| Name
(As you wish it on your certificate): |
|
| Semester
Hours Completed at KSU: |
|
| Preferred
E-mail Address: |
|
| Home
Address: |
|
| KSU
ID#: |
|
| Major: |
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| Class standing: |
|
|
List three
(3) persons (KSU faculty or staff) who can attest to your qualifications
for nomination to Who’s Who. Do not request letters
at this time. If letters are needed, you
will be notified |
|
III.
Deadline:
Return this application (by clicking on the "Submit"
button at the end of this application once completed) by 5 p.m.
on Friday, October 23, 2009. No exceptions will be made for late applications. |
KENNESAW
STATE UNIVERSITY ACTIVITIES AND HONORS RECORD
INSTRUCTIONS: The information provided on this form
will be used in the selection process for Who’s Who
Among Students in American Universities and Colleges. Student
applicants are asked to provide complete and accurate information
in all categories.
IV.
Campus Participation: (Complete
the Academic Achievement and Campus Activities sections.
Please add any achievement and/or activity not listed)
1.)
ACADEMIC ACHIEVEMENTS: |
1. Cumulative
GPA at KSU:
2. Enrolled in KSU Honors Program: (List semesters)
Not
sure what groups are at KSU or unsure under which catagory
they fall? Use the KSU Clubs Directory for reference in completing this application.
3.)
Please list your Academic Awards (President's
List, Dean's List, Regent's Award, University Scholars,
Scholarship Awards, Other) received, and
the date(s) awarded:
(Use the KSU Clubs Directory for reference in completing this application) |
|
Use
this pull down menu for a list of all active KSU organizations
for reference purposes:
|
1.)
Please list your Honor Society, the dates of membership,
and leadership position(s):
(Use the KSU Clubs Directory for reference in completing this application) |
|
2.) Please list your
Organizations, the dates of membership, and your position/title
in the organization:
(Use the KSU Clubs Directory for reference in completing this application) |
|
3.) Please list your
Greek Organizations, the dates of membership, and your
position/title in the organization:
(Use the KSU Clubs Directory for reference in completing this application) |
|
4.) Please
list the position(s) held in Student Government and/or
the Kennesaw Activities Board (KAB), and the dates
of membership:
(Use the KSU Clubs Directory for reference in completing this application) |
|
5.) Please
list the Leadership Programs you participated
in, the dates of participation and the adviser:
(Use the KSU Clubs Directory for reference in completing this application) |
|
6.) Please
list the Service Organizations you participated
in, the dates of participation and the adviser:
(Use the KSU Clubs Directory for reference in completing this application) |
|
| 7.) Please
list your Student Media (Sentinel, Share, Talon, Other),
the dates of membership, and your position/title in the organization: |
|
8.) Please
list the Intercollegiate/Academic Teams at KSU you participated in, the dates of participation and position:
(Use the KSU Clubs Directory for reference in completing this application) |
|
| 9.) Please list
the Intramural Teams at KSU you participated
in and the dates of participation: |
|
| 10.) Please
list the Campus Awards at KSU (Club Award, Greek
Award, SG Award, Outstanding Student Leader, Student of Honor,
Student of the Year, Who’s Who, Other) you received and
the date awarded: |
|
| 3.)
COMMUNITY ACTIVITIES |
| 1.a. Community Organizations:
Membership while attending KSU (include only those which
involve year-long commitment); List the name of the organization,
the dates of participation, and a contact: |
|
| 1.b. Community Organizations:
Leadership while attending KSU (include only those which
involve year-long commitment); List the name of the organization,
the dates of participation, the positions held, and a contact: |
|
| 2.) Please list
the Community Awards (Awards received while attending
KSU) you received, date awarded, and a contact: |
|
| V.
VERIFICATION (PLEASE READ CAREFULLY) |
I verify by my submitting
this form that I understand I am being considered
as a finalist for Who’s Who in American Colleges and
Universities at Kennesaw State University. I further understand
that academic standing is a consideration and I authorize
the Who’s Who committee to have full access to all pertinent information which the University maintains
on me. I also understand that my participation in extracurricular
and community activities is a consideration and I authorize
the Who’s Who committee to verify my participation
through University records and through contact persons with
the organizations I have listed. To the best of my knowledge,
the information I have presented on this Activities and
Honors Record is complete and accurate.
|
