Name______________________________________ Date__________________

Year in School______________________

1. University Service (University or Departmental Clubs, Multicultural Fairs, Committees)

Give the name of each group or activity in which you participated, and briefly describe what you did and how it provided service to others or contributed to the betterment of TTU.

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2. Community Service (Volunteer Work, Committees, Contributions)

Give the name of each agency or committee with which you did work, and briefly describe what you did and how it provided service to others or contributed to the betterment of the local, state, national, or international community.

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3. Briefly describe any service work you did that does not fit either of the two above categories.

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4. List any Awards or Honors you have received for your service or volunteer activities.

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5. In a concise manner state why you think you deserve this award and your plans to work for the greater common good in the future.

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