SCHOLARSHIP APPLICATION Deadline March 31, 2017

Applicant Data

Last Name ______First Name ______Middle Initial ______

Permanent Mailing Address ______Apartment # ______

City ______State ______Zip Code ______

Telephone (______) ______Email Address ______

How did you learn about this scholarship? ______

Are you a citizen or legal permanent resident of the U.S?  Yes  No

ACADEMIC DATA

Name of College/University______Graduation Date: Month ____ Year ______

City ______State ______Telephone (_____) ______

Current Major/Field of Study:

Major/Course of study______

Minor/ Course of study ______

Have you transferred institutions within the last year?  Yes  No

If yes, what is the name of your previous College/University? ______

Submit an unofficial copy of your transcript with this application.

QUESTIONS

Respond to two separate prompts. Format one response in a 3 minute video and the second as a written essay.

  • Reflect on your personal background. Please describe what you would bring to the diversity in technology services.
  • Describe an encounter or situation you witnessed where either unfair treatment or an opportunity was denied due to issues regarding diversity. What action steps were you able to take or would recommend to address this challenge?
  • Think creatively. What are some strategies you have to increasegender, racial, and ethnicdiversity in the tech profession?
  • Are there diverse individuals in the tech profession from present day or history who have inspired you? Describe this individual (or individuals) and why they have inspired you.

Video

Internet link to the video response (ex. ______

If relevant, please provide password: ______

Name or Title of Video: ______

Essay

Write a brief essay not to exceed 400 words.Submit the essay as a Word document and attach with this application.

To be considered for the Accelerate Diversity scholarship,submit via emaila completed application by Friday, March 31, 2017 to .

A completed application consists of:

  1. Student application.
  2. Student resume (one page).
  3. Unofficial college transcript.
  4. Video (3 minute limit) link provided.
  5. Essay (not to exceed 400 words).

CERTIFICATION

Cognizant’s US Campus Team will serve as Chair for the selection committee and will share in the responsibility with committee members to ensure that award recipients are selected from the criteria set forth in the program description. This application will remain the property of Cognizant Technology Solutions.

I certify that all of the information included in this application is complete and accurate to the best of my knowledge. Falsification of information may result in termination of any award granted. I hereby grant permissionto postmy project video and/or name on the websites of Cognizantand scholarship partnersfollowing the competition.

 I agree  I do not agree

X ____ Initial here to confirm and verify all submitted information.

Applicant Signature:______Date:______

(Electronic or typed signature acceptable).

This scholarship competition is open to citizens and legal residents of the U.S. except the children of employees of Cognizant Technology Solutions who are VP and above, Board of Directors or members of the selection committee.