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The Eric A. and Josephine S. Walker Award
Student Information
Student’s Name
Student's Email Address
Student's Telephone
Student Academic Information
Student’s Major
Student's College
Student's Semester Standing
Semester 1 GPA | Cumulative Average
Semester 2 GPA | Cumulative Average
Semester 3 GPA | Cumulative Average
Semester 4 GPA | Cumulative Average
Semester 5 GPA | Cumulative Average
Semester 6 GPA | Cumulative Average
Semester 7 GPA | Cumulative Average
Leadership
Campus Organization 1 | # Years | Office(s) Held
Campus Organization 2 | # Years | Office(s) Held
Campus Organization 3 | # Years | Office(s) Held
Campus Organization 4 | # Years | Office(s) Held
List campus clubs or organizations in which nominee holds or has held active membership. These statements are to relate only to that period of time during which the nominee has been enrolled as a student of the University.
Citizenship
Community Organization 1 | # Years | Office(s) Held
Community Organization 2 | # Years | Office(s) Held
Community Organization 3 | # Years | Office(s) Held
Community Organization 4 | # Years | Office(s) Held
If necessary, use this area to describe additional contributions which nominee has made.
Comment on noteworthy personal contributions of time, energy, and/or initiative that the nominee has made for the general good of fellow students and the campus and community. These statements are to relate only to that period of time during which the nominee has been enrolled as a student of the University.
Sponsor's Character Statement
(Include examples that demonstrate how the nominee has positively influenced fellow students and has contributed to the prestige and well-being of Penn State Mont Alto, as well as the reputation of Penn State as a whole. In your statement, please feel free to expand on items you have included earlier related to the nominee's character, scholarship, leadership, and citizenship.)
Sponsor Information
Your Name
Your Email Address
Your Telephone
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