Fiat Lux Scholars Progam - Academic Scholar Supplemental Application

Last Name *

First Name *

Student ID # *

UC Merced E-mail *

Phone Number *

Sophomore (2nd Year)

Junior (3rd Year)

Senior (4th Year)

Other...

What will your Class Standing be as of Fall 2020? Other...

Anticipated for fall 2020

Major(s) & Minor(s) *

Fall 2019 Semester GPA *

Cumulative GPA *

Campus Involvement *

What campus activities and/or clubs/organizations do you anticipate being involved in during the 2020-2021 academic year? Also, please list all other employment and internship commitments (including research) you anticipate to have during the 2020-2021 academic year.

Why do you want to be a Fiat Lux Academic Scholar? *

250 words or less

Please describe your academic and social transition to UC Merced and identify any challenges you have faced. *

250 words or less

Please describe your philosophy on teamwork *

As Academic Scholars, you are responsible to plan socials and prepare bulletin boards as a team. Please provide insight of your philosophy on teamwork. 250 words or less

Any additional comments/information that you would like to share with us that you feel would be important to provide greater insight ? *

Commitment Statement *

I agree with the above statement.

If selected, I acknowledge that I am making a year-long commitment to hold a student staff position with the Fiat Lux Scholars Program for the Fall 2020 - Spring 2021 (Summer is optional).

References *

Please list 2 references that we may contact. Please include their full name, title, e-mail and phone number. (Please note that current Fiat Lux Professional and Student Staff may not be listed as a reference).

Judical & Academic Review *

I acknowledge and understand that by submitting this Fiat Lux Academic Scholar Supplemental Application my judicial and academic records will be reviewed.

By checking the box below and submitting this supplemental application, you are authorizing Judicial Affairs Officer(s) at the University of California, Merced to discuss information contained in any judicial records that may exist with the Fiat Lux Scholars Program Staff, or authorized hiring manager in the Calvin E. Bright Success Center. This consent applies to educational records that may otherwise be protected under the Family Educational Rights and Privacy Act of 1974, as amended, 20 U.S.C. 1232g. By checking the box below you acknowledge and understand that both your university judicial and academic records will be reviewed to ensure that you meet the minimum requirements to be a Fiat Lux Academic Scholar.

Fiat Lux Scholars Progam - Academic Scholar Supplemental Application

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