2012-2013 NIU Outstanding Women Student Awards Application
Nomination must be received no later than Friday, February 15, 2013 by 4:30 p.m..

Candidate Name:

Campus Address:

Permanent Address:

Phone Number:

Email Address:

Current Classification

Graduation Date

Department:

Major:

Minor:

Complete Title of Degree to be Earned (i.e. M.S., in ??, B.A. in ??, etc.):

If a transfer student, from what school(s):

Cumulative Grade Point Average:


Directions:

Please read all of the questions before responding and supply full, correct information in the appropriate categories.Members of the selection committee for this recognition program will be looking for evidence of academic achievements, contributions and leadership involvment within the university and community, along with any volunteer and philanthropic work. Include only activities and honors during the time you have been a student at NIU.

Please list and provide dates:


A. ACTIVITIES RELATED TO YOUR ACADEMIC STUDIES AT NIU:
Please list achievements, contributions and leadership activities related to your academic studies at NIU. These may include offices and service to professional societies; awards and honors associated with your major/minor; special projects; departmental committee service, etc. These should not include activities performed principally for pay.

B. EXTRA-CURRICULAR ACTIVITIES AT NIU:
Please list achievements, contributions and leadership activities outside of your major but related to the university; e.g. student association, university-wide service organizations, membership in university committees, etc.

C. COMMUNITY ACTIVITIES:
Please list achievements, contributions and leadership activities related to DeKalb or your home community which have begun or continued during your time at NIU. These may include volunteer services, political activity, civic projects, etc.

D. AWARDS, HONORS AND SCHOLARSHIPS NOT LISTED ELSEWHERE:

E. PERSONAL STATEMENT/PLANS AND GOALS:
Help us to understand the context for your achievements by telling us about your personal situation, obstacles overcome, special circumstances, etc. Any personal information included here will be kept confidential. Briefly outline your plans for the future, as well (future education, career plans, and goals of any kind).