Inspired Leaders CORE Scholarship Registration Form Complete this registration to compete for these scholarship opportunities! For more information, or questions, please contact Regis University Office of Admissions at 800.388.2366 ext. 4900 or firstname.lastname@example.org. Science Scholarship Competition Priority deadline: Friday, January 27, 2017 by 5pm MST for the February 3 & 4 Priority deadline: Friday, February 10, 2017 by 5pm MST for the February 17 & 18 Leadership Scholarship Competition Priority deadline: Monday, January 9, 2017 by 5pm MST for the February 3 & 4 Priority deadline: Monday, January 23, 2017 by 5pm MST for the February 17 & 18 Your Personal Information First name * Last name * Gender FemaleMale Date of Birth MonthDayYear 01 02 03 04 05 06 07 08 09 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Your Contact Information Email * Phone number * Address * City * State * ZIP code * High school * Guest Information Will your parent(s) be attending? YesNo * If so, how many parents will be attending? Parents Email (if known) Scholarship Weekend We invite you to compete for our Science CORE and Leadership CORE Scholars scholarships! Candidates must attend the Friday and Saturday events on their chosen weekend. Science exams will take place on Saturday morning, and Saturday afternoon will involve Leadership CORE presentations. You can complete for both Science and Leadership CORE Scholars during one weekend visit. If you plan to sit for more than two science subject exams, you'll need to register for both weekends. Please select your desired weekend: Friday February 3 and Saturday February 4Friday February 17 and Saturday February 18I would like to test in more than two science subjects and therefore participate in both weekends. * Scholarship Competition I would like to compete for the following scholarships: Science CORE ScholarsLeadership CORE ScholarsBoth Science and Leadership CORE Scholars * Eligibility Criteria (Science Scholarships Only) Recommended test scores: ACT composite of 24+ OR SAT composite (critical reading + math) of 1160+ Your ACT Composite Score Your SAT Composite Score Subject Exams Offered (Science Scholarship Only) Please select the subject areas in which you would like to test. BiologyChemistryMathematicsPsychology/NeuroscienceLeadership CORE Scholar only, Not testing for Science CORE * Musics Scholarships Are you musically talented too?The Department of Fine and Performing Arts offers competitive music scholarships, up to $3,000 per year, to talented musical performers who will contribute to the quality of the Regis University Music Program. All full time Regis College students, regardless of academic major (including non-music majors) are eligible to audition for music scholarships. These awards may be added to other university talent scholarships up to, but not exceeding, the amount of tuition. Auditions will coincide with scholarship weekend. If you'd also like to audition for a music scholarship please complete the information below. 1st Choice Audition Date Thursday, February 2, 2017 (3-6 pm) Friday, February 3, 2017 (10:30 am – 12:30 pm) Thursday, February 16, 2017 (3-6 pm) Friday, February 17, 2017 (10:30 am – 12:30 pm) 2nd Choice Audition Date Thursday, February 2, 2017 (3-6 pm) Friday, February 3, 2017 (10:30 am – 12:30 pm) Thursday, February 16, 2017 (3-6 pm) Friday, February 17, 2017 (10:30 am – 12:30 pm) Audition Instrument(s) (Including Voice) Special Audition Needs (Including Accompanist) Leadership CORE Scholar Essay All candidates wishing to be considered for the Leadership CORE Scholar scholarship must submit an essay and the online registration form prior to the deadline date. Please email your essay, 2 pages maximum, 12 pt. font, to email@example.com. Document title and email subject line should include your full name, high school and Leadership CORE Scholar Essay (example: Jane Smith_High School_Leadership CORE Scholar Essay). Essay Deadline: Monday, January 9, 2017 for students competing on February 3 & 4 Essay Deadline: Monday, January 23, 2017 for students competing on February 17 & 18 Scholarship candidates must be an admitted student for the Fall of 2017, have submitted the required essay, and submitted the registration form, by the priority deadline to compete in the competition day. Essay Question: What "Big Question" would you like to explore further as a student at Regis that roughly falls under one of the four themes below? How would exploring this question deepen your commitment to social change? What specific project(s) related to this question can you imagine initiating once you are a student that would make a positive impact on our campus or in the wider community? Be specific in your response and integrate examples from your own personal experience and course work. We invite you to focus on one area, but welcome connections to other areas, if appropriate, for your “Big Question.” Scholarship applicants will be awarded in part based on their approach to the integrative nature of their “Big Question.” The Integrative Core courses at Regis are deliberately value-laden and aimed at developing leaders in service to others. Each course is organized around one of the following themes: Diversity & Cultural Tradition Global Environmental Awareness Justice & the Common Good Search for Meaning These themes cross disciplinary boundaries and require students to adapt from one situation to another in order to answer questions about challenging issues. Finally, the courses ask students to take an informed stance that addresses the complexities of these issues.