
Major *
Your answer
School Name *
Your answer
Anticipated Graduation Date *
Your answer
Enrolled for the 2019-2020 school year? *
Health Education Information
Do you plan to practice health education in North Carolina? If so, in what capacity? *
Your answer
Summarize your involvement during the past three years in the practice of health education, if applicable (including academic assignments and structured internships). Be specific about your role in projects and their outcomes. *
Your answer
What are your professional goals? Be as specific as possible. *
Your answer
Please state specifically how you plan to use the scholarship money. *
Your answer
Never submit passwords through Google Forms.