Sigma Iota Epsilon UNDERGRADUATE SCHOLARSHIP

Sigma Iota Epsilon UNDERGRADUATE SCHOLARSHIP APPLICATION FORM

I. PERSONAL DATA Last Name First Name Middle Initial Social Security No.

Student Address (Number and Street) City State Zip Telephone No.

Permanent Address (Number and Street) City State Zip Telephone No.

II. EDUCATIONAL DATA Colleges/Universities Attended (Where) (Inclusive Dates) (Degree Awarded?) 1. 2. 3. Management Courses Taken (Use course title) 1. 2. 3. 4. 5. 6. 7. Student Status

____ Full-time ____ Part-time ______Academic year (soph., jr., sr.) Anticipated Graduation

____ Month ____ Year In what major academic discipline will you receive your degree?

List minor academic discipline(s) that will be included in your degree

Sigma Iota Epsilon UNDERGRADUATE SCHOLARSHIP APPLICATION FORM PAGE TWO

III. SIE INFORMATION

Chapter College/University

List any officer positions in your chapter for which you have been elected/appointed.

Briefly describe any chapter projects in which you have been involved.

IV. OTHER EXTRA-CURRICULAR ACTIVITIES Briefly list other organizations in which you are a member (include officer positions), honors and recognitions bestowed on you, and any other worthwhile activities in which you have been or are involved.

Sigma Iota Epsilon UNDERGRADUATE SCHOLARSHIP APPLICATION FORM PAGE THREE

V. EMPLOYMENT HISTORY List employer, position, inclusive dates of employment, and brief description of job duties for last three jobs. 1.

VI. CAREER OBJECTIVE Briefly describe your career objective, e.g., position, field, type of organization, etc.