NORTH CAROLINA DIETETIC
ASSOCIATION, INC.
SUPERVISED PRACTICE SCHOLARSHIP
The
NCDA, Inc. Supervised Practice Scholarship (SPS) provides financial assistance
to a student who has satisfied the didactic requirements established by ADA,
and has been accepted into a supervised practice program, internship or
coordinated program accredited by ADA.
Source
Funds
for the scholarship are derived from the interest accrued from endowed funds
from contributions and funds designated by the NCDAF Board.
Currently
$ 1000.00
Notification of Availability
The
availability of the scholarship will be sent to colleges and universities
offering programs that meet the criteria established. The purpose and availability of the
scholarship will be published yearly in The Link, a minimum of 45 days
prior to the deadline stated on the application. The application deadline is on February 15.
Application
Complete and mail in a hard
copy of the NCDA, Inc., SPS Scholarship application form. Submit the following with the application:
a)
Three references
addressed to the First Vice Chair of the NCDAF. References should come from individuals,
excluding relatives, who are able to judge the individual’s academic and
scholastic ability, character and potential as a
professional dietitian. At least two
references should come from instructors in foods, nutrition, dietetics, or food
service management. The third reference
may come from someone outside the faculty such as an employer, supervisor,
minister, etc. References may be in the
form of a letter or on the ADA Recommendation Form.
b)
A college
transcript including the last semester completed.
c)
An official ADA
Declaration of Intent to complete a Didactic Program in Dietetics form signed
by the Program Director or an ADA Verification
Statement.
Method of Selection
The NCDAF will review all applications according to the criteria established using the Scholarship Application Selection Form.
Method of Award
The award will be announced
during the Annual Meeting of the NCDA, Inc.
The recipient will be invited to attend the awards ceremony and receive
a certificate. An announcement of the
recipient and money awarded will be made to the NCDA membership in The Link. The scholarship monies will be sent to the
recipient upon documentation that he or she has enrolled in an accredited
program. Documentation will include a letter from the Program Director noting enrollment in the program or a cashier’s
office receipt for the present period.
NORTH CAROLINA DIETETIC
ASSOCIATION, INC.
Have
you received a scholarship, award or grant from NCDA before? Yes _____
No ____
If
yes, name the award and when you received it? _________________________
_________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Permanent
phone ( ) ________________________
Present phone (
) ________________________
Current address (if different from above)
__________________________________________________________________
__________________________________________________________________
Date Attended or Expected
College/University Major Date of Graduation Degree
Dates Title Duties Name/Address
of Employer
7. Provide a brief description of your professional
intentions or interests (may use separate page).
8.
May the committee
contact persons who submitted a reference?
9. Name of program that will meet the experience requirements for RD eligibility.
1st
preference_______________________________________________________
2nd
preference______________________________________________________
__________________________________________________________________
Signature
of Applicant Date
The
deadline for receiving completed application packets is February 15.
Return
application to:
Tracy Rogers, MS, RD
First Vice
Chair of NCDAF
247 Rutledge Avenue
Beaufort, NC, 28516
(cell) (252) 241-9652
(pager) (252) 634-0195
(e-mail) tracy91670@yahoo.com
Revised: 3/27/2007