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If yes, please explain.
Do you plan to become a STEM educator?
Are you considering a nursing carrer in geriatrics?
Will you participate in the RCPT 476 Wilderness Institute in the summer of 2018?
First Name
Last Name
Do you intend to teach history and/or government?
Student ID
Are you a military veteran?
Veteran Type
Yes
No
Do you plan to coach as well as teach?
Do you have a parent or guardian who attended or graduated from Radford University?
Yes
No
Date of Birth
Please enter a date
formatted like MM/DD/YYYY.
Have you taught elementary school students as a working professional or as a part of your student teaching?
Gender
M
F
N
U
9/29/1994
Are you planning to become an elementary school counselor?
Do you currently work full-time or part-time during the academic year?
Do you have a work-study position?
Upon completion of the graduate program, fellows are expected to accept a position in Virginia working with children with language disorders. Do you agree to this?
Have you completed at least one semester of coursework as a graduate student in Communication Sciences and Disorders?
Are you now, or have you ever been, on academic and/or disciplinary suspension or probation from Radford University?
Yes
No
Are you a first-generation college student?
Yes
No
Are you a member of Radford University's Men's or Women's Basketball Sport Club Program?
Have you joined the HHP Club or some other related professional activity?
Do you plan to work with geriatric patients?
Do you plan to pursue employment in the Commonwealth of Virginia after graduation?
Please list the name (maiden name, if applicable) and year of graduation from Radford. (You may list multiple names.)
Do you have a parent/legal guardian who is a full-time employee of Medical Facilities of America?
Do you give Radford University permission to confirm current, full-time employment for either you, your parent or legal guardian with MFA?
Do you have a family member who was part of the Class of 1947?
If you do not have any relatives who were a part of the class of 1947, do you have other relatives who are graduates of Radford?
Are you a student in ROTC, a veteran, or first responder? Are you considering a military or first responder career?
Do you have interest in surgical nursing or entering the Adopt-A-Student Nursing Program?
Are you employed with Carilion Clinic and/or do you have a work agreement with Carilion Clinic?
If you said yes to the previous question, do you give the scholarship committee to confirm employment?
Rate Code
Have you held a leadership role while in high school or previous college/university (for incoming students) or at Radford University (for current students)? Membership in an organization does not equal leadership. Elected/appointed positions such as president, treasurer, secretary, chair, captain, co-captain, etc. are typically considered as leadership roles.
Yes
No
Have you served at least 2 years as an active volunteer EMS provider and/or firefighter in one or more municipal fire or rescue agencies?
Are you receiving tuition advancement from Carilion Clinic?
Are you a breast cancer patient, survivor or do you have a family member who is a patient or is a breast cancer survivor?
Are you a current Radford University Division of Information Technology employee, or are you a dependent or immediate family member of a current Division of Information Technology with at least (1) year of employment at Radford University?
I acknowledge that Radford University may check my student conduct and academic records to verify I meet the requirements for some scholarship(s).
Did you work in high school?
This scholarship was created to support research and innovation within the College of Education and Human Development. The preference is to award this scholarship to an undergraduate student. Research must be collaborative with a faculty member. Are you currently participating in a collaborative research project with a faculty member?
I agree to allow RUC to share my scholarship application, academic data and FAFSA data (EFC and remaining need, if a FAFSA is on file) as well as my contact information with Carilion’s Foundation Board so that they may make a final determination on whether I will be awarded one or more of Carilion’s Education Foundation Scholarships. I understand that Carilion’s Foundation Board will use my contact information to notify me of any scholarships for which I have been selected. I understand that Carilion’s Foundation Board will not share any of my information.
Recipients of the Scottish Rite fellowships will be directly involved in clinical service projects in language disorders directed by faculty in Communication Sciences and Disorders. The fellows will be expected to complete a clinical service project related to language disorders in children, including a written summary of the research. Do you agree to do this?
Are you a dependent child or grandchild of a current or retired Smithfield Foods employee? (Hint: If you are a dependent, your parent or grandparent will be listed on your FAFSA and their financial data will determine demonstrated financial need).
Are you an APO or previous APO scholarship recipient?
Are you willing to join the Council for Exceptional Children (Student Chapter, SCEC): Details may be found here: https://exceptionalchildren.org/get-involved/individual-membership/student-membership. There is a $40 fee.
