SEED AWARD UNDERGRADUATE APPLICATION PREVIEW APP ONLY

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Default Question Block SEED AWARD UNDERGRADUATE APPLICATION The deadline is APRIL 1, 2018. Applications and all materials (including your letters of recommendation) must be submitted electronically by this date. Be sure to have read the eligibility requirements listed on our SEED Award webpage. STUDENT INFORMATION First Name Middle Name Last Name Preferred gender pronouns Campus/Local Address City State Zip Code University Email Student ID# (7-digits) Cell phone Other phone Department/Major G.P.A. (cumulative) Number of credits taken at the University of Minnesota Campus Enrolled https://umn.qualtrics.com/controlpanel/ajax.php?action=getsurveyprintpreview 1/5

Your status during the upcoming Fall 2018 semester: 60-90 credits, Junior (1st semester) 60-90 credits, Junior (2nd semester) 91-120 credits, Senior (1st semester) 91-120+ credits, Senior (2nd semester) LETTERS OF RECOMMENDATION Please ask your recommenders to submit their signed letter of recommendation as a PDF or Word document via this link BY THE APRIL 1 DEADLINE: https://umn.qualtrics.com/jfe/form/sv_bdalrswwyhkbz5r Two letters of recommendation are required for consideration for the SEED Award: The first letter of recommendation must be completed by a University of Minnesota faculty member or an instructor familiar with your academic work. The second letter of recommendation may be completed by a second University of Minnesota faculty member, or by a University of Minnesota staff member or member of the external community who is familiar with your academic accomplishments, engagement with issues of social justice, and/or community activism. In writing your letters of recommendation, ask your recommenders to consider the following three questions: How long and in what capacity have you known the applicant? How has the applicant demonstrated to you his or her commitment to academic achievement and/or community activism? How does the applicant engage with and show leadership around issues of equity, diversity, and/or social justice, in the classroom and/or through his or her community activism? https://umn.qualtrics.com/controlpanel/ajax.php?action=getsurveyprintpreview 2/5

Please list the names and contact information below for the individuals who will be submitting your letters of recommendation: Name of Recommender #1 Job Title #1 Phone Number #1 Email #1 Name of Recommender #2 Job Title #2 Phone Number #2 Email #2 PERSONAL STATEMENT To give the SEED Award selection committee better insight into your accomplishments and experiences with regard to your commitment to equity and diversity, please compose a personal statement (500 words maximum) in response to the questions below. Your personal statement should address how your experience with diverse identities has impacted your academic work and/or community service. Please be sure to address the following questions: How has your experience of equity, diversity and social justice impacted your commitment to community engagement, activism, and your academic journey? How has this led to your personal growth and achievement? In what ways do the values of equity and diversity shape your way of being in the world? UPLOAD PERSONAL STATEMENT **IMPORTANT: Save the file as follows: "YourLastName.YourFirstName.STATEMENT" https://umn.qualtrics.com/controlpanel/ajax.php?action=getsurveyprintpreview 3/5

SUPPORTING MATERIALS In addition to the items above, please submit the following items in support of your SEED application: A copy of your University of Minnesota transcript. An unofficial copy of your transcript, available from the Office of the Registrar at no charge, is sufficient. Unofficial transcripts will be verified for accuracy. You can also contact One Stop to find out how to obtain a copy of your transcript. A résumé outlining your academic, co-curricular, and work/volunteer activities and achievements. Résumés should be no more than two pages in length. UPLOAD TRANSCRIPT **IMPORTANT: Save the file as follows: "YourLastName.YourFirstName.Transcript" UPLOAD RESUME **IMPORTANT: Save the file as follows: "YourLastName.YourFirstName.RESUME" Block 1 DISCLOSURE Please read statement carefully before clicking "Submit." https://umn.qualtrics.com/controlpanel/ajax.php?action=getsurveyprintpreview 4/5

I hereby certify that the information provided on this application is, to the best of my knowledge, accurate and true. All required documentation is enclosed. I hereby authorize the release of information, including that contained in my Admissions application and current student record, to internal and external selection committee members as may be required to determine my eligibility for a scholarship. Upon clicking "Submit," you will digitally sign, date, and agree to the statement above. Powered by Qualtrics https://umn.qualtrics.com/controlpanel/ajax.php?action=getsurveyprintpreview 5/5