<p> Sigma Iota Epsilon UNDERGRADUATE SCHOLARSHIP APPLICATION FORM</p><p>I. PERSONAL DATA Last Name First Name Middle Initial Social Security No.</p><p>Student Address (Number and Street) City State Zip Telephone No.</p><p>Permanent Address (Number and Street) City State Zip Telephone No.</p><p>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</p><p>____ Full-time ____ Part-time ______Academic year (soph., jr., sr.) Anticipated Graduation</p><p>____ Month ____ Year In what major academic discipline will you receive your degree?</p><p>List minor academic discipline(s) that will be included in your degree</p><p>Sigma Iota Epsilon UNDERGRADUATE SCHOLARSHIP APPLICATION FORM PAGE TWO</p><p>III. SIE INFORMATION</p><p>Chapter College/University </p><p>List any officer positions in your chapter for which you have been elected/appointed.</p><p>Briefly describe any chapter projects in which you have been involved.</p><p>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.</p><p>Sigma Iota Epsilon UNDERGRADUATE SCHOLARSHIP APPLICATION FORM PAGE THREE</p><p>V. EMPLOYMENT HISTORY List employer, position, inclusive dates of employment, and brief description of job duties for last three jobs. 1. </p><p>2. </p><p>3. </p><p>VI. CAREER OBJECTIVE Briefly describe your career objective, e.g., position, field, type of organization, etc.</p>