Student Humanitarian/Civic Engagement Award Application First Name (required) Last Name (required) Gender (required) WomanMaleTransgenderNon-binary/con-conformingPrefer not to respond Permanent Mailing Address Street Address (required) City (required) State or Country (required) Zip Code Phone Personal (required) UDC Email (required) Educational Background Are you currently enrolled in UDC classes? (required) yesno Academic Major (required) Cumulative GPA: (required) Are you a Van Ness, Community College, or Graduate/Law Schoool Student Van Ness StudentCommunity College StudentGraduate/Law School Student Student Activities Other awards and recognition Reference #1 Name: Occupation: Complete Mailing Address: Telephone number: Email Address: Relationship to you: How long have you known this person? Reference #2 Name: Occupation: Complete Mailing Address: Telephone number: Email Address: Relationship to you: How long have you known this person? Candidates are evaluated as to how they reflect the highest ideals and qualities of civic involvement and activism while in pursuit of their academic, extra-curricular, and community service endeavors. You are required to provide a 200-word statement that addresses the following areas: • Please describe what voluntary humanitarian deeds (helping others) you have performed in your community or in the University. (Please indicate the date(s) and the approximate number of hours. Specify if the hours are per week, per month or for a one-time event.). • Which of your experiences in voluntary community service have you found to be the most satisfying and why? • What influence do you think your experience with voluntary community activism/service will have on your intended vocation? Personal Statement Δ