Minority Achievers Program (MAP)

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Competitive Policy Debate Scholarship
APPLICATION FOR INCOMING FRESHMEN STUDENTS
Personal Data
Last name
First name
Permanent home address
Street
(
)
Telephone number
City, State, Zip
E-mail address
Name of parent/guardian
Address of parent/guardian (only if different from your own)
Date of birth ___________ (day/month/year)
Citizenship:
___U.S. Citizen
Middle
Gender:
___Male
___Permanent resident
___Female
___Other (describe)___________________________
What is your intended college major? ___________________________________ (Exploratory if undecided)
Have you been direct admitted into a program? Y/N _____.
If Yes, which one? __________________
Personal Essay and Extracurricular Activities
THE ESSAY ANSWERS ARE VERY IMPORTANT IN THE APPLICATION PROCESS
Document 1: Describe your debate tournament success over the past year. Include a list of tournaments
attended, your record, and/or personal awards.
Document 2: Write a few paragraphs on why you want to debate in college. Include a description of your
expectations for your four-year career with the Hoosiers. This document should include any information that
you believe will help us best evaluate how this scholarship will improve your standing as a student and intercollegiate debater.
Document 3: Include a letter from your debate coach, a teacher, or a judge in the community if possible. You
can either attach document 3 or have the document emailed directly to brdelong@indiana.edu.
Additional Information
1. Have you been admitted to Indiana University Bloomington Campus
____Yes
Directions for Submitting Application
1. Make a copy of this application and all additional documents for your personal records.
2. Scan/email, fax or mail the application by February 15, 2013
A) Scan: Brdelong@indiana.edu Subject line: “Policy Debate Scholarship”
B) Fax: 812-856-7802 “ATTN: Brian DeLong”
C) Address: Brian L. DeLong
SPEA, #324
1315 E. Tenth Street
Bloomington, IN 47405-1701
D) Phone: 812-856-7585
1
____No
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