ACA 2013 Student Development Scholarship Application
Academic Counselors Association 2013 Student Development ScholarshipThe Academic Counselors Association (ACA) is proud to offer $200 scholarships to University of Texas at Austin students whosupport the vision and values of the UT academic advising community. It is the hope of ACA that these scholarships will assiststudents in their academic pursuits and endeavors.Eligibility requirements: Candidates must be undergraduate students who assist in advising or other academic support services andhave a cumulative GPA of at least 2.00 (to be verified by the ACA Awards and Recognition Committee).NAME: ____________________________________________ EID: ____________COLLEGE/SCHOOL: _________________________________________________________MAJOR: ____________________________________________________________________PERMANENT ADDRESS: ______________________________________________________EMAIL: ________________________________ PHONE: _____________________________EXPECTED GRADUATION: ____________________________________________________CUMULATIVE GPA: __________________________________________________________CLASSIFICATION (circle one): Freshman Sophomore Junior SeniorIn a statement not to exceed three typed pages, please address questions #1-3. Your complete application will include your statement, this signed cover sheet, and the additional documents outlined below in #4-5. 1) In what way(s) do you assist students and/or support advising services on campus? Please expand on how your role fits in with the vision and values of ACA (http://www.utexas.edu/staff/aca/vision). 2) How has your work supporting students impacted your experience at UT Austin? 3) How will this scholarship assist you in pursuing your academic or professional goals? Please address any financial need you currently experience, if relevant. 4) Please attach a resume or list of activities and accomplishments. 5) Optional: Submit a letter of recommendation from a staff or faculty member who is familiar with your work assisting in advising or other student support services.I certify that the information in this application and all attachments are complete and correct and the documents are my own work. Iauthorize the ACA Awards and Recognition Committee to verify the information I have provided, including my UT GPA. I furtherunderstand submission of false information is grounds for rejection of my application.NOTE: The Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. &1232g, and its implementing regulations 34 CFR Part 99,authorize the release of student educational records to other educational institutions in which you are enrolled or receive services.The ACA Awards and Recognition Committee at The University of Texas at Austin are provided access to your educational records inaccordance with this provision.STUDENT SIGNATURE: _____________________________________________________ Date: ____________________ Applications must be submitted by 5:00 pm on Tuesday, March 5th, to Sarah McKay via email, campus mail, or hand delivery. Email to: firstname.lastname@example.org Campus mail to: C3100 Hand-deliver to: BRB 1.114 Questions? Please contact Sarah McKay at email@example.com or at #512-475-7665.