2011 AHAINA Women of Excellence Awards
Application

To Enter:
Complete the 2011 application packet and submit it to AHAINA using one of the following methods: scan/email the completed packet to , fax the completed packet to AHAINA at 907-786-4079, or hand deliver to AHAINA Student Programs at 3211 Providence Drive, Rasmuson Hall, Suite 106, Anchorage, Alaska 99508.

Eligibility:
Any woman who is currently enrolled in 6 or more credits during the Fall 2010 semester at UAA, has a minimum 2.5 G.P.A., and considered a rising Junior with 60-89 cumulative credits.

Judging and Notification:
A panel of judges will evaluate candidates based on leadership experience, personal involvement in the community and campus affairs, volunteer experience, and academic excellence. Winners will be anoounced at the 2011 Women of Excellence Awards Banquet, to be held on November 13, 2010 at the Lucy Cuddy Hall, UAA main campus.

Each Entry Must Include:

·  A completed application form.

·  An official college transcript.

·  A black-and-white or color photograph (for identification purposes only); please include this with your completed application packet.

·  At least two (2) letters of recommendation; please use the forms provided.

·  CDs, videos, or samples of your work may be submitted with your application packet. You may also include any relevant newspaper clippings or describe local recognition received in newspapers, on radio, television, etc. Label photo(s) with your name. Application portfolios will be returned following the awards banquet.

Name

Last First Middle

College/University Name

Mailing Address

City State Zip Code

Phone Number E-mail

UA ID # Birth Date (mm/dd/yy) Month/Year of Graduation

Are you a U.S. Citizen? Yes No

How did you hear about the 2011 AHAINA Women of Excellence competition?

E-Mail Phone Call Newsletter Green and Gold Daily Other

Check your area of study or interest in one of the following areas:

·  Creative Arts/Communications/Humanities

·  Politics/International Relations

·  Public Service/Education

·  Science and Technology/Health

·  Business & Economics/Entrepreneurship

Major Minor

Future Plans (brief description)

Please list your activities on and off campus by year. Include names of activities and organization, and briefly describe your responsibilities and contributions.

Activity/Organization/Years

Responsibilities and Contributions

Activity/Organization/Years

Responsibilities and Contributions

Activity/Organization/Years

Responsibilities and Contributions

Activity/Organization/Years

Responsibilities and Contributions

Activity/Organization/Years

Responsibilities and Contributions

Activity/Organization/Years

Responsibilities and Contributions

Activity/Organization/Years

Responsibilities and Contributions

Activity/Organization/Years

Responsibilities and Contributions

Activity/Organization/Years

Responsibilities and Contributions

Please write a 500 to 700-word essay describing your most meaningful achievements and how they relate to your field of study and future goals.

Parent’s or Guardian’s Name


Mailing Address

City State Zip Code

Phone Number E-mail

Faculty Advisor or Faculty Member (for Personal Reference)

Name/Title

Mailing Address

City State Zip Code