STUDENT AFFAIRS
Office of Student Activities
The Pennsylvania State University
209 HUB-Robeson Center
University Park, PA 16802-1503
Tel: (814) 863-4624
DATE:
October 2, 2013
FROM:
Jen Grossman Leopard, Program Director, Union and Student Activities
TO:
Student Organization Presidents and Advisors
RE:
Student Leader Scholarship
I am writing to you on behalf of the Student Leader Scholarship Committee to let you know that
applications for student leader scholarships are now available. Any member of a recognized or
affiliate student organization who contributes to the organization through either a leadership role or
by active membership is eligible to apply for a student leader scholarship. In order to be considered,
qualified students must complete the attached application and return it to the Office of Student
Activities, 209 HUB-Robeson Center by November 1st, 2013 at 5:00 pm. A committee will review
all of the applications and decisions will be made by the end of the fall semester. Decisions will be
based on a combination of factors including: students’ contributions to their organizations; students’
contributions to the greater campus community; and financial need.
If you or a member of your organization is interested in being considered for one of these
scholarships, please be sure to complete and submit the application by the above deadline.
Additional applications can be found in the Office of Student Activities (209 HUB), or online at
http://studentaffairs.psu.edu/hub/studentactivities. Incomplete application packets will not be
accepted.
Please contact me if you have any questions.
attachment
An Equal Opportunity University
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Student Leader Scholarship
Application Form
AVAILABLE TO UNIVERSITY PARK STUDENT ONLY
In addition to this application form, the following documents must be submitted by
November 1st, 2013 to the Office of Student Activities (209 HUB-Robeson Center):
 Professionally-written, typed response to the questions outlined on page 3
Note: the type-written response must not exceed 3 double-spaced pages and must be in
11 point font
 Letter of support from your student organization advisor or another faculty or staff
member familiar with your work within the organization
 Current resume
 Names and contact information of three references (your organization advisor who wrote
the support letter, a peer, and an individual you select)
** PLEASE NOTE THAT INCOMPLETE APPLICATIONS WILL NOT BE
ACCEPTED
I. Personal Information
Name:
Local/Campus Address:
Phone:
PSU ID#:
PSU E-mail:
Major:
Cumulative GPA (minimum of 3.0 required)
Anticipated date of graduation:
Organization:
Office/Position (if applicable):
Term of office (if applicable) begins
ends
When did you assume your role?
An Equal Opportunity University
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II. Student Organization
A. Briefly describe the purpose of your organization, the level of activity of your organization,
and the impact that your organization has on the campus.
III. Leadership
A. Please describe your responsibilities to the organization.
B. Describe your personal leadership philosophy and how this relates to how you carry out
your responsibilities.
C. How have your organization and the University community benefited as a result of your
contributions to the organization? Additionally, can you provide at least one example of
when you advocated and implemented change within your organization? What occurred?
Why was the change important?
D. How has your leadership experience affected you as an individual? How will you take
what you have learned from your leadership experience and use it in your future
endeavors?
IV. Financial Need
A. Please describe how this scholarship will help you to succeed as a Penn State student
leader.
I affirm that the above information is accurate and truthful.
Name (printed):
Signature of applicant:
An Equal Opportunity University
____________________________
Date:
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