HTML Preview Student Of The Year Award page number 1.
SA-450-716
Florida Institute of Technology
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Office of Student Affairs
150 West University Boulevard, Melbourne, FL 32901-6975
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321-674-8080
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Fax 321-674-7001
OUTSTANDING STUDENT OF THE YEAR AWARD
2017 APPLICATION FOR UNDERGRADUATE AND GRADUATE
APPLICATION REQUIREMENTS:
• Complete ALL sections (A–D) of this application.
• PRINT, SIGN (SECTION D) AND SUBMIT application to your academic department by Monday, February 6, 2017.
• Minimum GPA of 3.0.
• Dual-major students must complete two separate applications to be considered for an award in both majors.
• Include all courses taken through Fall 2016 as well as transfer credit and credit by examination as of February 2017, not including courses in progress.
SECTION A Award Eligibility for Undergraduates: SOPHOMORE (30–55 credits) JUNIOR (56–84 credits) SENIOR (85 or more credits)
Award applying for: ❏ Outstanding Sophomore ❏ Outstanding Junior ❏ Outstanding Senior ❏ Outstanding Graduate
SECTION B Applicant Information
Florida Tech Student Number ____________________________
Name ❏ Mr. ❏ Ms. _____________________________________________________________________________________________________
Local Mailing Address ____________________________________________________________________________________________________
City ________________________________________________ State _________________________ ZIP ____________________________
Phone Number ___________________________________________ FIT Email Address _____________________________________________
Major ___________________________________________________ Major Code __________________________________________________
Expected Graduation Term Year______________________________ Credit Hours ___________________ Cumulative GPA _____________
SECTION C Accomplishments and Goals
Please attach a separate document describing your accomplishments and goals, for example memberships/oces held in student organizations,
honor societies, professional and voluntary organizations; previous honors and awards received; research projects and publications; participation
in athletics or ROTC; employment (on and/or o campus); and career goals and objectives.
SECTION D All honors recipients will be notied via my.t.edu email no later than March 16, 2017.
Should you be selected to receive an award, please make arrangements to attend the Spring 2017 Honors Convocation, Thursday, April 13, 2017
at 3:30 p.m. in Gleason Performing Arts Center.
I plan to attend: ❏ Yes ❏ No
I verify that all information listed above is correct to the best of my knowledge.
Student Signature ____________________________________________________________________________Date_______________________
DEPARTMENTAL USE ONLY
TO THE DEPARTMENT COMMITTEE: Please complete all information below. Copy both pages of this application for your records and return the
original signed application to: Judy Thompson, Oce of the Vice President for Student Aairs, no later than Monday, February 27, 2017.
FULL NAME OF RECIPIENT
_________________________________________________________________________________________________
DEPARTMENT ___________________________________________________________________________________________________________
AWARD: ❏ Outstanding Sophomore ❏ Outstanding Junior ❏ Outstanding Senior ❏ Outstanding Graduate
By signing below, I acknowledge that the recipient of this award meets all required criteria as determined by the university and that all
information presented on this application is correct.
Name
(print) __________________________________________________________ Title_______________________________________________
Signature
___________________________________________________________________________________Date_______________________