2017-2018 Application
Public Service Scholar Program
A. PERSONAL INFORMATION
Name:
CUNY 1ST ID#:
Address:
Home Phone:
Cell Phone:
Work Phone:
E-mail:
Major:
Minor:
Are you currently working? Yes No
When do you work? Days Evenings
What type of work do you do?
How many hours per week do you work?
Do you currently receive any type of financial aid? Yes No
If yes, what type of financial aid?
B. ACADEMIC PERFORMANCE
Cumulative grade point average:Grade point average for courses taken in your major:
Credits earned to date:
Credits carried this semester:
Credits taking next summer term:
Credits remaining to be taken in your major:
Distribution credits remaining:
Do you have a valid New York State driver's license? / Yes No
Environmental Section applicants only: Do you have experience with GIS and/or related computer software / Yes (Please elaborate in No
your resume)
Please complete sections C and D on separate sheets and attach to this application.
C. WORK AND VOLUNTEER EXPERIENCE (RESUME)
Provide a resume that describes any non-academic work and volunteer experience you have had. Include descriptions of paid jobs, volunteer projects and political or community activities. Environmental section applicants, please include experience with GIS and other similar programs.
D. ESSAYS (Limit response to one page per question.)
1. Why do you want to become a Public Service Scholar? What are your objectives in applying for this program? (Be specific about your interest in the environmental or general section.)
2. What are your career interests or goals? How are they related to the objectives of the program?
3. If you had the opportunity to work on an issue or problem in New York City, which one would you choose? Why? (Environmental section applicants, please specify an environmental issue that you are particularly interested in.)
E. REFERENCES
Please list the name, address and telephone number of two people whom you have asked to write letters in support of your application. At least one reference must be from a Hunter College faculty member.
Letters may be enclosed with your application or sent directly to the program office. They must be received no later than Friday, March 10, 2017. (Note: You are responsible for confirming that your reference letters have been received. Your application will not be considered complete without them.)
Name:Address:
Telephone:
Name:
Address:
Telephone:
F. TRANSCRIPTS
Please submit with your application one transcript (official OR unofficial) from each college you have attended since high school.
G. HOW DID YOU LEARN ABOUT THE PUBLIC SERVICE SCHOLAR PROGRAM?
(Please check all that apply.)
Faculty member
Mailed recruitment letter /
Information session flyer
Student Services / Friend/Classmate
Career Counseling / PSSP website
Other:
Signature:
Date:
All three pages of this form must be submitted with your application.
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