Graduate Award Application Worksheet

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1 Graduate Award Application Worksheet Instructions This worksheet is provided for you to collect and organize your information in preparation for submission on the official on-line application form for ALL School of Information Technology graduate student awards. Only students who complete and submit the official on-line application will be considered for School awards. All of the information requested on this form is required in order to assure your full consideration for all eligible awards. Applications must be submitted on-line by Friday, February 9, Eligibility: The School of Information Technology graduate awards are limited. Only students currently enrolled as Information Systems graduate students planning to graduate in May, August, or December 2018 are eligible to apply. The following awards will be given: Outstanding Graduate Student Distinguished Graduate Student Outstanding Graduate Assistant Awards Reception: All School Awards will be presented at the School of Information Technology IT Celebration on April 27, Award recipients are required to attend the award presentation. Award recipients will be notified in advance of the event.

2 Graduate Award Application Personal Data Last First University ID number (Example: 8XX-XX-XXXX) - - Local Address Street City State and Zip Code Local Phone Number Address Provide the names of up to two people you would like the School to notify if you are selected for an award. Address City State Zip Code Address City State Zip Code

3 Academic Information Degree Sequence Total ISU hours (Available on icampus) Cumulative GPA (Available on icampus) What semester/year did you first attend ISU in the IT graduate program? Are you currently enrolled in classes at ISU for Spring 2018? Yes No List the month and year you plan to graduate (Example May 2019)

4 References List three references that we may contact to learn more about you. You must contact each of these people to obtain their consent before you list them as your references. If you have not received permission of the person to use them as a reference, any reply will not be considered. You may NOT use family members or other ISU students as a reference. ISU faculty member in the School of Information Technology address Have you received permission to use this person as a reference? Yes No Note: If you do not receive prior permission of the faculty member to use him/her as a reference, any reply will not be considered. Another ISU faculty member may or may not be in the School of Information Technology address Have you received permission to use this person as a reference? Yes No Note: If you do not receive prior permission of the faculty member to use him/her as a reference, any reply will not be considered. Third reference of your choice must NOT be a family member or an ISU student Mailing address Street City address State Zip Code Have you received permission to use this person as a reference? Yes No Note: If you do not receive prior permission of the person to use him/her as a reference, any reply will not be considered.

5 Other Information From an academic perspective, what makes you deserving of an award in Information Technology? Please list and describe your extra-curricular activities both at the university and in the community.

6 Is there any other leadership, academic, or personal information you would like the School to consider when reviewing your application? Awards will be presented at the School of Information Technology IT Celebration to be held on April 27, Please mark your calendar now. Attendance at the presentations is mandatory for recipients.

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