Application
Outstanding Undergraduate Student Award
Application Due: March 20, 2015
Period of Accomplishments: January 1, 2014– December 31, 2014
Applicant's Name: - Please type applicant's name here -
Mailing Address:
Email address:
Phone:
Applicant’s major and concentration:
- Please type major here-
Signature of Applicant: ______Date: ______
Date received: ______
Received by: ______
Supporting Documentation
Grade Point Average (4.0 scale):
- In the text box below, please enter the overall grade point average (on a 4.0 scale).
- 3.00 – 3.25 = 1 point
- 3.26 – 3.50 = 2 points
- 3.51 – 3.75 = 4 points
- 3.76 – 4.00 = 6 points
GPA = None
Extracurricular Activities: (Maximum of 6 points)
- In the text box below, please list affiliations with professional/student organizations, offices held in professional organizations, offices in Student Government Association, and community service. The text box will expand as you type.
None
References: (Maximum of 6 points)
- This award application package must include a minimum of three, and not more than five, evaluation formsfrom individuals who can evaluate the applicant’s efforts. At least one reference must be from a faculty/staff member in a discipline other than that of the applicant. Reference form is at the end of this document.
In the box at the left, please enter the number of letters included in this award application packet.
Please provide names and contact information in the text box below. The text box will expand as you type.
- Please enter the name, mailing address, telephone, and e-mail address of each reference here -
Personal Statement:( Maximum of 6 points)
- Brief statement concerning current involvement in the profession and future contributions.
Presentations: (Maximum of 4 points)
- In the text box below, please type a complete reference [author(s), year of publication, title, meeting organization, meeting location, meeting date(s)] for each presentation to be evaluated for this application packet. The text box will expand as you type.
- For each presentation, you must also include and clearly indicate the following information:
- The type of meeting (professional or non-professional; international, national, or local)
- Whether the presentation was oral or poster
- Whether the presentation was refereed or non-refereed
- Whether the presentation was on-campus or off-campus
None
Awards: (Maximum of 4 points)
- In the text box below, please type a list of awards received during the period of accomplishments. The text box will expand as you type.
- For each award, you must include the following information:
- The name of the award
- The awarding organization
- The date of the award
- The type of award (professional or non-professional; international, national, or local)
None
Publications: (Maximum of 4 points)
- A reprint or copy of each publication must be included as a supporting document in this application packet.
- In the text box under the appropriate category below, please type a complete reference [author(s), year of publication, title, publisher] for each publication supporting document included in this application packet. The text boxes will expand as you type.
- Refereed Publications:
None
- Non-Refereed Publications:
None
- Magazine Articles:
None
- Newspaper Articles:
None
- Abstracts:
None
- Proceedings:
None
- Books:
None
- Book Chapters:
None
- Bulletins:
None
- Other:
None
Submit application form and supporting materials electronically to:
De’Etra Yong
.
Student Reference Sheet
Student ______Date ______
Evaluator ______
In what capacity do you know the student?
Attribute / Excellent (4) / Good (3) / Average (2) / Below Average (1)Academic performance
Professionalism
Character
Creativity
Ambition
Perseverance
Interest in sharing ideas
Initiative/self motivation
Ability to work with others
Ability to meet deadlines
Ability to assimilate new information
Ability to accept criticism
Verbal skills
Writing skills
Additional Comments: