Middle Tennessee State University
Student Recognition Awards
Robert C. LaLance, Jr.
Achievement Award Application
Name____________________________
M#______________________________
Major____________________________
Credits Earned ____________________
Expected Date of Graduation_________
Cumulative GPA___________________
Local Address__________________________________________________________
Permanent Address______________________________________________________
Email____________________________
Phone_____________________________
Along with your application, please submit:
 An essay (not to exceed two typed, double spaced pages) describing the qualities
and accomplishments that make you a strong candidate for this award.
 Three (3) letters of support from MTSU personnel or external community
members.
Essay:
Describe the circumstances that make you a strong candidate for this award (evidence of
determination, sacrifices, or contribution to the community).
Submit your application, essay, and letters of recommendation to the Studdent Organizations &
Service Office in Student Union 330 or MTSU Box 39.