Elite 50 Application Purpose The purpose of the Elite 50 is to recognize and reward achievement outside the classroom among our 8,100 graduate and professional student population. The Elite 50 represent the top one half of one percent of the graduate and professional student body at IUPUI. Since awards for academic accomplishments already exist, the Elite 50 will mainly focus on achievements outside of the classroom. Application Overview: Applicants for the Elite 50 are graduate and professional students on the IUPUI campus in an IUPUI program. December 2015 graduates are eligible to apply. There is no nomination process. All graduate and professional students are welcome to apply. A minimum GPA of 3.3 is required. Applicants from a curved program with a 2.3 GPA minimum will be eligible to apply with a 2.8 GPA. Applicants GPA’s will be verified via IUPUI student records. If you do not have a GPA, please indicate as such on your application. All activities applicants document must have occurred during their academic years as a graduate or professional student at IUPUI. Applicants should submit their application and materials to elite50@iupui.edu no later than 5:00 PM on Friday, January 22, 2016. Award recipients will be notified the week of March 4th. Incomplete applications cannot be considered. The application consists of four components: 1. Confirmation of Applicant Eligibility, including GPA 2. One Recommendation Letter 3. Documentation of University Service 4. Documentation of Community Benefits Scoring Scoring will focus on achievement outside of the classroom. Applicants will be scored in three categories: University Service, Recommendation Letter and Community Benefit. The total possible score will be 75 points. An achievement can only be put in one category, either University Service or Community Benefit. Recommendation Letter (15 Points) One recommendation letter is required from a faculty or staff member who has advised, supervised or observed the applicant’s university service or community benefits activities. The recommendation must be on official letterhead and addresses what added value the applicant contributed to the campus or community. This recommendation needs to be submitted with a completed application. University Service (30 Points) –Involvement in activities/organizations that have benefited the IUPUI campus. Accolades awarded to the student may be listed as well (E.g. scholarships, fellowships, internships, awards, research). Students are limited to 3 experiences during enrollment as a graduate/professional student at IUPUI. Community Benefit (30 Points) - Involvement in activities/organizations that have benefited the community at large (local or internationally) will be the scoring criteria (E.g. student organizations, community service organizations). Students are limited to 3 experiences during enrollment as a graduate/professional student at IUPUI. For an activity to be considered for any category (University Service or Campus Benefit) the activity must include at least the following information: Name of the organization/activity Position(s) held within the organization Events the candidate was involved in with that organization Contact within the organization for further information Time within the organization (period of time as well as hours/hours per week) How the candidate’s experience within the organization relates to university service or community benefit categories (i.e what was their net benefit). This portion may be no longer than 500 words. Dinner – All winners will be invited to the Elite 50 Celebration Dinner which takes place on April 13th, 2016 from 6:00pm to 8:00pm in Campus Center Room 450. Awards [78 total] Best in (school) [17] – This award will be given to students who had the highest total score as compared to peers within their academic school(s). Elite 50 [50] – This award is given to students whose score ranks in the top fifty of applications submitted. Premier 10 [10] – This award is given to students whose score ranks in the top ten of applications submitted. Dr. Charles R. Bantz Award for Excellence [1] – This award is given to the student who achieves the highest score amongst all applications. Notes For the campus/community category, a job/position that a student was involved with prior to becoming a graduate/professional student will not be calculated. If a student received a new job/promotion or was hired while a graduate/professional student then that will be considered. Example: This category is not meant to compare a CEO returning to graduate/professional school (using the CEO position for this category) against a student who is fresh out of their undergraduate program. Students will be asked to sign a disclosure waiver to make sure that each student is in good standing within their school. If applicants have questions please refer to the Elite 50 FAQ section on the GPSG website or email Vice President of Programs at gpsgvpro@iupui.edu IUPUI Elite 50 Application 1 Elite 50 Application Full Name Address University Email City, State, ZIP _________________________ ________________________________ University ID Telephone