Fillable Holmes Scholar Application Form (Oral Roberts University)

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Holmes Scholar Application Form (Oral Roberts University)

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The Holmes Scholar Application Form (Oral Roberts University) form is 6 pages long and contains:

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  • 10 check-boxes
  • 68 other fields

Country of origin: US
File type: PDF

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Page 1
New AACTE Holmes Scholars InformationNew AACTE Holmes Scholars InformationNew AACTE Holmes Scholars InformationNew AACTE Holmes Scholars Information
1. Name
2. Holmes Scholar Program Sponsoring University
3. School or College/Department
4. Doctoral Advisor/mentor
5. Holmes Scholar History/Dates
6. Your current office/campus address
1.Personal and Contact Information
*
First
Middle
Last
*
*
*
Advisor'sName
Title
Email
*
MM
DD
YYYY
StartedDoctoral
Program
/
/
SelectedasHolmes
Scholar
/
/
Expectedgraduation
date
/
/
*
Institution
DepartmentorProgram
CurrentPosition
Address
City
State
ZipCode
OfficePhoneNumber
Page 2
New AACTE Holmes Scholars InformationNew AACTE Holmes Scholars InformationNew AACTE Holmes Scholars InformationNew AACTE Holmes Scholars Information
7. Your permanent address
8. Email Addresses
PERSONALINFORMATION/DEMOGRAPHICS
9. Gender
10. Hispanic/Latino background
11. Check all that apply to define your ethnic background
*
Address
City
State
ZipCode
Home/officePhoneNumber
*
Campusemail
Permanentemailaddress
(e.g.hotmail,gmail,yahoo)
Personal/professional
WebsiteURL
*
*
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Hispanic/Latino
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Non
Hispanic
Latino
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AmericanIndianorAlaskanNative
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Asian(Specifyinboxbelow)
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Black/AfricanAmerican
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NativeHawaiian/PacificIslander(Specifyinboxbelow)
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White/Caucasian
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Addspecificsinboxbelow
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Page 3
New AACTE Holmes Scholars InformationNew AACTE Holmes Scholars InformationNew AACTE Holmes Scholars InformationNew AACTE Holmes Scholars Information
12. Are you a US citizen?
13. Place of birth
14. Program of Study
15. Concentration/Area of Study
16. Career goals and aspirations
*
*
2.Academic Interests and Background
*
*
5
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*
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UScitizen
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PermanentResident
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Temporaryresident(ResidentAllien)
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Other(pleasespecify)
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Ph.D
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Ed.D
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M.Ed
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M.A
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Other(pleasespecify)
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Page 4
New AACTE Holmes Scholars InformationNew AACTE Holmes Scholars InformationNew AACTE Holmes Scholars InformationNew AACTE Holmes Scholars Information
17. Research Interests
18. Professional background/List degrees earned and current affiliations
19. Professional background
what were your main professional activities before
entering the doctoral program?
20. List all your research experience, including research projects in which you
participated
21. Have you published any articles(s) or presented any paper(s) at professional
meetings?
*
5
5
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6
*
Degrees
earned
Professional
Associations
Student
Organizations
University
Commitees
*
5
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*
5
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Yes
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No
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Page 5
New AACTE Holmes Scholars InformationNew AACTE Holmes Scholars InformationNew AACTE Holmes Scholars InformationNew AACTE Holmes Scholars Information
22. If yes, please enter full references for your last three presentations and/or publications
23. List all honors or awards that you have received
24. Please list any volunteer and/or advocay activities in which you have been involved
25. Do you currenlty hold any of the following (check all that apply)
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Fellowship(enternameinboxbelow)
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TeachingAssistantship
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ResearchAssistantship
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Tuition/FeeWaiver
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Listcurrentfellowship/scholarship
5
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Page 6
New AACTE Holmes Scholars InformationNew AACTE Holmes Scholars InformationNew AACTE Holmes Scholars InformationNew AACTE Holmes Scholars Information
26. Additional comments/ Special Interests
27. List two persons in academic institutions who will write letters of recommendation.
Letters of recommendation should be written by individuals who are familiar with your
academic work, scholarship, writing ability, research interests, research potential, and
commitment to the education profession. Please send letters and other required
documents as PDF files to holmes
scholars@aacte.org.
If you have questions about this form, please contactOmar Davis
(202) 478-4565
,or send email to
holmes-scholars@aacte.org
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3.References
Name,
Title,
Institution
1
Name,
Title,
Institution
2
4.Thank You for submitting your information!!
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Holmes Scholar Application Form (Oral Roberts University)

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Completed 23 July 2020

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