Truman Scholarship 2014 Application for Willamette Nomination

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1 Truman Scholarship 2014 Application for Willamette Nomination A complete nomination application consists of: 1. The WU/Truman Application CAMPUS DEADLINE: April 7, 2014 Office of Student Academic Grants and Awards 100 Matthews Academic Commons 2. A 500-word description of a policy issue related to your public service interests. 3. A current transcript (unofficial is OK) 4. Names, campus phone number, and departmental affiliation of three faculty references. (Do not request letters; the Grants & Awards committee will contact references.) Please note: application materials are to be submitted electronically only, to the WISE site called SAGA Applications Instructions for joining the site may be found here: References: Name: Dept.: Campus Phone: Name: Dept.: Campus Phone: Name: Dept.: Campus Phone: WU Truman Application page 1 of 8

2 Willamette Campus Application for the 2014 Truman Fellowship Nomination Legal Name in full (Print/Type) Last Name First Name M.I. Permanent residence Number, Street and Apartment # Sex: M F City State ZIP Your address at school (if different) Number, Street and Apartment # How is permanent residence established? (At least two must apply.) City State ZIP Home address for school registration Home telephone ( ) Place of registration to vote. School telephone ( ) Family s Primary residence (if different) address Other Date of Birth / / (Check one) I am a US Citizen US national Resident alien expecting citizenship by May 23, 2013 Will you be studying abroad in Fall 2014 Yes No or Spring 2015? Yes No Current cumulative GPA Number of college credits received to date Your undergraduate major(s) Total number of credits required for graduation Expected date to receive baccalaureate degree Degree you will receive Graduate degree(s) Concentration(s) sought If you have more activities, work experience, and/or awards than the space allows, list only those you consider most significant. Inserts, attachments, and additional pages will not be accepted. 1. List the secondary school from which you graduated, and all higher education institutions attended. Include summer, study-abroad, exchange programs and your nominating institution. School Location Dates Attended WU Truman Application page 2 of 8

3 2. List college and high school activities (student government, sports, publications, school-sponsored community service programs, student-faculty committees, arts, music, etc.) List in descending order of significance. College Activity Dates Offices High School Activity Dates Offices 3. List public service and community activities (homeless services, environmental protection/conservation, advocacy activities, work with religious organizations, etc.). Do not repeat items listed previously. List in descending order of significance. Activity Role Dates # of Weeks Active WU Truman Application page 3 of 8

4 3. Public Service (cont t.) Activity Role Dates # of Weeks Active 4. List government activities (internships with government agencies, partisan political activities, ROTC/military, municipal boards and commissions. List student government under Item 2. Activity Role Dates # of Weeks Active 5. List part-time and full-time jobs and nongovernment internships since high school graduation. Type of Work Employer Dates Average # Hours/Week 6. List awards, scholarships, publications or special recognitions you have received. List in descending order of significance. WU Truman Application page 4 of 8

5 7. Describe one specific example of your leadership. 8. Describe a recent particularly satisfying public service activity (do not repeat experience described in 7). WU Truman Application page 5 of 8

6 9. Describe the problem of society you want to address when you enter public service. (If possible, use statistical data to define the magnitude of the problem. 10. What are the three most significant courses you have taken? WU Truman Application page 6 of 8

7 11. If selected a Truman Scholar, would you apply for the Summer Institute? (If yes) With which federal executive branch agency would you like to work? What issues would you like to address? 12. Describe the graduate education program you intend to pursue if you receive a Truman Scholarship. 13. What do you hope to do and what position do you hope to have upon completing your graduate studies? WU Truman Application page 7 of 8

8 14. What do you hope to do and what position do you hope to have five to seven years later? 15. What additional personal information do you wish to share with the Truman Scholarship Foundation? I authorize the Office of Student Academic Grants & Awards to conduct a routine inquiry of my references, conduct records and academic standing. I understand that this information will be shared with members of the selection committee for evaluation purposes. Signature of Applicant Date WU Truman Application page 8 of 8

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