Cowley College Page Content Main Content Navigation Menu Social Media Other Links What is this view? Assistive Options Future Students Scholarship Online Application Form Phi Theta Kappa Membership Dues Scholarship Application Application deadlines: October 1 for the Fall and March 1 for the Spring Legal Name: (required) Email Address: (required) Cell Phone: Home Phone: Street Address: (required) City: (required) State: (required) Zip: (required) Student ID: (required) Semester/year in which you are applying: Fall Spring Please answer these questions in complete sentences and provide specific information when appropriate. Why are you interested in becoming a member of Phi Theta Kappa at Cowley College and what would you bring to our chapter? Have you applied for federal financial aid? Yes No If you answered YES to the question above, mark all that apply. If you answered NO, skip to the next question. I am not eligible for a Pell Grant I am eligible for a Pell Grant I am eligible for a student loan Why are you requesting this financial assistance? A requirement of this scholarship is to volunteer at least three (3) hours to help with one of our activities, either in Mulvane or Ark City. Will you be able to fulfill this requirement? Yes No Please provide the names of two Cowley College faculty members who could provide a recommendation for you. Full Name of First Reference: (required) Phone or Email: (required) Full Name of Second Reference: (required) Phone or Email: (required) May we contact the references you have listed above? Yes No Confirm provided information I certify that all the information I have provided on this application is complete and correct to the best of my knowledge.