Commencement Award Application

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Commencement Award Application (for students receiving a degree in May, 2013)

For Confidential Use by the Commencement Awards and Prizes Subcommittee

Students are responsible for the accuracy of the information provided, which may be subject for review.

Commencement Award Applications are for confidential use by the Commencement Awards and Prizes Subcommittee. In order to be considered for a commencement award or prize (as well as selection of Valedictorian), a commencement award application must be submitted electronically through the USciences website no later than 11:59 pm April 1, 2013. Award applications will not be accepted after that time. These applications are submitted by each student who wishes consideration. Students are responsible for the accuracy of the information provided, which may be subject to review.

Commencement Award Applications will not be accepted after April 1, 2013.

If you have any questions, please contact Samuel Talcott at s.talcott@usciences.edu.

Fields marked with * are required.

Name *

Major *

Contact Information

Please provide contact information where you may be contacted during May/June. It is extremely important that this information be current.

Email Address *

Telephone Number *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Please list the university award(s) for which you feel you are exceptionally qualified.

View awards. You can select an award by clicking on it.

Some awards require specific qualifications. Therefore, please answer the following questions to assist us in selecting these awards.

Do you consider yourself an "International Student"? *

YesNo

Do you consider yourself a "Non-Traditional Student"? *

YesNo

If yes, please explain why you consider youself a "Non-Traditional Student." *

Gender *

FemaleMale

Please describe your extra-curricular activities noting the years in which you participated and degree of involvement.

Community Service

List Community Service (e.g. Student Government, College Committees, etc.), including offices held. Please list dates. Do not list service activities that were fulfilled as a mandatory course requirement. Please note, if service activities were associated with fraternity or sorority activities.

Intercollegiate Athletics

Please list dates.

Campus Scholarly Activity

Please list research, presentations and publications.

Regional or National Scholarly Activity

Please list research, presentations and publications.

Fraternities & Sororities

Please list and briefly describe community activities performed in the community section. Please list dates.

Honor Societies and offices held

Please list, including dates.

Professional Associations and offices held

Please list professional associations in which you are or have been a member (e.g., Student Physical Therapy Association, etc.) Please list dates.

Other Campus Groups

Please list, including dates.

Work Experience

Please list, including name of employer and dates.

Career Goals Upon Graduation

Please indicate the type of employment (e.g. community practice, hospital practice, industry) as well as additional graduate coursework (e.g. Ph.D.) program or training (e.g. residency/fellowship). Please list dates.

University of the Sciences in Philadelphia