<p> Nancy McKay Lorenz and Richard W. Lorenz Scholarship</p><p>Nancy McKay Lorenz was on the task force that created the Thomas I. Atkins Living Learning Center in 1994, and has served as the Residential Fellow for the Center since that time. Her husband, Richard W. Lorenz, joined her as an Atkins Residential Fellow in 2001. The Lorenz’s purpose is twofold: to support the mission of the Atkins LLC, and to honor the memory of Thomas I. Atkins through the residential study of African American history and culture, community service, and the academic pursuits and successes of the Atkins LLC students. The award of $500 is for an Atkins LLC member who returns to the community the following year. </p><p>Scholarship applications are due by Friday, February 26, 2016 to [email protected]. Please provide thorough answers to allow the committee to fairly consider your application. Nancy McKay Lorenz and Richard W. Lorenz Scholarship Application for Award Please type all responses. </p><p>Date of Application </p><p>Personal Information </p><p>Name 1 Student ID Number 2 Current Address </p><p>Next Year Address </p><p>Phone </p><p>IU email address 3</p><p>Academic Information </p><p>Class Standing 1 Anticipated Graduation Date 2 GPA </p><p>Major or Field of Study </p><p>Any Minors, Concentrations, or Special Areas of Study </p><p>Academic Honors you have received </p><p>Career Objectives (Include plans for Graduate School, Extended Travel, etc..) </p><p>Student Involvement Information (Include Current Semester) List your student involvement activities/positions and the period for which you held them. </p><p>Position Dates of Service (beginning with most recent) 1. ______2. ______3. ______4. ______5. ______1 List of Employment: Please list paid positions you hold currently or have held since starting college. </p><p>Dates of Employment & Hours per week Position 1. ______2. ______3. ______4. ______5. ______</p><p>Please discuss how your service has helped the Atkins community. Give specific examples. 2</p><p>How do you plan to be involved in the community next year? </p><p>How will your involvement in the Adkins community benefit you in the future (employment and career, academic pursuits, personal life, etc.)?</p><p>Please indicate any other factors you wish the selection committee to consider regarding your application. </p><p>How have you embodied the tenants of this scholarship?</p><p>Certification: I certify that the foregoing information is accurate. </p><p>Grade and Transcript Release: I hereby consent to the release of all academic and educational records to the selection committee, for the purpose of allowing the committee to use and review those records in connection with its consideration of my application for a scholarship. Printed Name </p><p>Signature______Date______</p>