2006 Fellowship Application

2007 FELLOWSHIP APPLICATION

Due November 9, 2007

Please complete this on-line application to apply for the 2007 Order of Omega Fellowship Program. Please complete all fields, if one does not apply, enter NA. If you need to update your application later, you will need to complete the full application again. We will consider the last application submitted.

ORDER OF OMEGA INFORMATION
Initiated by the at
Applying for: Graduate Assistant Fellowship Master's Fellowship Doctoral Fellowship

PERSONAL INFORMATION
Name
Greek Affiliation
Street Address
Address (cont.)
	City ST Zip
Home Phone	- - Cell Phone
E-mail
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CURRENT EMPLOYMENT
College / University
Part-time Full-time
Title
Department

EDUCATION
Graduate Major
Classification	Master PHD Anticipated Graduation Date
Graduate Grade Point Average on a scale. Graduate Hours Completed:
Undergraduate Degree
Undergraduate Major
Date Degree Awarded GPA
Masters Degree (if applicable)
Masters Major
Date Degree Awarded GPA

EMPLOYMENT HISTORY
List all your professional positions, graduate assistantships, etc.


AWARDS & HONORS
List all your academic and professional awards and honors.

MISCELLANEOUS
List any additional information you would like us to consider (e.g., community involvement, etc.)

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FUTURE PLANS
Describe your post-graduate plans (e.g., career aspirations)

ADVICE
Please provide a brief statement of leadership advice you want to pass on to future leaders in the Greek community. (Your statement may appear on the Order of Omega website or in future Order of Omega publications.)


LETTERS OF RECOMMENDATION
Your current (or previous) supervisor AND current graduate advisor must both submit a letter of recommendation for you. Please list the name and address of those people who have written your letters of recommendation.
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SUPERVISOR
Name
Title
Department
Address

	City ST Zip
E-mail
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GRADUATE ADVISOR
Name
Title
Department
Address

	City ST Zip
E-mail

To complete your application, your must also submit:

Verification of current graduate enrollment for fall semester/term 2007 and a copy of your graduate transcript, official or unofficial. You can fax (817-459-3355) or mail it to headquarters.
Photograph submitted via e-mail in jpeg or gif format to fellowship@orderofomega.org for Omega Trends newsletter.

I hereby consent to release my application materials for use by the Fellowship Committee of The Order of Omega for purposes of consideration for this Fellowship Award and for purposes of public relations. Further, the application materials submitted are true and correct.

Yes No

Copyright © 2007 Order of Omega. All rights reserved. Revised: August 02, 2007

Copyright © 2007 Order of Omega. All rights reserved.
Revised: August 02, 2007