Who's Who Among Students in American Colleges and Universities

Last Name:   First Name:   Middle Initial: 

Street Address:

City:   State:    Zip Code:

Email Address:

Social Security Number:

Total # of Credit Hours Earned to Date:

 

Participation and Involvement

Additional sheets may be sumbitted via email to kthomas@uscupstate.edu.

University activities and position held (dates requested):

   

Community service involvement; please identify leadership position if applicable (dates requested):

 

 Honors and awards received (dates requested): 

   

Please answer the following question:
How has your academic standing, involvement in leadership activites, participation in community service initiatives and other extracurricular activities distinguished you as an outstanding campus leader at USC Upstate?

   

 

References

Name two (2) or more references (faculty, staff, community)

Name:      Title:

Business Address & Phone:

 

Name:       Title:

Business Address & Phone:

 

Name:        Title:

Businesss Address & Phone:

 

Sign & Submit

Signature of Applicant (use printed name):    Date:

APPLICATION DEADLINE: MONDAY, NOVEMBER 5, 2012.