Parent Advisory Council Leadership Scholarship

Please provide the following information:

Items with an * indicate a required field.

First Name *
Last Name *
Address Line 1 *
City *
State *
Zip *
Phone *
Email *
Ball State ID (found in your admit packet from BSU) *
Date of Birth *
High School Grade Point Average (GPA) *
High School GPA Scale *
High School Graduation Date *
Intended College Major *
List all school activities and organizations in which you have participated. Also list leadership positions held in each organization.
(List by year; e.g., Freshman, Sophomore, etc.)

List all community organizations and service activities in which you have participated. Also list leadership positions held in each organization.
(List by year; e.g., Freshman, Sophomore, etc.)

List awards and honors that you have received.
(List by year.)

List any activities or honors not previously mentioned.
(List by year.)

How will you utilize your leadership skills on a college campus? *

What has been your most significant leadership experience? Why? *

How have you affected other students as a leader? *

On-line registration for the PAC Leadership Scholarship will end at 5:00pm on March 28, 2008.