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St. Norbert College Diversity Leadership Award - 2012 Application
Please note that the required essay questions at the bottom of this page must be answered before submitting your application.
PART 1: PERSONAL INFORMATION
Personal information
First name
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/.PDF document
Only ONE document please
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 have received in high school.
Specify the type of award: 1-Academic, 2-Community Service, 3-Extracurricular (Athletic, 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:
Select two of the three questions below.
1. What is diversity and what does it mean to you?
2. What does leadership mean to you? Describe a time either where you have been a leader or you have been impacted by great leadership.
3. Why should you be selected for the Diversity Leadership Award?
Your information will be submitted to the Office of Admission. If you have any questions about the application form or the Diversity Leadership Award, please call us at (800) 236-4878 or e-mail
admit@snc.edu
.
Financial Aid
Phone: (920) 403-3071
Fax: (920) 403-3062
E-mail:
financialaid@snc.edu
St. Norbert College • 100 Grant Street • De Pere, WI 54115-2099 • 920-337-3181
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