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									                       ARDEN L. ALLYN CUP AWARD
                   COLLEGE OF BUSINESS ADMINISTRATION
                         KENT STATE UNIVERSITY

Date


Please note: If you are applying for scholarships, a separate application is required. It is
your responsibility to provide the appropriate documentation for each application.




General Information (Please Print or Type)
Name _______________________________ Social Security No.
Local Address
Local Phone                                                   County _________________________
Male              Female               Date of Birth                    Marital Status
Current College Status (circle one) FR SO JR SR
Officially Declared Major                                Graduation Date
Major GPA                          Cumulative GPA                           Current hours
KSU Semester Hours Completed                                 Transfer Semester Hours
Please indicate the percentage of funding for college expenses (tuition, books, room, board,
miscellaneous expenses). The total should equal 100%.
Parents ______ Loans ______ Federal Grants ______ Self ______ Scholarships ______

Other Interests
List extracurricular activities past and present during college. (Use an additional sheet of paper if
necessary.)

        Organization Name                    Position Held                    Dates
1.

2.

3.

4.
List any community activities past and present during college. (Use an additional sheet of paper if
necessary.)

        Association                           Status                        Dates
1.

2.

3.

4.

List any other scholarships, awards or achievements you have received in college.
(Use an additional sheet if necessary.)
        Award Title                                           Date Awarded
1.

2.

3.

4.

Supplements
Submit a comprehensive resume.
Reference Form (attached).



I hereby authorize the Award Committee to inspect any and all of my student files.


Signature                                                         Date

Return to:                                              Application Deadline:
Undergraduate Programs Office                           ALL materials must be received or
Room 107 BSA                                            postmarked by:
College of Business Administration
Kent State University                                   March 1
Kent, Ohio 44242




12/08
                  College of Business Administration Scholarship Reference Form

                                                    PLEASE PRINT


To be completed by Applicant:
Applicant Name: _______________________________________________________

To the applicant:
         Under the Federal Family Educational Rights and Privacy Act of 1974 and subsequent legislation, students
         have the right to inspect letters of reference. It is your option to preserve or to waive your right of access to
         such letters. We believe, however, that references completed in confidence are especially valuable in
         assessing qualifications. Please mark the appropriate sentence below indicating your waiver choice, and
         sign your name.

             I waive my right to review the completed reference form.
             I do not waive my right to review the completed reference form.

Applicant Signature:                                                  Date: __________________________________


To be completed by Evaluator:
The student named above has applied for a scholarship or award from the College of Business Administration, Kent
State University. Your evaluation of the applicant will be an important consideration in the awards process. Please
complete this form supplementing it in any manner you believe appropriate, and return it as soon as possible to the
applicant in a sealed envelope. Please sign across the back of the envelope.
_____________________________________________________________________________________________
Evaluator’s Name                                                                 Phone Number
____________________________________________________________________________________________
School/Department                                                                Email Address
_____________________________________________________________________________________________
How long have you known this applicant?                                          In what capacity?
_____________________________________________________________________________________________

Please evaluate the applicant with regard to the following qualities:
                           Rare      Excellent        Good         Above Avg       Below Avg                 Unable to
                          Top 5% Top 10%            Top 25%         Top 50%        Lower 50%                  Judge
Intellectual Ability
Leadership Ability
Writing Skills
Oral Skills
Creativity
Energy & Enthusiasm
Persistence & Drive
Ethic and Morals
Added Comments that may aid in the committee evaluation (attach another page if necessary):




Evaluator Signature:_______________________________________________ Date:______________________

								
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