Priority will be given to Virginia residents. Are you a Virginia resident?
You may be invited to an annual Scottish Rite banquet. Will you be willing to attend?
Will you be pursuing licensure to teach secondary social studies?
If selected for one or more of Radford’s Foundation Scholarships, I agree to allow Radford University to potentially use information I share with donors; such as my image, class standing, major/minor, statement about why I chose to attend Radford University, and all or part of my thank you letter to promote Radford University’s Foundation Scholarship Program.
Are you actively engaged in original scientific research?
Are you now or were you involved in 4-H and/or community service during high school?
Apply-to scholarships are additional scholarship opportunities you may apply for that require an additional step or steps to be considered. They will be visible once you submit your general application, and you will be able to review instructions once you click on the apply buttons for these. Please indicate whether you plan to review and apply for some of these. Please note: most scholarships are auto-match, and they do not require you to submit anything beyond the general application. Auto-match scholarships will not be visible like the apply-to scholarships.
Name of Parent(s) or Guardian(s) if you are still a dependent. If you are independent, list not applicable or N/A.
Must be from the Northern Shenandoah Valley, Virginia area, including the counties of Frederick, Clarke, Warren, Shenandoah or the city of Winchester. Are you from one of these locations?
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31001
31003
31005
31007
31009
31011
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31015
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31019
31021
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31103
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31109
31111
31113
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31121
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31129
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32001
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32021
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32510
33001
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34001
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34021
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35001
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35021
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35055
35057
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35061
36001
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36005
36007
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36011
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36019
36021
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36089
36091
36093
36095
36097
36099
36101
36103
36105
36107
36109
36111
36113
36115
36117
36119
36121
36123
37001
37003
37005
37007
37009
37011
37013
37015
37017
37019
37021
37023
37025
37027
37029
37031
37033
37035
37037
37039
37041
37043
37045
37047
37049
37051
37053
37055
37057
37059
37061
37063
37065
37067
37069
37071
37073
37075
37077
37079
37081
37083
37085
37087
37089
37091
37093
37095
37097
37099
37101
37103
37105
37107
37109
37111
37113
37115
37117
37119
37121
37123
37125
37127
37129
37131
37133
37135
37137
37139
37141
37143
37145
37147
37149
37151
37153
37155
37157
37159
37161
37163
37165
37167
37169
37171
37173
37175
37177
37179
37181
37183
37185
37187
37189
37191
37193
37195
37197
37199
38001
38003
38005
38007
38009
38011
38013
38015
38017
38019
38021
38023
38025
38027
38029
38031
38033
38035
38037
38039
38041
38043
38045
38047
38049
38051
38053
38055
38057
38059
38061
38063
38065
38067
38069
38071
38073
38075
38077
38079
38081
38083
38085
38087
38089
38091
38093
38095
38097
38099
38101
38103
38105
39001
39003
39005
39007
39009
39011
39013
39015
39017
39019
39021
39023
39025
39027
39029
39031
39033
39035
39037
39039
39041
39043
39045
39047
39049
39051
39053
39055
39057
39059
39061
39063
39065
39067
39069
39071
39073
39075
39077
39079
39081
39083
39085
39087
39089
39091
39093
39095
39097
39099
39101
39103
39105
39107
39109
39111
39113
39115
39117
39119
39121
39123
39125
39127
39129
39131
39133
39135
39137
39139
39141
39143
39145
39147
39149
39151
39153
39155
39157
39159
39161
39163
39165
39167
39169
39171
39173
39175
40001
40003
40005
40007
40009
40011
40013
40015
40017
40019
40021
40023
40025
40027
40029
40031
40033
40035
40037
40039
40041
40043
40045
40047
40049
40051
40053
40055
40057
40059
40061
40063
40065
40067
40069
40071
40073
40075
40077
40079
40081
40083
40085
40087
40089
40091
40093
40095
40097
40099
40101
