St. Norbert College Multicultural Leadership Award - 2013 Application

Please note that the required essay questions at the bottom of this page must be answered before submitting your application.

Part I: Personal Information
Personal information
First name	Middle Initial	Last name
Address
City	County	State --Select state-- Outside the U.S. Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming	Zip code
Home phone number ( )        Cell phone number ( )
E-mail address
Academic information
High school	Phone number ( )
G.P.A.	Rank in class	ACT composite/SAT scores

Race/Ethnicity	Gender	Do you plan to apply for financial aid?
--Select race-- African American/Black American Indian/Alaska Native Asian Caucasian/White Hawaiian/Pacific Islander Other If other:	Male Female	Yes No
--Select ethnicity-- Hispanic or Latino Not Hispanic or Latino Prefer not to respond

Did your parents graduate from a four-year college?
Father
Yes No	College	Degree/graduation date
Mother
Yes No	College	Degree/graduation date

PART 2: RESUME AND ESSAY
If you'd rather attach your resume and essays from a Word document or PDF, please submit only ONE document.
Leadership positions: Describe leadership activities you have been involved in over the past four years.
Organization	Position	Duties	Number of hours/week	Dates

Volunteer work/community service: Provide the total number of hours in volunteer work or community service.
Name of activity	Duties	Total number of hours	Dates

Honors/awards: List and describe the honors and awards you've received in high school. Specify the type of award: 1-Academic, 2-Community Service, 3-Extracurricular (athletics, etc.)
Description of honor/award	Type	Date

Paid employment: List employment that demonstrates leadership skills and community service.
Employer	Position	Duties	Number of hours/week	Dates

Essay questions: NOTE: Applications MUST select Essay #1 and select EITHER Essay #2 or #3 as their second topic.

1. What is diversity and what does it mean to you?

NOTE: Select ONE of the following:

2. Describe a time when you had to adapt to a wide variety of people by accepting/understanding their perspectives.

3. What have you done to further your knowledge/understanding of diversity? How have you demonstrated your learning?

Your information will be submitted to the Office of Admission. If you have any questions about the application form or the Multicultural Leadership Award, please call Jim Stamatakos at 800-236-4878 or e-mail jim.stamatakos@snc.edu.