Student Resume by MaryJeanMenintigar

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									                                Student Resume & Information Form

You must submit a completed form for each award for which you wish to be considered. If you have been
nominated for an award, complete this form and return it to your faculty nominator. Each nomination will
require a separate copy to be submitted and returned to the respective nominator(s). If you are nominating
yourself for an award, you much submit this form along with up to two letters of recommendation from
faculty members in support of your nomination.

       All application packets must be completed and delivered to Kirsten Hilliard in Room 169 by 4:00 p.m. on
   January 31, 2008. Note that all required materials must be included for your application to be considered.

  Check carefully to ensure the information submitted is accurate and complete.
  Personal Information
  First Name                        Last Name
  Social Security Number            Student ID
  Address
  Current Local Address
  City State Zip
  Local Telephone                   Email Address
  Academic Information
  Semester and year you plan to
  graduate:
  Department
  Specialization
  If in a certification program,
  specify area:
  Curry School Advisor:
  Current GPA
  Achievements
  I. Academic Awards and Honors (note that lines expand to accommodate content)
  Award or Honor                   Awarding Institution                         Date
  1
  2
  3

  II. Co-curricular Activities (note that lines expand to accommodate content)
  Student Organizations         Leadership role/responsibility                          Date
  1
  2
  3
  Professional Organizations Leadership role/responsibility                             Date
  1
  2
  3
  Service Organizations         Leadership role/responsibility                          Date
  1
  2
  3
  Special Talents or Interests - including athletics, music, & hobbies



  Products, publications and/or presentations made (include full citation)
  1.
  2.
  3.
  4.
  5.
  6.
  7.

Add Additional Information Here:




   By submitting this form, I certify, on my honor as a student of the University of Virginia that the information I am
                           submitting is accurate and complete to the best of my knowledge.

								
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