Senior Service Award Application

SENIOR SERVICE

AWARD APPLICATION

Senior Service Award ApplicationPage 1Revised 2008

PURPOSE: The Senior Service Award is presented annually at Founders’ Day observances to a collegiate senior whose scholarship, leadership, character, and service to Fraternity and school have been outstanding during her years as a collegian. Applications are submitted to the Chapter Advisor or Colony Advisor who will forward it to the National Office.

THIS APPLICATION AND SUPPORTING MATERIALS ARE DUE IN NATIONAL OFFICE BY:

NOVEMBER 15, 2010

INSTRUCTIONS FOR USING WORD FILE: TAB BETWEEN FIELDS TO ENTER INFORMATION.

Name: / Email Address:
Chapter/Colony: / Date of Local Founders' Day Celebration:
Home Address:
School Address:
Phone Numbers: School: / Cell/Home:
Cum GPA: / Month and Year Initiated:

GPA based on a scale of (check one)

/ 4.0 6.0 100 / Other:
Degree:
Graduation Date: / (Must be before June 2011, in the2010-2011 academic school year.)

TO BE CONSIDERED FOR THE SENIOR SERVICE AWARD, THE FOLLOWING INFORMATION MUST BE ENCLOSED WITH THIS APPLICATION:

Completed application form with applicant’s signature on page three and Chapter Advisor's signature on page one. (signatures not required if the application is submitted electronically, but application must be submitted by Chapter Advisor)

Chapter Advisor’s letter (If no Advisory Board, a letter from the Conference Director OR an alumnae officer is REQUIRED.)

College/University advisor/official letter of recommendation. Please see last page for letter of explanation to the academic community. (If submitted electronically, must be submitted directly from the person submitting the letter.)

A summary statement written by applicant supporting qualifications for this award. (See page four.)

Photograph for publication in The Compass due by January 15th. (Please see page four of this application for specifications.)

OPTIONAL:

Transcript Resume/Vitae Additional letters of recommendation

Chapter/Colony Advisor's Section: Applications approved by the Advisory Board can be submitted electronically by sending the file as an email attachment to the following address: . A letter of recommendation is REQUIRED. If no Advisory Board exists, a letter from the Conference Director or an alumnae officer is REQUIRED.
This candidate meets the chapter’s requirements for good financial, academic, and social standing. (If not, explain.)
Chapter/Colony
Advisor's Name: / Email Address:
Chapter/Colony Advisor's Signature:
(not required if the application is submitted electronically directly by the Chapter/Colony Advisor)
Address:
Phone Numbers Home: / Work:
Cell: / Other:

1. CHAPTER ACTIVITIES:

A.Officer / Chairman Positions Held:

/ Dates (Month/Yr From – To):

B.Awards / Honors:

/ Date:

1. CAMPUS ACTIVITIES (Other than Theta Phi Alpha):

A.List organizations, offices, chairmanships, and/or important contributions: (e.g. Student Government/Council, Panhellenic/Inter-Sorority/Fraternity Council, campus religious organizations, service organizations, etc.). Include dates (month/year) from – to:

B.Non-Scholastic Activity/Organization Honors (Identify and list dates received, e.g. Who’s Who, Mortar Board, elections won, etc. If not a national organization, please identify campus group.)

III.COMMUNITY ACTIVITIES: Dates (Month/Yr From – To):

1. EMPLOYMENT DURING COLLEGIATE CAREER:

A.Type of Employment:

B.Hours worked per week during school

/

During breaks

1. SCHOLASTIC:

A.Your cumulative GPA:

B.Based on a scale of (check one)

/ 4.0 6.0 100 / Other

C.College/University scholastic honors (Identify and list dates received, e.g. Phi Beta Kappa, scholarships, Dean’s List, convocation honor, etc):

D.Departmental Honor Societies (Identify and list date received):

To the best of my knowledge, the information provided is complete, accurate, and truthful.

Applicant’s Signature: / Date:

Note: If the application is submitted electronically directly by the Chapter Advisor or Colony Advisor, applicant's signature is not required but applicant is still accountable for the accuracy of the contents of the application. A separate affidavit to that effect may be requested.

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PHOTOGRAPHS:

Please submit a quality photograph of yourself that will be published in The Compass of Theta Phi Alpha should you receive the award. The best quality photographs would include your individual composite photograph or a senior or graduation portrait. Otherwise, a clearly focused head and shoulders photograph should be sufficient. When selecting the photograph for submission, please insure that the photograph has a light background and that nothing seems to be coming out of your head or shoulders, such as a window frame or bulletin board. If you need to submit a temporary photograph at the time of application, then a quality photograph later, that is acceptable. Your quality photograph must be submitted to National Office no later than January 15.

SUMMARY STATEMENTS:

Please submit a one or two page summary, which provides additional information that should be considered for this award. This could include such items as activities or honors not addressed by the categories of this application, accomplishments in office, and/or important moments as a sister of Theta Phi Alpha.

Senior Service Award ApplicationPage 1Revised 2008

Dear Member of the Academic Community,

The Senior Service Award of Theta Phi Alpha Fraternity is bestowed upon a young woman whose scholarship, leadership, character, and service to our fraternity and her school have been outstanding during her years as a collegian. The Advisory Board of each Theta Phi Alpha chapter evaluates all applications and supporting documents to nominate a maximum of two women from each chapter for submission to our Board of Trustees. The Board of Trustees then selects no more than one woman from each chapter to receive this prestigious award.

As support for the collegians’ application, the Board of Trustees requires each applicant to provide a letter of recommendation from a professor or administrator at her college or university. You have been chosen by the applicant to provide a letter on her behalf. Letters of recommendation should comment on the applicant’s service to her school as well as on her character. Please include the length of time you have known the applicant and in what capacity.

To ensure the confidentiality of our selection process, we ask that your letter be given to the applicant in a sealed envelope with your signature across the seal. The applicant will include your sealed envelope with her application when it is submitted to her chapter’s Advisory Board. Alternatively, you can submit your letter of recommendation electronically directly to the Advisory Board using the Chapter Advisor’s contact information provided below or by sending your letter as an email attachment to the following address: . The alumnae members of the Advisory Board will read all letters as they narrow their selection to the two nominees. Collegians have no knowledge which applicants become the Advisory Board award nominees.

We, the members of the Board of Trustees of Theta Phi Alpha, thank you on behalf of the Fraternity for your participation in this process and for spending the time to recognize one of your student leaders.

Kindest regards,

The Board of Trustees

Theta Phi Alpha Fraternity

The following information to be provided by the applicant:

Chapter Advisor's Name:

Chapter Advisor's email address information (required for electronic submission):

Senior Service Award ApplicationPage 1Revised 2008