College of Liberal Arts and Sciences

Name

Last Name:
Middle Name:
First Name:
UFID:

Local Address and Contact

Street Address:
Apt #:
City:
State: Zip Code:

Local Phone:
Cell Phone:
E-Mail:

Permanent Address and Contact

Street Address:
Apt #:
City:
State: Zip Code:

Permanent Phone:

Academic Information

Major:
Track or Specialization:

Are you a National Merit Scholar?
Yes      No
Date Received:

Are you a National Achievement Scholar?
Yes      No
Date Received:

Did you complete (or will you complete) the Undergraduate Honors Program?
Yes      No
Date Received:

Do not complete the following until AFTER FALL 2007 Semester Grades have been applied to your UF Student Record and you have your Spring 2008 course schedule. This information MUST accurately reflect your UF Student Record at the beginning of the Spring 2008 term.

Current year and college (e.g. 2LS, 3LS):
Cumulative Grade Point Average:

Total Hours Earned at UF:
Total Hours Transferred to UF:
= Total Hours Earned:

Total Credit Hours scheduled for Spring 2008 semester:

Expected Graduation Date (Month/Year):

Extracurricular Activities at UF:

Honors and Awards:

Essay:

Please answer the following question in 500-600 words:

Students at UF are exposed to new ideas and different points of view that challenge their preconceptions and broaden their perspective on the world. What professor or course has had the greatest impact so far on your perceptions? What was it before, how did the professor and/or course influence it, and how has it changed?

Applications must be submitted online before 5 p.m. on February 1st each year. Do not submit any attachments or send additional documents or materials to the Dean's Office. For assistance or additional information, please contact Alexandra Roque in the CLAS Dean's Office at 2014 Turlington Hall or by phone at 392-0780. Good luck!