William Q. Wick Scholarship Application

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William Q. Wick Scholarship Application 2013-14 Students wishing to apply for this scholarship in the College of Liberal Arts for the 2012-13 academic year must complete the following application form. * Please read through the scholarship criteria to determine eligibility. Incomplete applications will not be considered. Please direct any questions to the College of Liberal Arts Student Services Office at 737-0561. Application Packets MUST be turned in to Gilkey Hall 213 by Wednesday, March 13, 2013 at 5:00 PM Personal Information Name: (Last Name) (First Name) (Middle) OSU ID Number: - - Major: Minor (if any): First Term at OSU: / Term Year Total Completed Credits: as of / Term Year Anticipated Date of Graduation: / OSU GPA: Term Year Contact Information Local Address: Local Telephone No: - - Permanent Address: Email: Legal State of Residence: High School Name and Hometown:

William Q. Wick Scholarship ($500) This scholarship honors the memory of William Q. Wick, Sea Grant College Program Director from 1973 to 1990. Although a scientist by training, William Q. Wick understood the value of a liberal arts education at this university and in the wider community. This scholarship benefits deserving students working toward undergraduate degrees within the College of Liberal Arts at Oregon State University. Criteria: Students must be enrolled as full-time undergraduate students in the College of Liberal Arts, in good academic standing at the time of application. Must be able to demonstrate leadership abilities and participation in co-curricular activities (high school and college). Preference will be given to Oregon high school graduates and residents. A complete application packet includes: 1. College of Liberal Arts Scholarship Application. 2. A one (1) page essay describing your leadership abilities and experiences. 3. A chart of co-curricular activities you have participated in during high school and college (included example and instructions). 4. ***Two (2) letters of reference and completed reference forms (included) from OSU faculty and community members who can attest to your outstanding academic performance. All letters and forms must be received by 5:00 P.M. on Wednesday, March 13, 2013 William Q. Wick Scholarship Committee OSU, College of Liberal Arts Student Services Office, Gilkey Hall 213 Corvallis, OR 97331 FAX: 541-737-2434 EMAIL: mary.chuinard@oregonstate.edu

Page 1 The student named above has applied for the William Q. Wick Scholarship. This scholarship honors the memory of William Q. Wick, Sea Grant College Program Director from 1973 to 1990. Although a scientist by training, William Q. Wick understood the value of a liberal arts education at this university and in the wider community. This scholarship benefits deserving students working toward undergraduate degrees within the College of Liberal Arts at Oregon State University. A complete reference includes this 2-page form AND a detailed letter. Application Deadline: Wednesday, March 13, 2013 by 5:00PM Note: Please mail this recommendation form and reference letter in a sealed envelope to the address below. Applications will not be processed until the selection committee receives both. If you have questions, please call 541-737-0561. Please submit directly to: William Q. Wick Scholarship Committee OSU, College of Liberal Arts Student Services Office, Gilkey Hall 213 Corvallis, OR 97331

Page 2 Please rate the applicant on the factors listed below: Interpersonal Skills Academic Skills and Knowledge Motivation and Perseverance Communication Skills Leadership Self-esteem and Confidence Responsibility and Self-direction Contribution to Community Ability to Work with Groups Attitude Fair Average Good Excellent Outstanding Not Observed Your Contact information: Print Name Date Title/Position Institution/Business Address and Phone Signature

Page 1 The student named above has applied for the William Q. Wick Scholarship. This scholarship honors the memory of William Q. Wick, Sea Grant College Program Director from 1973 to 1990. Although a scientist by training, William Q. Wick understood the value of a liberal arts education at this university and in the wider community. This scholarship benefits deserving students working toward undergraduate degrees within the College of Liberal Arts at Oregon State University. A complete reference includes this 2-page form AND a detailed letter. Application Deadline: Wednesday, March 13, 2013 by 5:00PM Note: Please mail this recommendation form and reference letter in a sealed envelope to the address below. Applications will not be processed until the selection committee receives both. If you have questions, please call 541-737-0561. Please submit directly to: William Q. Wick Scholarship Committee OSU, College of Liberal Arts Student Services Office, Gilkey Hall 213 Corvallis, OR 97331

Page 2 Please rate the applicant on the factors listed below: Interpersonal Skills Academic Skills and Knowledge Motivation and Perseverance Communication Skills Leadership Self-esteem and Confidence Responsibility and Self-direction Contribution to Community Ability to Work with Groups Attitude Fair Average Good Excellent Outstanding Not Observed Your Contact information: Print Name Date Title/Position Institution/Business Address and Phone Signature