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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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