*Note – please be sure to list items using the categories of Academic Excellence, Leadership, Campus Involvement, Community Service and Career Achievement. {In many cases, items could be potentially listed under two or more categories—for example, Leadership and/or Community Service – but use your judgment as to where the item describing your award/recognition/accomplishment best belongs.} Only the categories of Arts, Athletics, or Other may be left blank. Examples of how the award/recognitions might be listed are show below: 1. ACADEMIC EXCELLENCE Name of award / recognition: Phi Beta Kappa Name of Organization: Phi Beta Kappa, Alpha Beta Chapter of New York, Stony Brook University Award Date: April, 2011 (Inducted as a Junior) Description: In recognition of high attainments in liberal scholarship. Name of award / recognition: Sei Sujishi Prize Name of Organization: Department of Chemistry, Stony Brook University Award Date: September, 2009 Description: The award is annually given to the top performing student enrolled in two semesters of general chemistry lab and two semesters of general chemistry. Name of award / recognition: Dean’s List Recognition Name of Organization: Stony Brook University Date: Spring 2009 to present Description: Recognized for academic achievement Name of award / recognition: Outstanding Academic Achievement Award Name of Organization: Division of Campus Residences and the Office of the Dean of Students Date: Fall 2009, Spring 2010, Fall 2010, Spring 2011 and Fall 2011 Description: This award is presented every semester to undergraduate students who achieved a 4.0 GPA during the previous semester and have a minimum cumulative GPA of 3.85. 2. LEADERSHIP. Name of award / recognition/accomplishment:: President, Phi Alpha Theta, History Honor Society, Mu-Pi Chapter Name of Organization: Phi Alpha Theta Date: Inducted: Spring 2012, Vice-President: Fall 2002, President: Spring 2003-Present Description: Organized field trips to historical sites, participated in boat-building for the ‘Roth Pond Regatta,’ advertised history-related seminars on campus, recruited new members and planned the induction ceremony. Name of award / recognition/accomplishment:: Secretary and Full Member, Sigma Beta Honor Society Name of Organization: Sigma Beta Honor Society, Stony Brook University Date: Inducted: Spring 2001, Granted Full Membership: Spring 2003, Steering Committee Member: Spring 2001-Spring 2002, Secretary: Fall 2002-Spring 2003 Description: Organized events and induction, ran the ‘West Campus Affairs Program Committee,’ advertised activities on campus and opportunities for community service, kept a record of members’ service points. 3. CAMPUS INVOLVEMENT. Name of activity / event/accomplishment:: Selected as a Student Ambassador Organization: Student Ambassador Program, Stony Brook University Date: Fall 2012-Present Description: Worked with administrators, alumni, and distinguished guests by conducting tours, serving as a greeter and host at public relations affairs, major fundraising events, and University-wide programs. Name of activity / event/accomplishment: Commuter Student Alumni Association Award and Scholarship Organization: Alumni Association, Stony Brook University Date: April 2011 Description: An award for academic excellence and leadership through participation in campus life. 4. COMMUNITY SERVICE. Name of award / recognition/accomplishment:: Member, Golden Key International Honour Society, Stony Brook University Chapter Organization: Golden Key International Honour Society Date: Inducted: Fall 2011, President: Spring 2012-Fall 2012 Description: Initiated community service activities and fundraising programs. Encouraged the chapter to participate in walks to raise awareness of, and money for, Breast Cancer and Multiple Sclerosis. Volunteered at the Long Island State Veterans’ home and organized food and clothing drives. Name of award / recognition/accomplishment: Ted Weiss Award and $1,000 Scholarship Organization: Ted Weiss Foundation, Stony Brook University, Date: Fall 2012 Description: An award for dedicated public service, in remembrance of the late Congressman Ted Weiss, who was one of the first elected officials in the nation to focus attention on the need to increase funding for AIDS research, a leader in addressing the needs of the homeless, a strong supporter of human rights throughout the world, and recipient of the Vietnam Veterans of America’s highest award two years in a row for his work on behalf of veterans. 5. ARTS. Name of award/recognition/accomplishment: Tenor, Stony Brook Vocalists Name of Organization: Stony Brook Vocalists Date: September 2008 – December 2009 Description: Performed as one of the original members of the mixed a capella group, the Stony Brook Vocalists. Recorded a five track CD and practiced 4 hours per week. 6. ATHLETICS. Name of award/recognition/accomplishment: Four Year Member of Stony Brook’s Division I Softball Program Name of Organization: National Collegiate Athletic Association Date: September 2006-May 2010 Description: Active member of the Stony Brook Softball Team. 7. CAREER ACHIEVEMENT. Name of award / recognition/accomplishment:: Barry M. Goldwater Scholarship Organization: Goldwater Foundation Date: Spring 2012 Description: This scholarship, a prestigious national scholarship recognizing undergraduates in the sciences, is awarded annually to approximately 300 students nationwide in recognition of their commitment to scientific pursuits. Name of award / recognition/accomplishment:: Honors College Senior Thesis Organization: Stony Brook University Date: Spring 2012 Description: Working on an Honors Thesis with Professor ___ on …………… that will be presented at the Honors College Symposium at the conclusion of the springsemester. Name of award/recognition/accomplishment: Summer Internship at Merck & Co. Name of Organization: Merck & Co. Date: Summer 2010 Description: Selected for a competitive 12 week summer engineering internship program with Merck & Co…. Name of award / recognition/accomplishment:: Second Place in the 2009 Annual Advanced Energy Conference Student Poster Session in Hauppauge, NY Name of Organization: Chemical and Molecular Engineering Department Date: 11/18/2009 Description: Presented a poster on my research at the 2009 Advanced Energy Conference that is sponsored by the Advanced Energy Research and Technology Center in Hauppauge, NY. 8. OTHER. Name of award/recognition/accomplishment: Teaching assistant for Organic Chemistry Name of Organization: SB Chem Department Date: Fall 2010 – Spring 2011 Description: Teaching assistant for Organic Chemistry