Mr./Ms. UAB 2021-2022 Student Application Form - Homecoming

Mr./Ms. UAB 2021-2022 Student Application

Applications are due: FRIDAY, October 1st | 5:00 p.m.

Applications must be completed online.

REFERENCES WILL BE CHECKED. FALSIFIED INFORMATION WILL RESULT IN DISQUALIFICATION

I hereby give my permission for a representative of the selection committee to check my GPA, and that any/all references may be contacted.(*)

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I. GENERAL INFORMATION

Full Name(*)

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Gender(*)

MaleFemale

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Blazer ID(*)

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Address(*)

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City(*)

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State(*)

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Zip(*)

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E-mail Address(*)

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Cell Phone(*)

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Other Phone

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Current Class Standing(*)

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School Enrolled(*)

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Major(*)

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Are you a full time or part time student?(*)

Part TimeFull Time

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Cumulative GPA(*)

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II. ACADEMIC HONORS AND AWARDS

A. Honor Societies:

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B. Scholastic Honors, Merit Scholarships Awarded, and Deans List:

Scholastic Honors, Merit Scholarships Awarded, and Dean

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Date

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Scholastic Honors, Merit Scholarships Awarded, and Dean

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Date

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Scholastic Honors, Merit Scholarships Awarded, and Dean

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Date

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C. Other:

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Date

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Date

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Date

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III. CAMPUS ACTIVITIES

A. Student Organizations (indicate officer, committee chairman or member):

Student Organization

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Student Organization

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Student Organization

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Student Organization

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Student Organization

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B. University-wide Committees (indicate chairman or member):

University-wide Committees

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University-wide Committees

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University-wide Committees

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University-wide Committees

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C. Campus Government:

1. Elected or Appointed Offices:

Elected or Appointed Offices

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Term of Office

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Elected or Appointed Office

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Term of Office

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Elected or Appointed Office

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Term of Office

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2. Committees:

Committee

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Committee

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D. Athletics (List sports you participate in - indicate intramural or intercollegiate):

Athletics

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Athletics

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Athletics

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2. Captain, Co-Captain, Manager:

Captain, Co-Captain, Manager

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Captain, Co-Captain, Manager

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Captain, Co-Captain, Manager

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3. Athletic Honors and Awards (indicate sport):

Athletic Honors and Awards

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Athletic Honors and Awards

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Athletic Honors and Awards

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4. Cheerleader, Dance Team, Blazer Band (indicate Captain, Co-Captain, Manager, date):

Cheerleader, Dance Team, Blazer Band

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Cheerleader, Dance Team, Blazer Band

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Cheerleader, Dance Team, Blazer Band

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E. Additional Campus Activities:

Additional Campus Activities

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Additional Campus Activities

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Additional Campus Activities

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Additional Campus Activities

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F. Additional Campus Awards and Honors (non-scholastic):

Additional Campus Awards and Honors

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Additional Campus Awards and Honors

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Additional Campus Awards and Honors

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IV. COMMUNITY: (list organization and indicate officer, committee chairman, member):

A. Activities:

Activities

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Activities

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Activities

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B. Community Awards or Honors:

Community Awards or Honors

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Community Awards or Honors

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Date

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Community Awards or Honors

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IV. EMPLOYMENT - List jobs held while enrolled at UAB:

Employer

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Position

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Date

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Employer

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Position

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Employer

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Position

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Employer

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Position

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V. OTHER RELEVANT INFORMATION NOT COVERED IN APPLICATION FORM:

Other Relevant Info

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Each activity must have a president or chairman's name with day and evening phone numbers beside each activity--use additional sheets if necessary. Do not repeat info on your attached sheet, which appears on this application. If you are the president or chairman, list your advisor's name and phone numbers. You must also provide one reference paragraph from any UAB faculty or staff member. (Must be on UAB letterhead-please include e-mail and phone number and limit to 200 words or less).

Upload Reference Letter(s)(*)

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Verify Captcha(*)

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SOME OF THE ACTIVITIES OF MR. & MS. UAB MAY INCLUDE:

Acting as an official representative of the UAB student body when called upon.
Acting as a spokesperson for the UAB National Alumni Society and the UAB Student Alumni Society to the undergraduate student population.
Active participation in the Student Alumni Society as the Presidents (Mr. & Ms. UAB) and Vice Presidents (Mr. and Ms. UAB 1st Alternates).
Lead Student Alumni Society meetings, plan events, and promote the Student Alumni Society on campus.
Assisting with the Alumni Admission Program and other programs of the Office of Undergraduate Admission when called upon.
Assisting with any programs in the area of Student Activities when called upon.
Assisting with the publicity and selection process of the next Mr. & Ms. UAB.
Participating in UAB Homecoming ceremonies the following year.
Mr. and Ms. UAB recipients will serve a minimum of 16 volunteer office hours per semester at the Alumni House and Mr. and Ms. UAB 1st Alternates will serve a minimum of 8 volunteer office hours per semester.

In essence, the above items provide a short delineation of activities that Mr. & Ms. UAB have undertaken in past years. Such things as attending receptions, working at new student orientations, recruiting new students, presenting alumni information to student groups, and attending the National Alumni Society Board meetings are strongly encouraged as much as possible but are not a requirement of the scholarship.