::Sigma Phi Epsilon:: University of Houston

Sigma Phi Epsilon Fraternity
William “Buck” Caulfield II Balanced Man Scholarship

APPLICATION DEADLINE - June 15, 2009

First and Last Name

Parent/Guardian Names:

Mailing address (room, apt., suite no. and street, or P.O. box

City

State

Zip code

Home Phone Number:

Cell Number:

E-Mail Address:

Date of Birth (month, day, year)

Graduation Date (month, day, year)

Scholastic Information

Cumulative H.S. GPA (un-weighted, 4.0 scale): 5.0 scale: ACT/SAT:

Intended Major:

High School:

Class Rank: of Top 10% ? Yes No

UH Scholarship? Yes No

Honors College/Scholars Community ? Yes No

Leadership, Activities & Achievement Information

Please address the following in outline form. Be sure to include dates and positions held (if applicable):

List honors, awards, or scholarships.

List extracurricular activities and positions held.

List community involvement.

List work experience.

Short essay on “Why I am a Balanced Man”.

Should you have any questions, please email UHBMS@AOL.COM

Joining Sigma Phi Epsilon or any other fraternity is not a requirement for the scholarship.
OPTIONAL: Would you like additional information about Sigma Phi Epsilon ? Yes No

APPLICATION DEADLINE - June 15, 2009

Sigma Phi Epsilon Fraternity William “Buck” Caulfield II Balanced Man Scholarship

Sigma Phi Epsilon Fraternity
William “Buck” Caulfield II Balanced Man Scholarship