Student Application Form - McCaw/Viton Scholarships & PULSE Award

Given to a Purdue Libraries/Press undergraduate student employee demonstrating outstanding contributions in the Libraries/Press. To be eligible, a student must meet the criteria listed in the scholarship/award description.

Please complete the following application. Deadline to apply is Friday, February 20, 2015. You are responsible for asking your supervisor to submit the recommendation form.

I work for:

* Supervisor's name

* Number of complete semesters worked in the Libraries (not including current semester)

Personal Profile

* Applicant's Name

Permanent Home Address

Phone Number

(999) 999-9999

* E-mail Address

Academic Profile

Applicant's Campus Address

Campus Phone

(999) 999-9999

Campus E-mail

Major

2014-2015 Class Status (Fr, So, Jr, Sr, Other)

Anticipated Graduation Date (Mo/Yr)

Cumulative GPA (4 point scale)

Activity Profile

Memberships/Awards (most recent 18 months)

List memberships in Purdue/community organizations, offices held, volunteer experiences, and/or awards.

Written Statements (1-2 paragraphs)

For these written statements, students should carefully proofread the responses before submitting them. Because the form does not provide a spell check tool, students may write out responses using Microsoft Word or other word processing software and copy/paste the finished response in this form. Written statements will be evaluated on the content, as well as the thoroughness and professionalism of the responses.

Please check the job duties

Shelving Circulation Customer Service Reference Assistance Photocopying/Scanning Opening/Closing Workorder Requests Shipping/Receiving Computer Troubleshooting

Describe other duties in the Libraries

Contributions

What outstanding contributions do you feel you have given to the Purdue Libraries?

Success

How has employment with the Libraries contributed to your academic success at Purdue and how will it help you in the future?