For use by nominees for the Eric A. and Josephine S. Walker Award only. Deadline for submission: Feb. 21, 2018 Your Information Name Email address Date of Birth Date of Birth: Day Day12345678910111213141516171819202122232425262728293031 Date of Birth: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Date of Birth: Year Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Major College Semester Standing Sponsor's Name The name of the person who nominated you for this award (see notification email). Sponsor's Rank or Title See notification email. Parent's Name & Home Address Your Campus Address Your Home Address Synopsis GPA Intro Semester/Cumulative GPA List your GPA and cumulative GPA for each semester. Example: Semester/Semester GPA/Cumulative GPA Fall 2013/3.0/3.0 Spring 2014/3.5/3.25 Fall 2014/3.5/3.33 Semester/Cumulative GPA Leadership Intro Leadership List campus clubs or organizations in which you hold (or have held) active membership. Include the name of the organization, the office/position you held, and the amount of time you held that office/position. Example: SGA, Vice President, Fall 2014 Radio Station, Asst. Manager, Fall 2013- Spring 2014 Leadership Citizenship Intro Citizenship List all community organizations that you hold or have held active membership. Include the name of the organization, the office/position you held, along with the amount of time you held that office/position. Example: Troop 99 of the Boy Scouts of America, Asst. Scoutmaster, 2013-present American Red Cross, volunteer, 2012-2014 Citizenship Additional Info Intro Additional Information Comment on other noteworthy personal contributions of time, energy, and/or initiative that you have made for the general good of fellow students and the campus and community. Additional Information The statement below is to relate only to that period of time during which the nominee has been enrolled as a student of Penn State University. Acknowledgments I give permission to have my academic record shared with the Award Selection Committee. I certify that the information within this application is true to the best of my knowledge. Disclaimer I Agree Please enter your full name here CAPTCHA Submit