Return This Form To: Academic Programs Office, DSB-104
Either “In Person”, by Fax (289) 780-8683, or email: buscom@mcmaster.ca
Deadline: May 12, 2014
(Please Print or Type)
Name: __________________________________________________________________________________________________________
Surname
Given Names
Student Number: __________________
Email address:________________________________
The Rick D. Hackett Scholarship in Human Resources Management and Organizational Behaviour (B)
Established in 2009 by Professor Rick D. Hackett. To be awarded to a student registered in the DeGroote School of
Business entering the 4th year of their program who, in the judgment of the School of Business, has demonstrated
outstanding academic achievement in human resource management and organizational behaviour courses, and
community service.
Value: $1,200 (30353) (B)
Please list the University and/or Community Organizations(s) of which you are a member and
describe your level of involvement:
1. _________________________________________________________________________________________________________
2. _________________________________________________________________________________________________________
3. _________________________________________________________________________________________________________
4. _________________________________________________________________________________________________________
Recognition may be given to students who have demonstrated LEADERSHIP. Share examples of
your leadership:
1. _________________________________________________________________________________________________________
2. _________________________________________________________________________________________________________
3. _________________________________________________________________________________________________________
4. _________________________________________________________________________________________________________
If you have contributed creative work (such as a project that was not part of required work) which
might qualify you for a University prize for special achievement, please describe it here:
1. _________________________________________________________________________________________________________
2. _________________________________________________________________________________________________________
3. _________________________________________________________________________________________________________
4. _________________________________________________________________________________________________________
What are your future career aspirations?
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
The information gathered on this form is collected under the authority of the McMaster University Act, 1976. The information is used
solely for determining the recipient of academic awards by the DeGroote School of Business at McMaster University. This information is
protected and is being collected under section 39 (1), (2) and section 42 of the Freedom of Information and Protection of Privacy Act of
Ontario (RSO 1990). Questions regarding the collection or use of this personal information should be directed to the Associate Dean
(Academic), DeGroote School of Business, McMaster University.