truman scholar form

8/16/2019 Truman Scholar Form

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Sample Truman Scholarship Application

You must submit your materials through the Foundation’s on-line application system. Your Faculty Rep can provide

you access to this system. This form is for reference only.

The Foundation’s website [www.truman.gov] offers guidance in completing your materials, samples of exemplaryresponses, and other competition information. The application, policy proposal, and letter of recommendation forms

are available both as templates and PF files on the website.

!, have read and understand the conditions of the Truman "cholarship as

explained in the current Notes to Candidates for Scholarships and the current #ulletin of !nformation. !affirm that ! plan to pursue a career in public service as defined in those documents. ! give permission toofficials of my institution to release transcripts of my academic record and other information re$uested for consideration in the Truman "cholarship program. ! understand that this application will be available onlyto $ualified people who need to see it in the course of their duties. ! waive the right to access letters ofrecommendation written on my behalf. !f selected as a Truman "cholar, ! agree to attend the Truman"cholar %eadership &ee' and (wards )eremony, in %iberty and !ndependence, *issouri. ! affirm that allof this application, including the policy proposal, is my own wor' or formally cited from other sources. !affirm the information contained herein is true and accurate to the best of my 'nowledge and belief.ate "ignature

%egal name in full

+PrintType-

%ast ame First ame *.!.Permanent residence

umber, "treet, and (partment umber

)ity "tate /!P

0our address at school+if different-

umber, "treet, and (partment umber

)ity +if studying abroad, add country- "tate /!P

1ow is permanent residence established2

+(t least two must apply.-

1ome address for school registration

Place of registration to vote

Family’s primary residence

1ome telephone + -

"chool telephone+if different-

+ -

34mail address

5ther6 ate of birth (ge

*onthay0ear

+)hec' one- ! am a 7.". citi8en 7.". national 9esident alien expecting citi8enship by the date of award

&ill you be studying in 3urope, (frica, the *iddle 3ast, or !ndia during the "pring semester2 0es o

+!f yes- &here2

ame of nominating institution

)urrent cumulative :P( on a scale of

0our undergraduate ma;or+s-

umber of college credits earned to date

Total number of credits re$uired for graduation

3xpected date to receive baccalaureate degree egree you will receive

:raduate degree+s- sought )oncentration+s-

!f you have more activities, wor' experience, andor awards than the space allows, list only those you consider most

significant. !nserts, attachments, and additional pages will not be accepted.

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1. List the secondary school from which you graduated and all higher education institutions attended. !nclude

summer study-abroad e"change programs and your nominating institution #up to si"$.%chool

Location

&ates 'ttended

(. List college and high school activities #student government sports publications school-sponsored community

service programs student-faculty committees arts music etc.$. List in descending order of significance. You

will have space for eight college and four high school activities.)ollege 'ctivity

&ates

*ffices

+igh %chool 'ctivity

&ates

*ffices

,. List public service and community activities #homeless services environmental protectionconservation

advocacy activities wor with religious organi/ations etc.$. &o not repeat items listed previously. List in

descending order of significance. You will have space to list si". 0 of ees'ctivity Role

&ates

'ctive

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2. List government activities #internships with government agencies partisan political

activities R*T)military municipal boards and commissions$. List student government

under !tem (. 0 of ees 'ctive'ctivity

Role

&ates

3. List part-time and full-time 4obs and nongovernment internships since high school graduation.

Type of or

5mployer

&ates

'verage 0 of

+oursee

6. List awards scholarships publications or special recognitions you have received. List in descending order of

significance.

7. &escribe one specific e"ample of your leadership. #The writer of your letter of recommendation re8 Leadership

'bilities and 9otential must confirm this e"perience.$ Limit (::: characters including spaces.

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;. &escribe a recent particularly satisfying public service activity #do not repeat e"perience described in 7$. Limit17:: characters including spaces

riefly e"plain

why these courses were most significant.

11. !f selected as a Truman %cholar would you apply for the ashington %ummer !nstitute= !f yes where would you

lie to wor and what issues would you lie to address= !f no what are your plans for the summer after you graduate=

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1(. &escribe the graduate education program you intend to pursue if you receive a Truman %cholarship.Limit (::: characters including spaces

1,. hat do you hope to do and what position do you hope to have upon completing your graduate studies= Limit

truman scholar form

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