Mortar Board, Inc., a national honor society that recognizes college seniors for their achievements in scholarship, leadership, and service, creates opportunities for continued leadership development, promotes service to colleges and universities, and encourages lifelong contributions to the global community.

Membership is based on outstanding scholarship, leadership, and service. Members must be in the final term of their junior year or have equivalent status. All members must be at least in the upper 35% of the class, have a cumulative GPA of 3.2 or higher, and must have demonstrated leadership abilities and service to the university and/or community. Membership in Mortar Board entails attending a monthly meeting, participating in the various service projects coordinated each semester, and an annual membership fee of $90. Scholarships towards the membership fee are available through Mortar Board and the national organization, in cooperation with the Mortar Board Foundation, annually awards fellowships in the amount of $2,000.

The National Project of Mortar Board is “Reading is Leading.” This upcoming spring, our Chapter is holding a fundraiser to donate children’s book to an elementary school.

To be considered for membership in Mortar Board, please fully complete the attached application. Your application is due by 8:00 pm on Tuesday March 27th via e-mail to the Membership Chair. (If you send your application via e-mail, please state “Mortar Board Application” in the subject line)

Thank you for your interest in Mortar Board! Please do not hesitate to contact me with further questions.

Best regards,

Bailey O’Brien

Membership Chair

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Name:

Campus Address:

Campus Phone:

Home Address:

Home Phone:

Email:

Major: Minor/concentration:

Proposed graduation date:

Cumulative GPA:

Number of credit hours completed:

Please list one faculty reference from the University of Illinois at Urbana-Champaign:

Name: Phone:

Grade Release

I, ______, hereby authorize the release of my grades to the Selection Committee of Mortar Board. I understand that this information will be held in confidence and will only be used in the assessment of my application for membership in the organization. (The grade point average requirement is 3.2)

I attest that all information provided within this application to Mortar Board is accurate and truthful. If any information proves to be incorrect, my application will be considered unacceptable to the Selection Committee.

Signature: Date:

Honors and Awards

Please list any honors or awards you have obtained during your college career (academic or otherwise):

1.  ______

2.  ______

3.  ______

4.  ______

5. ______

Campus Activities

Please list your involvement in organizations on campus and indicate any office that you have held:

1.  ______

2.  ______

3.  ______

4.  ______

5.  ______

Service

Please list any community service completed during your college career:

1.  ______

2.  ______

3.  ______

4.  ______

5.  ______

Significant Activities

Please list any other significant activities, which cannot be included in the above categories (i.e. employment, internships, contributions to your major or department, research, study abroad, etc.):

1.  ______

2.  ______

3.  ______

4.  ______

5.  ______

Personal Statement

In the space provided, please explain why you want to be a member in Mortar Board. (Maximum 500 words).

Thank you for applying to Mortar Board! J