Application for Outstanding Graduate in Human Development Award | 2017-2018
Department of Human Development California State University, Long Beach
DEADLINE: Thursday, December 7th at NOON. Submit application via email to .
Please type all application materials. Applications for this award will also be considered for the Alice Hurst and Community Engagement awards.
Outstanding Graduate in Human Development
Students chosen for this award are superb scholars who have made substantial contributions to the community and/or university. This is a highly distinguished award, and the awardee also will be nominated for the Outstanding Student in Liberal Arts distinction.
Part I: Personal Information
Name: / Campus ID #Address: / Telephone #
City, State, & Zip: / Graduation Semester:
Email:
Part II: GPA
CSULB Cumulative: HDEV Major:
Part III: Coursework in Human Development Department
Semester/YEAR / Course / Instructor / Grade / Semester/YEAR / Course / Instructor / Grade1 / HDEV / 6 / HDEV
2 / HDEV / 7 / HDEV
3 / HDEV / 8
4 / HDEV / 9
5 / HDEV / 10
Part IV: Academic Awards, Community Organization awards, Grants, Scholarships
Date / Award / Date / Award1 / 4
2 / 5
3 / 6
Part V: Student Activities & Leadership
Dates / Activity / Role1
Special Contributions?
2
Special Contributions?
3
Special Contributions?
4
Special Contributions?
5
Special Contributions?
Part VI: Community Engagement Activities
Start Date / End Date / Organization / Supervisor1
Role/Contribution:
2
Role/Contribution:
3
Role/Contribution:
4
Role/Contribution:
Part VII: Research/Fieldwork Participation
Semester / Research/Fieldwork Topic / Instructor/Supervisor1
2
3
Part VIII: Research/Fieldwork Presentations
Date / Location / Paper / Date / Location / Paper1 / 3
2 / 4
Part IX: Expand on contributions – use the space below to explain in more detail your role or contribution to the most significant student activities, community engagement, and research participation you identified in the above sections. (500 words max.)
Part X: How has your Human Development Major impacted you? In other words, how has choosing this major had an influence on your development? (250 words max.)
Part XI: Statement of your Career Goals – What are your future career plans? If you have applied to graduate school, include the schools and programs chosen. Also, note where you are in the process (applying now, already accepted, etc.). Where do you see yourself in 10 years from now? (500 words max.)
Part Xii: What mark would you like to leave on the world? (250 words max.)
Part XIII: Why do you think you should receive this award and what benefits will this award bring you? (250 words max.)
Part IX: Should you be selected for the Outstanding Student Award, the awards committee will request letters of recommendation on your behalf. List 2-3 HDEV instructors who know you and accomplishements well.
Instructor / Months/Years Known1
2
3
Please include an Unofficial Transcript with your application. Email the application and unofficial transcript to:
. Applications are due by Thursday, December 7th at NOON.
3