PACE at Salisbury UniversityFulton Hall, Room 258

(410) 677-5445FAX (410) 677-5012

www.salisbury.edu/pace

Presidential Citizen Scholar ProgramApplication Form (2018 – 2019)

Name       GPA      

Please check your enrollment status:    Full-Time      Part-Time 

Student ID#      

Major (and Minor)      

Contact Information

         Preferred e-mail address              

Telephone (where you live)      

                              (cell phone)      

         Permanent Mailing Address 

Street Address      

City       State       Zip      

Please address the following in a Microsoft Word document to be attached to your email along with this form (500-800 words):

Describe something that needs changing in your community. What should people do to address this issue?

Please include a current résumé with your application.

_____________________________________________________________________________

Please complete and email this form and attachments to pace@salisbury.edu.