40103
40105
40107
40109
40111
40113
40115
40117
40119
40121
40123
40125
40127
40129
40131
40133
40135
40137
40139
40141
40143
40145
40147
40149
40151
40153
41001
41003
41005
41007
41009
41011
41013
41015
41017
41019
41021
41023
41025
41027
41029
41031
41033
41035
41037
41039
41041
41043
41045
41047
41049
41051
41053
41055
41057
41059
41061
41063
41065
41067
41069
41071
42001
42003
42005
42007
42009
42011
42013
42015
42017
42019
42021
42023
42025
42027
42029
42031
42033
42035
42037
42039
42041
42043
42045
42047
42049
42051
42053
42055
42057
42059
42061
42063
42065
42067
42069
42071
42073
42075
42077
42079
42081
42083
42085
42087
42089
42091
42093
42095
42097
42099
42101
42103
42105
42107
42109
42111
42113
42115
42117
42119
42121
42123
42125
42127
42129
42131
42133
44001
44003
44005
44007
44009
45001
45003
45005
45007
45009
45011
45013
45015
45017
45019
45021
45023
45025
45027
45029
45031
45033
45035
45037
45039
45041
45043
45045
45047
45049
45051
45053
45055
45057
45059
45061
45063
45065
45067
45069
45071
45073
45075
45077
45079
45081
45083
45085
45087
45089
45091
46003
46005
46007
46009
46011
46013
46015
46017
46019
46021
46023
46025
46027
46029
46031
46033
46035
46037
46039
46041
46043
46045
46047
46049
46051
46053
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46071
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46079
46081
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46091
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46099
46101
46103
46105
46107
46109
46111
46113
46115
46117
46119
46121
46123
46125
46127
46129
46135
46137
47001
47003
47005
47007
47009
47011
47013
47015
47017
47019
47021
47023
47025
47027
47029
47031
47033
47035
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47039
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47061
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47075
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47079
47081
47083
47085
47087
47089
47091
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47095
47097
47099
47101
47103
47105
47107
47109
47111
47113
47115
47117
47119
47121
47123
47125
47127
47129
47131
47133
47135
47137
47139
47141
47143
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47159
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47167
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47171
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47177
47179
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47183
47185
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47189
48001
48003
48005
48007
48009
48011
48013
48015
48017
48019
48021
48023
48025
48027
48029
48031
48033
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48039
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48101
48103
48105
48107
48109
48111
48113
48115
48117
48119
48121
48123
48125
48127
48129
48131
48133
48135
48137
48139
48141
48143
48145
48147
48149
48151
48153
48155
48157
48159
48161
48163
48165
48167
48169
48171
48173
48175
48177
48179
48181
48183
48185
48187
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48191
48193
48195
48197
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48201
48203
48205
48207
48209
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48213
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48219
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48273
48275
48277
48279
48281
48283
48285
48287
48289
48291
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48295
48297
48299
48301
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48305
48307
48309
48311
48313
48315
48317
48319
48321
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48335
48337
48339
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48347
48349
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48355
48357
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48361
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48365
48367
48369
48371
48373
48375
48377
48379
48381
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48385
48387
48389
48391
48393
48395
48397
48399
48401
48403
48405
48407
48409
48411
48413
48415
48417
48419
48421
48423
48425
48427
48429
48431
48433
48435
48437
48439
48441
48443
48445
48447
48449
48451
48453
48455
48457
48459
48461
48463
48465
48467
48469
48471
48473
48475
48477
48479
48481
48483
48485
48487
48489
48491
48493
48495
48497
48499
48501
48503
48505
48507
49001
49003
49005
49007
49009
49011
49013
49015
49017
49019
49021
49023
49025
49027
49029
49031
49033
49035
49037
49039
49041
49043
49045
49047
49049
49051
49053
49055
49057
50001
50003
50005
50007
50009
50011
50013
50015
50017
50019
50021
50023
50025
50027
51001
51003
51005
51007
51009
51011
51013
51015
51017
51019
51021
51023
51025
