ACACIA LEADERSHIP SCHOLARSHIP
INDIANA UNIVERSITY
MAXIMUM VALUE UP TO $1,000
Please email this completed form and all required information in one email to Drew Sherman, dsherman@acacia.org.
All questions about the Acacia Leadership Scholarship can also be sent to Drew with the subject heading: “Acacia Scholarship”
ACACIA LEADERSHIP SCHOLARSHIP
PERSONAL INFORMATION
Name:
School address:
Date of birth:
Hometown:
State:
ZIP Code:
Cell Phone:
Personal Email:
EDUCATION INFORMATION
Institution: Indiana University
Majors:
GPA:
Year:
1st
2nd
3rd
4th
School Email Address:
HIGH SCHOOL INFORMATION
Name of High School:
GPA:
ACT/SAT Composite Score:
Class Rank:
I agree that this bid is contingent on the verification of my high school or college GPA to meet or exceed 3.0/4.0.
Signature:
Date:
PARENTS INFORMATION
Mother’s Name:
Phone:
Email:
Father’s Name
Phone:
Email:
PURPOSE OF AWARD
The Acacia Leadership Scholarship is designed to identify and reward outstanding undergraduate students who have
demonstrated their ability to excel in the fields of academics, campus involvement/extra-curricular school activities, and
community involvement. The scholarship is available to any male undergraduate student attending Indiana University of
Bloomington. The scholarship is awarded by the local Association of Alumni of Acacia Fraternity. Demonstrated financial need is
not a criterion. This scholarship is not transferable to another person or attendance at another university.
Recipients of this award will be judged on their academic accomplishments, leadership involvements, service activities, and
contribution to the community. Awards will be given out in both the Fall and Spring to eligible candidates. Membership in Acacia
Fraternity is not a precondition.
Award Amount: $1000, $500, or $250
One time award
ADDITIONAL REQUIREMENTS
In order to verify GPA, we require a photocopy or PDF of high school and university transcripts, if applicable.
Applicant must include essay explaining his collegiate goals he hopes to achieve by attending Indiana Univ. (500 words or less)
Attach one letter of recommendation from an individual who is aware of your academic and leadership skills and abilities. The
letter may come from a high school or college faculty member, coach, club advisor or instructor, or knowledgeable community
member. The individual must provide an address and phone number in case the selection committee needs to contact him/her.
NOTICE
It is absolutely essential that all requested information be provided in ONE package with this application. If any required
information is missing, the application will be rejected. It is your responsibility to ensure that:

All required information is provided

All information provided is legible
STATEMENT OF HONESTY
I agree that all information provided in this form is true and accurate.
Signature:
Date:
Please email this completed form and all required information in one email to Drew Sherman, dsherman@acacia.org.
All questions about the Acacia Leadership Scholarship can also be sent to Drew with the subject heading: “Acacia Scholarship”