Hudson & Holland Scholars Program
APPLICATION FOR CURRENT IU/TRANSFER STUDENTS
Part A: Background Information
Name
First name
Last name
Middle
Permanent Home Address Street
City
State
E-mail address
Telephone number
Student ID
Address of parent/guardian (only if different from your own)
Name of parent/guardian
Date of birth (e.g. 03/10/1996)
Zip
/
/
Gender:
Male
Female
Other
(Optional)
Citizenship:
U.S. Citizen
Permanent resident
Other (describe) ______________________
What is your intended college major? ______________________________ (Exploratory if undecided)
Ethnicity Are you Hispanic or Latino?
Yes
What is your ethnicity? (Select all that apply)
No
Black or African American
Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native
Asian
White
Part B: College Data
University/College Name
Advisor Name
________/_______
Cumulative GPA/Scale
Contact Number
_________________
Number of Credit Hours
Completed
1
_________________________
Current Standing (e.g. Sophomore)
Part C: Personal Essay and Extracurricular Activities
THE ESSAY ANSWERS ARE VERY IMPORTANT IN THE APPLICATION PROCESS
Both essays are required. The essays should be typed, double spaced, and submitted as a separate document.
Essay 1: Describe your academic and career plans and any special interests (for example, scientific research) that you are eager to
pursue as an undergraduate at Indiana University. Also, share any unusual circumstances, challenges, or obstacles you have
encountered in pursuit of your education and how you overcame them. (200-400 words)
Essay 2: Indiana University students contribute in many ways to what has long been recognized as a rich community of diverse ideas,
cultures, and experiences. Identify your most significant contribution to one or more of the communities to which you belong.
(Communities, for example, can form around shared experiences in music, sports, the arts, culture, ethnicity, shared beliefs, or ideas.)
Describe your level of achievement or involvement and reflect on your most important contributions. Briefly describe how these
experiences have influenced you. (200-400 words)
Please provide a typed list of your honors, awards, extracurricular activities, and work/volunteer experiences (high
school and college) in the following format:
I.
Honors and Awards
II.
Extracurricular Activities (e.g., leadership experiences and offices held, sports teams, school, church, and or social
club activities, etc.)
III.
Employment experiences and Volunteer Activities (e.g., hospital or nursing home, community centers, etc.)
The answers to the essay questions should be typed, double spaced, and printed out as one document. The extracurricular list should
be typed and printed out as a separate document.
Both documents must accompany this application.
Part D: Additional Information
1. If transferring, have you been admitted to Indiana University Bloomington Campus?
If admitted, have you paid your $100 enrollment deposit fee?
2.
3.
Have you filed a Free Application for Federal
Student Assistance (FAFSA) form and indicated Indiana University?
Yes
No
Yes
No
Yes
No
Have you applied to or currently a student in any of the following IU programs?
21st Century Scholars
Cox Scholars Program
Groups Scholars Program
Hutton Honors College
Kelley Scholars
Other (please specify) ______________________
2
Part E: Applicant Signature
I certify that I am the applicant and all statements on this application are correct and complete. I understand that
withholding pertinent information requested on this application or giving false information constitutes grounds for
immediate withdrawal of my Hudson & Holland Scholars Program application from further consideration. By
submitting this application, the applicant understands and agrees.
______________________________________________________________________________________
Applicant’s Signature
Directions for Submitting Application
1.
Keep a copy of this application for your records.
2.
Submit the following documents:
a.
Application
b.
Two essays
c.
Transfer students must provide an official college transcript.
(Current IU students do not need to provide a transcript.)
*
Optional: Two letters of recommendation may be sent to supplement your application,
however, they are not required.
3.
The application, essays, resume’, letters of recommendation and transcript can be sent via e-mail or U.S.mail. Please send as
many of your application materials together at one time.
E-mail: [email protected]
Mail: Hudson & Holland Scholars Program
Attn: Application Review Committee
Address: 300 N Jordan Ave, Bloomington, IN 47405
Applications will be evaluated, and offers will be made on a rolling basis. If you are offered enrollment into the Hudson & Holland
Scholars Program, you will receive an email notification that includes a link to the HHSP agreement form. You must submit the
agreement form in order accept your HHSP Scholarship by the deadline noted in the email notifcation. Failure to
complete the agreement form by the deadline will result in forfeiture of your scholarship.
3