The Academic Counselors Association (ACA) is proud to offer $300 scholarships to University of Texas at Austin students who support the vision and values of the academic advising community. It is the hope of ACA that these scholarships will assist students in their academic pursuits and endeavors. Eligibility requirements: Candidates must be undergraduate students who assist in advising or other academic student support services and have a cumulative GPA of at least 2.00 (to be verified by the ACA Awards and Recognition Committee). NAME: ____________________________________________ EID: ____________ COLLEGE/SCHOOL: _________________________________________________________ MAJOR: ____________________________________________________________________ PERMANENT ADDRESS: ______________________________________________________ EMAIL: ________________________________ PHONE: _____________________________ EXPECTED GRADUATION: ____________________________________________________ CUMULATIVE GPA: __________________________________________________________ CLASSIFICATION (circle one): Freshman Sophomore Junior Senior

In a statement not to exceed three typewritten pages, please address questions #1-3. Your complete application will include your statement, this cover sheet, and the additional documents outlined below.

1) In what way(s) do you assist students and/or support advising services on campus? 2) How has your work supporting students impacted your experience at UT-Austin? 3) How will you apply this scholarship to advance your academic or professional goals? 4) Please address any personal financial need that you’d like the selection committee to consider. 5) Please attach a resume or list of activities and accomplishments. 6) Submit a letter of recommendation from a staff or faculty member who is familiar with your work assisting in advising or other

student support services. I certify that the information in this application and all attachments are complete and correct and the documents are my own work. I authorize the ACA Awards and Recognition Committee to verify the information I have provided, including my UT GPA. I further understand submission of false information is grounds for rejection of my application. NOTE: The Family Educational Rights and Privacy Act (FERPA), 20 U.S.C &1232g, and its implementing regulations 34 CFR Part 99, authorize the release of student educational records to other educational institutions in which you are enrolled or received services. The ACA Awards and Recognition Committee at The University of Texas at Austin are provided access to your educational records in accordance with this provision.

STUDENT SIGNATURE:____________________________________________________________ DATE:_______________

Applications must be submitted by 5:00 pm on Wednesday, March 5th, 2014 to Sarah McKay via email, hand delivery, or

campus mail.

Email to: sarahmckay@austin.utexas.edu Campus mail to: C3100

Hand deliver to: BRB 1.114

Questions? Please contact Sarah McKay at sarahmckay@austin.utexas.edu or at #512-475-7665.

Academic Counselors Association 2014 Student Development Scholarship