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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?                  
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              formatted like MM/DD/YYYY.  
                
            Have you taught elementary school students as a working professional or as a part of your student teaching?          
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            Do you currently work full-time or part-time during the academic year?                                                  
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            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 
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            Are you a first-generation college student? Yes 
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            Are you a member of Radford University's Men's or Women's Basketball Sport Club Program?                          
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            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?          
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            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 
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            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 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).          
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            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.           
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            Are you now or were you involved in 4-H and/or community service during high school?                                  
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            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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0 
00000 
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GA 
08003 
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335525 
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01051 
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08037 
28213-3150 
22980-7474 
01093 
104102 
01071 
01083 
51010 
        
            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.            
            Are you a custodial single parent raising a child or children while attending Radford?