51027
51029
51031
51033
51035
51036
51037
51041
51043
51045
51047
51049
51051
51053
51057
51059
51061
51063
51065
51067
51069
51071
51073
51075
51077
51079
51081
51083
51085
51087
51089
51091
51093
51095
51097
51099
51101
51103
51105
51107
51109
51111
51113
51115
51117
51119
51121
51125
51127
51131
51133
51135
51137
51139
51141
51143
51145
51147
51149
51153
51155
51157
51159
51161
51163
51165
51167
51169
51171
51173
51175
51177
51179
51181
51183
51185
51187
51191
51193
51195
51197
51199
51510
51515
51520
51530
51540
51550
51570
51580
51590
51595
51600
51610
51620
51630
51640
51650
51660
51670
51678
51680
51683
51685
51690
51700
51710
51720
51730
51735
51740
51750
51760
51770
51775
51790
51800
51810
51820
51830
51840
53001
53003
53005
53007
53009
53011
53013
53015
53017
53019
53021
53023
53025
53027
53029
53031
53033
53035
53037
53039
53041
53043
53045
53047
53049
53051
53053
53055
53057
53059
53061
53063
53065
53067
53069
53071
53073
53075
53077
54001
54003
54005
54007
54009
54011
54013
54015
54017
54019
54021
54023
54025
54027
54029
54031
54033
54035
54037
54039
54041
54043
54045
54047
54049
54051
54053
54055
54057
54059
54061
54063
54065
54067
54069
54071
54073
54075
54077
54079
54081
54083
54085
54087
54089
54091
54093
54095
54097
54099
54101
54103
54105
54107
54109
55001
55003
55005
55007
55009
55011
55013
55015
55017
55019
55021
55023
55025
55027
55029
55031
55033
55035
55037
55039
55041
55043
55045
55047
55049
55051
55053
55055
55057
55059
55061
55063
55065
55067
55069
55071
55073
55075
55077
55078
55079
55081
55083
55085
55087
55089
55091
55093
55095
55097
55099
55101
55103
55105
55107
55109
55111
55113
55115
55117
55119
55121
55123
55125
55127
55129
55131
55133
55135
55137
55139
55141
56001
56003
56005
56007
56009
56011
56013
56015
56017
56019
56021
56023
56025
56027
56029
56031
56033
56035
56037
56039
56041
56043
56045
60050
64003
66010
68020
69010
70030
72001
72003
72005
72007
72009
72011
72013
72015
72017
72019
72021
72023
72025
72027
72029
72031
72033
72035
72037
72039
72041
72043
72045
72047
72049
72051
72053
72054
72055
72057
72059
72061
72063
72065
72067
72069
72071
72073
72075
72077
72079
72081
72083
72085
72087
72089
72091
72093
72095
72097
72099
72101
72103
72105
72107
72109
72111
72113
72115
72117
72119
72121
72123
72125
72127
72129
72131
72133
72135
72137
72139
72141
72143
72145
72147
72149
72151
72153
78010
78020
78030
0
00000
01031
01043
01045
01073
01089
02020
04013
05007
06001
06037
06059
06065
06067
06071
06073
06081
06083
08005
08031
08041
08101
08123
09001
09003
09005
09009
09015
09013
06029
08059
08001
05045
06061
04005
06013
01125
01081
05019
08013
01109
05039
05109
08069
09011
09007
04003
06111
08035
04019
01001
01101
01097
06113
01077
06075
06007
06087
05143
01113
01003
01115
05119
06025
06053
06077
06085
08015
04017
05031
06019
60001
01011
01117
01121
02220
05089
05145
06069
06095
06097
08077
08119
100216
23838
24018
24142
2521
144039
144601
144626
33900
06017
08043
144022
335023
05125
02170
24141
01133
24179
3250
6200
05103
05001
05069
05085
05105
05147
10900
GA
08003
144515
Please list the employer(s) of either or both of your parents or guardians (may help you be matched with employer-based scholarships Radford offers). If you are independent, list not applicable or N/A.
I agree to allow members of Radford’s foundation scholarship committees (as designated by the University) to review my academic information and any FAFSA data submitted (SAI and remaining need, if a FAFSA is on file) in order to determine if I am eligible to be awarded one or more of Radford’s Foundation Scholarships. I also agree to allow Radford University to share my contact information with my donor or donor contact. (The foundation scholarship committees will not share confidential academic or financial information outside of their review sessions.)
This application is for the 2025-26 academic year. How many hours do you plan to enroll for the fall 2025 semester?
Please enter a whole number, no decimals or other symbols. Please note that full time enrollment (12 credit hours undergraduate and 9 credit hours graduate) is required for all scholarships; unless scholarship criteria specifically indicates part-time.
I release my academic information and any FAFSA data submitted to RUC (EFC/SAI, if a FAFSA is on file) and my contact information to Carilion’s Foundation Board so that they may make a final determination on whether I will be awarded one or more of Carilion’s Education Foundation Scholarships. I understand that Carilion’s Foundation Board will use my contact information to notify me of any scholarships for which I have been selected. I understand that Carilion’s Foundation Board will not share any of my information.