Program of Study _________________________ GPA Degree to be earned (Example: MA, _________________ ____________ Expected Graduation Date: JD, PhD, etc) ____________________ School (Choose all that apply): □ IU Herron School of Art and Design □ IU School of Medicine □ IU Kelley School of Business □ IU School of Nursing □ IU Richard M. Fairbanks School of Public Health □ IU School of Physical Education & Tourist Management □ IU Robert H. McKinney School of Law □ IU School of Public and Environmental Affairs □ IU School of Dentistry □ IU School of Social Work □ IU School of Education □ IUPUI School of Science □ IU School of Health and Rehabilitation Sciences □ Lilly Family School of Philanthropy □ IU School of Informatics and Computing □ Purdue School of Engineering and Technology □ IU School of Liberal Arts IUPUI Elite 50 Application 2 Elite 50 Application University Service: Name of the organization/activity Position(s) held within the organization Events the candidate was involved in with that organization Organization Contact Information (Name, email, and Phone number) Time within the organization (period of time as well as hours/hours per week)= How the candidate’s experience within the organization relates to the category (i.e what was their net benefit). Name of the organization/activity Position(s) held within the organization Events the candidate was involved in with that organization Organization Contact Information (Name, email, and Phone number) Time within the organization (period of time as well as hours/hours per week)= How the candidate’s experience within the organization relates to the category (i.e what was their net benefit). IUPUI Elite 50 Application 3 Elite 50 Application Name of the organization/activity Position(s) held within the organization Events the candidate was involved in with that organization Organization Contact Information (Name, email, and Phone number) Time within the organization (period of time as well as hours/hours per week)= How the candidate’s experience within the organization relates to the category (i.e what was their net benefit). IUPUI Elite 50 Application 4 Elite 50 Application Community Benefit: Name of the organization/activity Position(s) held within the organization Events the candidate was involved in with that organization Organization Contact Information (Name, email, and Phone number) Time within the organization (period of time as well as hours/hours per week)= How the candidate’s experience within the organization relates to the category (i.e what was their net benefit). Name of the organization/activity Position(s) held within the organization Events the candidate was involved in with that organization Organization Contact Information (Name, email, and Phone number) Time within the organization (period of time as well as hours/hours per week) How the candidates experience within the organization relates to the category (i.e what was their net benefit). IUPUI Elite 50 Application 5 Elite 50 Application Name of the organization/activity Position(s) held within the organization Events the candidate was involved in with that organization Organization Contact Information (Name, email, and Phone number) Time within the organization (period of time as well as hours/hours per week) How the candidates experience within the organization relates to the category (i.e what was their net benefit). Recommendation Letter: One recommendation letter is required from a faculty or staff member who has advised, supervised or observed the applicant’s campus/community benefits activities. The recommendation must be on official letterhead and addresses what added value the applicant contributed to the campus or community. This recommendation needs to be submitted with a completed application. IUPUI Elite 50 Application 4 Elite 50 Application Disclosure Waiver I have read and understand the above document and agree to all terms and conditions. I understand that any breech of this document may result in a penalty or removal from the Elite 50. Your education records are protected by the Family Educational Rights and Privacy Act (FERPA) of 1974. Subject to few statutory exceptions, your records may not be disclosed without your consent. By my signature below, I certify that all of the information in this application is true. I understand that any false statements made herein will result in my being automatically disqualified by the Elite 50 Selection Committee. I authorize any educational institution, employers and others, and their agents or employees referenced in this application to verify for the Elite 50 Selection Committee the information contained in this application that I have been completely truthful in my answers. I further release from liability such educational institution, employers or other from any liability for providing such verification to the Elite 50 Selection Committee. I also authorize the Indiana University Purdue University Indianapolis (IUPUI) Dean of Students Office and/or their designated agents to verify that I am in good standing with my school and the university. Date: Printed Name: Signature: IUPUI Elite 50 Application 5