<p> INDIANA STATE UNIVERSITY DEPARTMENT OF CRIMINOLOGY & CRIMINAL JUSTICE JEFFREY L. SCHRINK OUTSTANDING SENIOR AWARD APPLICATION</p><p>Please print or type the following information.</p><p>Full name of applicant: SID _991-______</p><p>ISU e-mail address [email protected] Telephone number ______Name of person and local phone number of person nominating the applicant (if different from applicant): </p><p>_ </p><p>Applicant's Campus Address and Phone: </p><p>Applicant's Permanent Address and Phone: </p><p>Applicant’s Parents’ Names and Home Address: </p><p>Anticipated Graduation Date: Overall g.p.a.: Major g.p.a.: ______</p><p>Attach to this application, a typewritten personal statement summarizing your personal interests and goals for the future.</p><p>Please list any co-curricular activities and dates in which you have participated while a student at ISU (including fraternities, sororities, sports, etc.) Attach an additional sheet if necessary.</p><p>Page 1 of 2 (over  ) Please list any honors or awards you have received as a student at ISU including the dates received. Attach an additional sheet if necessary.</p><p>Please list any service or volunteer work with corresponding dates you have participated in while a student at ISU. Attach an additional sheet if necessary.</p><p>Please list any other information which you believe the committee might find useful in considering your application. Attach additional sheets if necessary.</p><p>THANK YOU FOR YOUR APPLICATION.</p><p>Page 2 of 2</p>