Programs- 2008 - 2009 Presidential Citizen Scholar Program - Application
Presidential Citizen
Scholar Program
Application Form (2008 - 2009)
Please note:
You will need to print this page to fill it out
Please submit it to PACE
Name __________________________________________ GPA ______________________
What year will be you be in 2008 - 2009 _________________________________________
(sophomore, junior or senior)
Student ID#
________________________ Social Security Number ____________________
Major (and Minor)
___________________________________________________________
Contact Information
Preferred e-mail address __________________________________________________
Telephone # (where you live)
______________________________________________
(cell phone #) _______________________________________________
Permanent Mailing Address
_______________________________________________
___________________________________________________________
List your civic experiences (if any) and why would you like to become a
PCS?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
* This is a 1-year program that involves:
Print this form and
Fax it to PACE
2 PACE academic seminars
410-677-5012 (fax)
4 civic lectures/events and reports
or mail it to the address
2 volunteer experiences and reports below:
Final 3-page essay
Institute for
Public Affairs and Civic Engagement (PACE)
Salisbury University, 1101
Camden Ave., Salisbury, MD 21801
410-677-5045
Comments and questions about this page can be directed to PACE
Copyright © 2005