VOLUNTEER
LEADERS’ SCHOLARSHIP
APPLICATION
FORM
(Please
type)
Local Address____________________________________________
Home Phone _______________ Work Phone ______________
E-mail
Major
______________________ Classification _____________________
Scholarship
Level Applying For: __________________________
Organization: ______________________ Position____________________
How long have you been involved with this organization?
___________________________________
Attach
a separate sheet with your typewritten responses to each of the following
questions.
1. Describe your specific involvement with this organization in the past and
this semester.
2.
From that involvement, what did you accomplish toward the organization's goals?
3. What leadership skills have you learned or enhanced with your involvement with this organization?
4. What has been your most significant achievement?
Applicants
are encouraged to attach any supporting documentation of involvement.
Mail
completed applications to Student Governance and Organizations, Lower Level,
University Center, Box 19350, Arlington, TX
76019, Phone 817/272-2293.
State Law requires that each student identify any relation to a current member of The University of Texas System Board of Regents. A student who is related to a current member of the U.T. System Board of Regents is prohibited from receiving scholarships unless the scholarship is awarded exclusively based on academic merit or is an athletic scholarship. It is a class B misdemeanor to file a false statement.
Are you related to any member of the U.T. System Board of Regents?
If yes, please identify the Board member and the relationship.
Applicable relationships include one of the following:
1. Regent’s—spouse, spouse’s child, spouse’s parent, child’s spouse, parent’s spouse;
2. Regent’s—spouse’s brother or sister, spouse’s grandparent, spouse’s grandchild, brother’s or sister’s spouse, grandparent’s spouse, grandchild’s spouse;
3. Regent’s—parent, daughter, son;
4. Regent’s—brother, sister, grandparent, grandchild; or
5. Regent’s—great-grandparent, great-grandchild, uncle or aunt (brother or sister of parent), nephew or niece (son or daughter of brother or sister).
A list of the current members of The University of Texas System Board of Regents is available at http://www.utsystem.edu/bor/currentRegents.htm.
You may be entitled to know what information The University of Texas at Arlington (UT Arlington) collects concerning you. You may review and have UT Arlington correct this information according to procedures set forth in UTS 139. The law is found in sections 552.021, 552.023 and 559.004 of the Texas Government Code.
Spring Deadline: December 1, 2008