University of Arkansas

Sam M. Walton College of Business

Office of Diversity & Inclusion

I am applying for program(s): ___ Fleischer Scholars Program June 11-18, 2017

Deadline for applications: March 13, 2017

___ Technology Awareness Program June 18-23, 2016

Deadline for applications: March 27, 2017

Please complete sections A-F below and enclose a current copy of your academic transcript, letter of recommendation (section H) and essay (section G). The transcript must be included in order for the application to be considered. To apply for summer programs online, please visit waltoncollege.uark.edu/diversity.

A. Personal Data—Please Type or Print

Name Date

(Last) (First) (M.I.)

Address Home Phone _____

Applicant’s Cell Number ______

Parents’ Cell Number (if different from above) ______

(City) (State) (Zip Code)

Race/Ethnic Group Parent/Guardian

______

Gender (circle) Male Female E-mail Address (Required) T-shirt size: S M L XL

Do you have a parent(s) who attended college? ______Yes ______No

My mother attended College? ____ Yes ___No My father attended College? ______Yes ______No

What is your family household income? ____ $5,000 – $10,000 ___$10,001 - $20,000 ___$20,001- $30,000 ____ Other

B. Technology and Other Skills

What are your current strengths and skills? Please circle all that apply.

Microsoft Word Microsoft PowerPoint

Microsoft Excel Microsoft Access

Adobe Photoshop Team Work

Public Speaking Other (Please list them in the spaces provided below)

Written Communications

C. Access to Technology: Do you have access to a computer in your home? ______Yes ______No

Do you have access to a computer in your local library? ______Yes ______No

D. High School Information

Counselor and email ______

Name of Current High School______

(City) (State) (Zip Code)

School Fax ( ) School Phone ( )

For the upcoming school year, I’ll be in the ___th grade GPA______ACT/SAT (required) (optional)

College Career Interests (check all that apply)

Accounting Marketing ______General Business

Economics Management ______International Business & Economics

Finance Transportation & Logistics ______Information Systems & Technology

______Other

E. Activities & Honors

Please list any organizations of which you are a member (indicate offices held), community involvements, and honors you have received. Attach additional sheet(s).

How did you hear about our summer programs? ______

G. Essay Questions: Why are you interested in participating in the Technology Awareness Program and/or Fleisher Scholars Program? How will your presence contribute to the diversity of the University of Arkansas and Walton College during the summer program? Please attach the typed essay to this application

Applicants should return completed application with RECOMMENDATION, ESSAY and current TRANSCRIPT to:

Dr. Barbara Lofton, Director

Office of Diversity & Inclusion

University of Arkansas

Sam M. Walton College of Business 343

Fayetteville, AR 72701

For questions, please call us at (479) 575-4557

NOTE: If accepted for summer programs, there is a program fee that applies.

If accepted for TAP, the program fee is $50.

If accepted to Fleisher Scholars Program, the program fee is $25.

H. Teacher/Counselor Recommendation

Each program provides a challenging one-week summer experience that is designed to introduce students to the field of accounting, finance, technology and other business related fields. Based on your familiarity and experiences with the student, please comment on his/her academic ability, interest in the field of business, and their personal character. (Attach page) Thank you!

Name Signature

Title

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