100 Women Strong Female Leadership Award
FOR THE AUBURN UNIVERSITY SAMUEL GINN COLLEGE OF ENGINEERING
DATE:
NAME:
PERMANENT ADDRESS:
LOCAL ADDRESS:
E-MAIL ADDRESS:
LOCAL PHONE NUMBER:
CURRICULUM AND YEAR:
STUDENT’S PARENT’S NAMES/ADDRESS/PHONE NUMBER:
Please be as thorough as possible in completing the remainder of this form. If the applicant has other
criteria she thinks are worth noting, but do not fall under the categories listed, attach a separate sheet
and return it with this form.
1. Scholarship:
a. Overall GPA:
b. Major GPA:
c. Honors Received (Dean’s List, honor societies, etc., limit to three lines):
2. Employment:
a. Field of Engineering Related (limit to five lines):
i. Employer:
ii. Title:
iii. Date:
iv. Duties:
b. Non-field Related (limit to five lines):
i. Employer:
ii. Title:
iii. Date:
iv. Duties:
3. Leadership and Professional Activities:
a. Engineering (List positions held in engineering honor societies or other
engineering related organizations, limit to five lines):
b. Non-Engineering (List positions held in non-engineering activities, such as social
fraternity, student government, etc., limit to five lines):
4. Professional/Career Potential (limit to five lines):
5. Activities (not mentioned previously, limit to five lines):
a. College/School Activities:
b. University Activities:
c. Community Activities:
6.
Optional- additional considerations: written papers, conferences attended, research
and tutoring others.
Signature of Nominee