2015 Ward Leadership Scholarship
Please submit two copies of your application (postmarked or faxed) no later than March 2, 2015
to the Center for Community/Dean of Students Office, SUNY Geneseo, MacVittie College Union
354, 1 College Circle, Geneseo, NY 14454.
Please type or print clearly. Applications that are missing any information will not be considered.
Name______________________________________________
last
first
G ID #
Home
Address____________________________________________
#/street
city
state
Class Year
city
Fr
So
state
Jr
Sr
___________________
zip
College
Address____________________________________________
#/street
___________________
mi
phone
___________________
zip
phone
# of Credits Expected 05/2014______
Major(s)________________________________
Expected Date of Graduation_______
Minor(s)________________________________
Email Address __________________
Semester Bronze Leadership Certificate Completed
______________________________
Please indicate the names of two members of the college community who you feel would be wellqualified to comment on your qualifications for this award. (The Selection Committee may or
may not choose to contact these individuals.)
Name___________________________________ Address________________ Phone_________
Name___________________________________ Address________________ Phone_________
Applicant Signature________________________________
Date _____________________
Please respond to the five questions on the reverse side of this application.
Please provide a concise and well-written response to each of the following questions. Add pages
as necessary. Do not attach a resume. Submission of your Co-Curricular Involvement Transcript
is strongly encouraged.
1. What extra-curricular activities have you been involved in? Indicate leadership positions
you have held in those organizations. Please indicate dates of involvement in all
activities, as well as a brief description of the organization(s) and your involvement in the
organization(s).
2. What volunteer work (excluding academic internships) and service to the campus or
community have you engaged in? Please include dates of involvement and personal
contributions made (as opposed to service with a larger group), as well as a description of
the organization.
3. Describe your involvement in campus programming of events such as Activities
Commission, Inter Residence Council, Inter Greek Council, and other campus wide
events. Explain why and how you became involved? Explain the extent to which you
provided leadership in these activities.
4. Explain what you have learned from these experiences about yourself and your leadership
capacity.
5. How has your leadership, service to the College, service to the community, and
programming experiences, enhanced your education or contributed to your preparation
for life and work after college?