BLOOMSBURG UNIVERSITY OF PENNSYLVANIA
PRESIDENTIAL LEADERSHIP PROGRAM
UPPERCLASSMAN SCHOLARSHIP APPLICATION
ACADEMIC YEAR 2015 - 2016
DIRECTIONS:
Submit completed application with accompanying supportive documentation
to the Coordinator of the Presidential Leadership Program before the deadline.
Applicant’s Name:__________________________________________ BU ID # ________________________
Major:___________________________
Is this a change since the Fall of 2014?  YES  NO
University Address:_____________________________________________________________________
Cell Phone: _____-_____-______
Email: __________________________________________
Fall 2014
Cumulative
Number of Credits Earned:
_________
__________
Grade Point Average Earned:
_________
__________
(3.0 + required)
Transfer credits accepted by Bloomsburg University: _________
Expected Graduation Date:
__________________________________________
Are you currently on a Judicial Sanction?
 YES  NO
(this will be verified by the Dean of Students Office)
Are you serving in a PLP Officer position in 2014-2015?
 NO
 YES, my position is = _________________________
Are you living in the PLP LLC (Luzerne Hall) in 2014-2015?
 YES  NO
Please complete the following pages.
DEADLINE: 4:00 PM Friday, February 6, 2015
OFFICE USE ONLY:
Date Stamp received:
 Completed application
 Essay
 Faculty recommendation
 GPA verified _________
 Discipline status __________
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2015 – 2016 Presidential Leadership Program Upperclassman Scholarship Application
PART 1: Community Service
 Upperclassman
Minimum requirements: 20 hours in Spring 2014 & 20 hours in Fall 2014 (40 hrs. total)
 New Member
Minimum requirements: 20 hours in Fall 2014
Type of Service …… P = organized by PLP
Type of
Service
(20 hrs. total)
O = found it on my own
Organization / Group
for which the service was performed
Leadership Role or participant
in the service project
#
Hours
PLP Form
turned in ?
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TOTAL # HOURS OF SERVICE:
Attach additional documentation if needed.
PART 2: Campus Leadership
Have you completed Leadership Certification Level 1?  YES  NO Expected Completion Date
Have you completed Leadership Certification Level 2?  YES  NO Expected Completion Date
Have you completed Leadership Certification Level 3?  YES  NO Expected Completion Date
List your leadership role(s) in other campus organizations with significant leadership responsibilities.
Other (non-PLP)
Campus Group
Leadership Position Held
(or general member)
Advisor’s Name
Advisor’s email address
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PART 3: PLP Involvement
Spring 2014
Mark in the box next to all PLP activities in which you participated.
UPPERCLASSMEN ONLY
Category
Date of Event
Participated
General Meeting
Meeting
1/26/14
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Fireside Chat: Univ. President (Soltz)
Reception @ Buckalew w/President Soltz
Fireside Chat
Presidential
1/28/14
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Fireside Chat: VP Admin/Finance (Loonan)
LLC Academic Achievement Reception
Study Abroad Speaker (Springman)
BouncePlex trip
Fireside Chat
LLC
Educational
Social
2/4/14
2/12/14
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General Meeting
Meeting
2/14/14
2/17/14
2/22/14
2/23/14
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Fireside Chat: Univ. President (Soltz)
Fireside Chat: Dr. Kass
Fireside Chat
Fireside Chat
2/24/14
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Husky Leadership Summit
LLC
3/6/14
3/8/14
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General Meeting
Meeting
3/23/14
Career Services Speaker
Educational
3/26/14
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Trip to Washington DC
Educational
3/30/14
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Etiquette Dinner
Educational
4/2/14
Relay for Life – PLP Team
Service
4/5/14
Horseback Riding Trip
Social
4/13/14
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Trip to NYC
Educational
4/19/14
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Postcard Recruitment Program
Service
May 2014
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End of Year Banquet
Social
4/25/14
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Category
Date of Event
Participated
Summer Welcome Reception
Knoebel’s Trip
General Meeting with CLE Speaker (Kinzel)
Meeting
Social
Meeting/Edu.
7/15/14
8/21/14
8/27/14
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Reception @ Buckalew with President Soltz
Presidential
9/9/14
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Fireside Chat: VP Student Affairs (Somerville)
CCM Dollar Dinner
Bloomsburg Fair
Trip to NYC
General Meeting
Fireside Chat: Univ. President (Soltz)
Study Abroad Speaker (Springman)
EOS Therapeutic Riding Center
STEM Program Speaker (Bolig)
9/15/14
9/17/14
9/19/14
9/20/14
9/28/14
10/7/14
10/13/14
10/15 & 16/14
10/21/14
Rohrbach’s Fall Festival Corn Maze
Fireside Chat
Service
Social
Educational
Meeting
Fireside Chat
Educational
Service
Educational
Social
10/24/14
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General Meeting
Meeting
10/26/14
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URSCA Speaker (Hranitz)
Educational
10/29 & 30/14
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Columbia County Commissioner (Young)
Educational
11/10/14
Fireside Chat: VP Advancement (Evans)
Fireside Chat
11/11/14
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General Meeting/Sticky Dot
Meeting
11/13/14
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Campus Blood Drive
Service
11/17 & 18/14
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Ronald McDonald House
Service
11/18/14
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Campus Thanksgiving Dinner
Social
11/19/14
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Ugly Sweater/Ice Cream Party
Social
12/5/14
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Fall 2014:
ALL PLP MEMBERS
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PART 4: Essay
Type a double-spaced, 1-page essay explaining the reasons why you believe you deserve to receive the
Scholarship. Be sure to mention how your PLP experiences have helped you, which campus leadership
positions you’re pursuing, and how you plan to be involved with PLP in the future. The letter should be
addressed, “Dear Scholarship Selection Committee,”. NOTE: financial need is not a consideration for
this scholarship.
Attach essay to this application.
PART 5: Recommendation Letter
Secure one letter of recommendation from a faculty or staff member who knows you well and can
describe why you deserve to receive the Presidential Leadership Upperclassman Scholarship. This letter
should describe your character and their interaction with you in classes/labs or campus organizations.
This letter should be addressed, “Dear Scholarship Selection Committee,”.
Attach recommendation to this application.
PART 6: Verification of Disciplinary Status & Signature
“I certify that all information contained in this application is true and correct and authorized the
exchange of all information among the Presidential Leadership Program Scholarship Committee,
Bloomsburg University faculty/administrators, and scholarship donors which may be necessary to
process my scholarship application. I understand that the awarding committee may cancel this award
if I am found to be in violation of state or federal laws, civil or criminal laws, and /or the Bloomsburg
University code of conduct and that I may appeal award cancellation to the University-Wide Scholarship
Committee. I have attached all materials specified in the award criteria for this scholarship and agree to
provide any additional documentation which may be necessary.”
Signature: __________________________________________Date: ________________________
RETURN COMPLETED APPLICATION PACKET TO:
Debbie Kresch
Coordinator, Presidential Leadership Program & LLC
350 Kehr Union
Bloomsburg University of PA
Bloomsburg, PA 17815
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