W. R. Davies University Center
Service Award for the Viennese Ball

APPLICATION FORM Printable Version


PERSONAL INFORMATION

NAME
LOCAL ADDRESS		LOCAL PHONE
HOME ADDRESS		HOME PHONE
MAJOR		MINOR
YEAR IN SCHOOL	Junior Senior
DAVIES CENTER EMPLOYMENT HISTORY
EMPLOYER		LENGTH OF SERVICE
DESCRIPTON OF DUTIES
Describe how your work in Davies Center has allowed you to develop as an individual and a leader
VIENNESE BALL WORK EXPERIENCE Describe how your work experiences in Davies Center have contributed to the production of the Viennese Ball.

STATEMENT OF INTENT Explain why you should be selected for this award.
REFERENCES List the names and address of two University Centers faculty/staff members who can attest to your contribution to the Viennese Ball and to the quality of your work.
NAME		ADDRESS
PHONE		EMAIL
NAME		ADDRESS
PHONE		EMAIL
ELIGIBILITY CRITERIA The W.R. Davies University Center Service Award for the Viennese Ball is awarded to an undergraduate of junior level or above in good standing. The recipient must be employed in Davies Center and have a history of involvement with the production of the Viennese Ball. Two $500 scholarships will be awarded. Previous Recipients are not eligible for consideration APPLICATION PROCEDURE Applications are available at the Activities and Programs Office, Davies Center 133. Completed applications must be returned by February 12. A committee of University Centers staff members and Viennese Ball Committee members will review applications and select the recipient by March 1. The director  of the Viennese Ball will notify the recipient of the award in writing. Information will be submitted to Jennifer L. Brockpahler.