Middle Tennessee State University Dean Judy Smith Scholarship Application Return to: Virginia Ellis- Center for Student Involvement & Leadership (CSIL) Student Union 330 by March 23, 2016. Recipient will receive a certificate and a $500.00 scholarship. Eligibility: To be considered, student must have a minimum 3.0 cumulative grade point average and completed at least 30 credit hours at MTSU. Graduating seniors are not eligible. Student must also meet the requirements addressed in Question # 1 below. Name: MTSU ID Number (“M” Number): GPA: Credit Hours Earned: College of Major: Area of Study/Major: Expected Date of Graduation: Local Address: Permanent Address: Phone: Email: QUESTIONS (You may complete on separate paper if needed) 1. To be eligible for this scholarship you must be a participant in one or more of the following areas: social sorority or fraternity, Student Government Association (executive, legislative or judicial branch), CUSTOMS (new student orientation), cheerleading squad, or student programming/special events. Please explain what you have been involved in and in what leadership capacities. 2. What other activities, organizations, and/or volunteer services have you been involved with at MTSU? (Please include dates and positions held.) 3. What activities, organizations, and/or volunteer services have you been involved with off campus? (Please include dates and positions held.) 4. What awards, honors, or scholarships have you earned, in academics, journalism, co-curricular activities, athletics, performing or fine arts, volunteer service, etc. since the beginning of your MTSU career? ESSAY: (Not to exceed two typed and double-spaced pages.) What qualities and characteristics do you possess which make you a strong candidate for this scholarship?