Balanced Man Scholarship Application

The Balanced Man Scholarship awards incoming freshmen who exhibit academic excellence, demonstrate leadership skills, and commit to health and well-being.

We offer the scholarship to all incoming freshmen (both men and women) and we consider all applications equally. There’s no pressure for any Greek commitment either (more than 60% of past applicants weren't affiliated with Greek organizations). The application takes only about 5 minutes to fill out and there are no essays required.

Following the submission of your application, you may be contacted to elaborate on information in your application through a formal interview. The finalists will be notified in September and will be invited to attend our awards banquet shortly after. Parents of finalists are more than welcome to attend.

Applications are due by September 9th, 2017.

***Be sure to email your resume to supplement this application to sigepbmsnyd@gmail.com (please include your name with the email)***

I. Personal Information
First and Last Name
Your answer
Home Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Mobile Number
Your answer
Date of Birth
MM
/
DD
/
YYYY
High School Graduation Date
MM
/
DD
/
YYYY
Parent/Guardian Names
Your answer
Email Address
This will be our primary source of contact with you.
Your answer
Parent/Guardian Email Address
Your answer
Will you be a first year Rensselaer student in the fall of 2017?
Required
II. Scholastic Information
Please fill out ACT and SAT if both apply.
High School Name
Your answer
GPA
Un-weighted, 4.0 scale
Your answer
Intended Major
If unknown, put N/A.
Your answer
ACT Cumulative
Your answer
SAT Math
Your answer
SAT Reading
Your answer
III. Leadership, Activities & Achievement Information
Answer the following questions in outline form. Be sure to include dates and positions held. You may also include a resume.
List honors, awards, and scholarships:
Your answer
List extracurricular activities and positions held:
Scholastic or other
Your answer
List community involvement:
Your answer
List any previous work experience:
Your answer
IV. Electronic Signature
By signing below, you certify that under penalty of disqualification, the above and attached information is true to the extent of your knowledge at this time.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms