President’s Student Commission Application for 2021-2022

Applicant Information
*
First Name Last Name
*
Student ID # Major Cumulative GPA
BSU Email Address*
Best Contact Phone Number*
Local Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Summer Address (if different than above)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Please check all that currently apply:*
- Transfer student
- International student
- Resident student (live on campus)
- Commuter student (live off campus)
- Online student
Please select your anticipated graduation year:*
- Class of 2025
- Class of 2024
- Class of 2023
- Class of 2022
Time Commitments
Please list any significant commitments you expect to have during the 2021-2022 academic year (ie. student teaching, study abroad, clubs/organizations, community service, work, athletics, etc.)*
Total hours needed per week for above commitments:*

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References
Please list the names, titles, phone number and email addresses of two (2) persons who will act as references on your behalf. At least one of your references should be a Bemidji State University faculty, staff or administrator. Please do not submit letters of recommendation,
Reference 1*
First Name Last Name Title
*
Phone Number Email Address
Reference 2*
First Name Last Name Title
*
Phone Number Email Address

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Leadership Experience
Please list previous leadership experiences:
Questions
Please answer the following questions. (1000 character limit for each question)
Leadership can be defined in many ways. Define leadership from your perspective?*
We often say that the goal of an education is not just a job, but service to the community. What does" service" mean to you?*
What is your favorite thing about BSU?*
What would you like to see changed about BSU? As you think about this change, how would you propose this change happen?*
What is one non-class assigned book you have read in the past year that made an impact on you? Why?*
As a student, how have you created an environment that promotes diversity and inclusion?*

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David & Kathryn Sorensen Full-Tuition Leadership Scholarship
This scholarship is awarded to a Minnesota High School graduate with preference given to a Minnesota public school. This scholarship is only available to junior and senior students enrolled full-time at Bemidji State University with a minimum academic cumulative grade point average of 2.70. This scholarship will be awarded in recognition of students who embrace and practice the values of community leadership. Community leadership is exhibited by characteristics that work to improve the environment in which we learn, live, work, recreate, and serve. These characteristics should be either embodied in and/or demonstrated by striving to achieve the following behaviors: exhibits integrity, leads innovation, energizes and leads others, and delivers results. The student chosen for this scholarship will be seated on the President’s Student Commission in the year this scholarship is received.
Would you like to be considered for the David & Kathryn Sorensen Full-Tuition Leadership Scholarship?*
Do you meet the eligibility requirements of being a graduate from a MN High School and holding a cumulative GPA of 2.7?
- Yes
- No
If you would like to be considered for the David & Kathryn Sorensen Full-Tuition Scholarship, write a brief essay about how you embrace and practice the values of community leadership.

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GPA Verification
By submitting your application, you give the selection committee permission to gain access to your academic record. Student Commissioners must have and maintain a minimum GPA of 2.5 to obtain and remain in their positions. The recipient of the David & Kathryn Sorensen Leadership Scholarship must have and maintain a minimum GPA of 2.7.
Please initial here:*
Next Steps - On-Screen Confirmation
After submitting your application, you will receive an on-screen confirmation acknowledging receipt of your application. If you do not receive a confirmation on-screen, we did not receive your application. Please resubmit or contact the President's Office at 218.755.2017.
Please initial here:*
Next Steps - Interviews
Applications will be reviewed after the deadline on April 9th. Those selected for interviews will be asked to interview the week of April 19th.
Please initial here:*

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Bemidji State University