Application Deadline: September 25, 2009
     
Contact Information
 Full Name:

   
 Home Address:

         
 City:

 

State:

Zip code:

 
     

 E-Mail Address:

(@muohio.edu preferred)
       

 Home Phone:

 
   
 Cell Phone:
     
 Birth Date:

  / /

   


College Information
 Dorm and Room Number:

 
   
 Dorm Room Phone:
   
 
 
Scholastic Information

 GPA [out of 4]:

or [out of 5]:

 
   
 SAT: (specify /1600 or /2400) ACT:
   
 High School:

   

 Class Rank:

of

 Intended Major:

 
   
 
 
Leadership, Activities & Achievement Information
 
  Please answer the following questions including dates and/or positions held (if applicable):
 

1. List any honors, awards, or scholarships.
 
   
 

2. List all extracurricular activities and positions held (including number of years involved in each).
 
   
 

3. List any community service or involvement.
 
   
 

4. List any athletic involvement, including awards or leadership roles.
 
   
 

5. How do you take care of your body (i.e. fitness, nutrition, etc.)
 
   
 

6. How do you develop your mind outside of class?
 
   
   
   


Please send a copy of your high school transcript to:

Aaron Rohe
Balanced Man Scholarship
220 E Vine St
Oxford OH 45056

 


Verification

By typing your initials, you agree that all the information provided is
  correct:

 

Today's Date:

 

 

Please Note: Joining Sigma Phi Epsilon
or any other fraternity is not a requirement for the scholarship.
 
Information about Sigma Phi Epsilon

Would you like information about Sigma Phi Epsilon?

 

   
Should you have questions, please email Aaron Rohe at RoheAD@muohio.edu

 
2008 OhioETA.com

Published by: Madhu Mathew & Sigma Phi Epsilon