SAMFORD UNIVERSITY COLLEGE SOCIETY
CANDIDATE INFORMATION FORM

To be filled out by candidate:

Full Student Name, SS#_______________________________________________________

Campus Address_______________________________________________________________

Campus Phone, Email__________________________________________________________

Major, Minor_________________________________________________________________

Advisor______________________________________________________________________

Hometown Address_____________________________________________________________

High School__________________________________________________________________
 
 

Mentor Name__________________________________________________________________

Mentor Department____________________________________________________________

Mentor Phone, Email__________________________________________________________
 
 

To Be signed by student: 

I grant the College Society Council permission to review my College record.

Signature:_________________________________ Date:_____________
 
 
 
 

MENTOR NOMINATION STATEMENT

To be written by Mentor, following student’s completion of the above information.

Please be clear and precise in presenting your reasons for nominating this candidate for the Howard College Society. Refer both to specific accomplishments, and to your more general assessment of the student’s ability to pursue gradaute study. Explain how the student would benefit from, and contribute to, the College Society. Please limit yourself to 300 words

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STUDENT STATEMENT

To be written by student.

Describe your interest in the College Society. Explain how your background and accomplishments would make you an especially good candidate for the Society. You should refer to information provided on the accompanying resume. Describe how a groups like the Society would help you in your long-term preparation for graduate study. Please limit yourself to 500 words.
 

Please attach a resumé to this statement.