Download this form, then complete and send electronically with your curriculum vitae to EDLF Department Awards Committee at on or before

March 1.

Questions concerning Student Resume & Information Form should be directed to faculty contacts listed on the Curry Foundation website list of awards for students in EDLF program areas. For other questions, please contact Dana Bowman at or 924-7161.

Submission of completed form with electronic signature on the honor statement indicates you have

read the selection criteria on the Curry Foundation website and are eligible for the award.

Check carefully to ensure the information submitted is accurate and complete.
Personal Information
First Name: / Last Name:
UVA ID (on student ID card): / Computing ID (UVA email prefix):
Last 4 digits of SS# / Sex:
Address:
Current Local Address:
City State Zip:
Local Telephone: / Email Address:
Academic Information
Semester and year you plan to graduate:
Degree Program:
Department:
Specialization:
If in a certification program, specify area:
Curry School Advisor:
Indicate full or part-time status:
Number of years you have taught in a Virginia public school (if this is a selection criterion for the award you are seeking):

The following are awarded annually to Leadership, Foundations & Policy students. Before submitting this form, review the criteria and faculty contacts listed on the Curry Foundation website at Curry School Foundation Student Awards then indicate which of the following awards you qualify for and would like to be considered for with an X:

Leadership, Foundations, and Policy Awards, Scholarships, and Fellowships
EDLF Awards
(Awarded to Current Students)
Jay L. Chronister Student Award in Higher Education
Annette Gibbs Research Award
William H. Seawell Memorial Award
Alton Taylor Award
Recipients of scholarships and fellowships must be enrolled in at least two semesters in the upcoming year: Summer & Fall; Summer, Fall, & Spring; or Fall & Spring. Doctoral students MUST be enrolled full-time. If a recipient is not qualified for the upcoming academic year, the scholarship/fellowship will not be held over for the following year.
EDLF Scholarships and Fellowships
(Awarded to Incoming and Continuing Students)
Walter Eugene Campbell Scholarship
Robert Lynn Canady Fellowship
Bonnie McKee Mason Clevenger & Daniel W. & Rosalee McKee Mason Fellowship
Frank E. Flora Scholarship
Samuel Marx Scholarship
Johnnie E. Merritt Graduate Fellowship
Snyder-Crumpacker Women's Graduate Fellowship
Jennings L. Wagoner, Jr. Scholarship

Please complete the following:

Achievements
I. Academic Awards and Honors (note that lines expand to accommodate content)
Award or Honor / Awarding Institution / Date
1
2
3
II. Co-curricular Activities (note that lines expand to accommodate content)
Student Organizations / Leadership role/responsibility / Date
1
2
3
Professional Organizations / Leadership role/responsibility / Date
1
2
3
Service Organizations / Leadership role/responsibility / Date
1
2
3
III. Special Talents or Interests - including athletics, music, & hobbies
IV. Products, publications and/or presentations made (include full citation)
1.
2.
3.
4.
5.
6.
7.
V. Personal Statement about yourself and your chosen field (250 words or less):
VII. Curry Faculty References:
1.
2.

Add additional information here:

I certify, on my honor as a student of the University of Virginia, that the information I am submitting is accurate and complete to the best of my knowledge.

Signature: / Date: