GK-Seal web version

Golden Key International Honour Society

Scholarship Application

The Wright State University chapter of Golden Key International Honour Society scholarship application is comprised of four parts:

1) Application form (must be typed)

2) Résumé

3) Two recommendations - One must be completed by a faculty/staff member at Wright State and one by a character reference, i.e. employer, mentor. Please mail to Pam Davis at the address below.

4) Statement of personal commitment - one typed page not to exceed 1,000 words

Please complete this form, résumé, and statement of personal commitment and return in a sealed envelope to the Scholarship Selection Committee, c/o Pam Davis, Wright State University, Office of Vice President for Student Affairs, 366 University Hall, 3640 Colonel Glenn Highway, Dayton, OH, 45435 by Noon, Friday, April 28, 2017.

Last Name: __________________________________ First Name: _________________________________Middle Initial: _________

Address: ____________________________________City: ____________ State: ____ Zip: __________ Phone: _________________

UID#: _______________________ Major: ___________________________________Class: ___________________ GPA:_________

Email Address: ______________________________________________________________________________________(MIN. CUM 3.5)

I plan to use this funding for (check one):         Su (only) ▢         Su, Fall, Spring          Fall,  Spring

Please list the following and include year:

1) Golden Key activities

2) University activities

3) University honors and awards

4) Community activities

5) Professional organizations and affiliations