Print this form on your printer and return to the below address.

South Dakota Education Association/NEA

RAMIA BOERSMA SCHOLARSHIP APPLICATION

(Please type or print)

Name:                                                                            Date:_________________________________

Current Address:                                                              Phone: _____________                               

City______________________   State: _________  Zip: _______________________________________

Father's Name:                                       SDEA/NEA Member: (Y/N) ________________                      

Mother's Name:                                                  SDEA/NEA Member: (Y/N) _______________       

High School:                                                         Phone: ______________                                         

Address:                                                                                                                                              

Principal or Counselor: _________________________________________________________________

College/University you are attending/enrolled:

Class Rank (as of January 2008)                                     out of ________          students in class.

Verification-School official's signature: __                                                                                              

Date:                                                                               Title: _                                                          

Attachments: (Label each with your name and address)

HIGH SCHOOL:

_______A copy of high school transcript.

_______A listing of the academic and extra-curricular activities.

_______Letters of recommendation from at least two teachers and one administrator.

_______A 300-500 word essay on the strengths and skills the applicant will bring to the field of education.

COLLEGE: 

_______A copy of the applicant's college transcript.

_______A listing of academic and extracurricular activities.

_______Letters of recommendation from at least three instructors.

_______A 300-500 word essay on the strengths and skills the applicant will bring to the field of education.

 Return your completed application, together with all attachments by February 15, to: 

                        SDEA/NEA Scholarship Committee
                        South Dakota Education Association/NEA
                        411 East Capitol
                        Pierre, SD  57501