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Cardinal Key Honor Society

Iowa State University


Application for 2015 Membership
Please type your responses and submit a hard copy of the application to the East Student Office
Space by February 13, 2015 at 5pm. We appreciate your interest in Cardinal Key Honor Society!

I.

Biographical Information

Name (First and Last): _____________________________________________________


Major(s):
___________________________________________________________________
Minor(s):
___________________________________________________________________
Classification:

Junior

Senior

Graduation Term: ___________________________________________________________


(Spring, Summer, Fall and Year)
Phone Number: _____________________________________________________________
Email Address: ______________________________________________________________
Address (Address, City, State, Zip Code): _________________________________________
___________________________________________________________________________
Parent Information
Parents Name(s): ____________________________________________________________
Parents Address (Address, City, State, Zip Code): __________________________________
___________________________________________________________________________

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II.

Leadership Experience

Use this section to list your major leadership activities while at Iowa State University. Limit entries here to
positions of leadership, i.e. president, vice president, committee chair or co-chair, captain or co-captain of a
university athletic team, community advisor, etc. For each position, include semesters involved, hours per
week, all responsibilities, and programs implemented or specific accomplishments during your time in
office. List the most recent positions first, demonstrating your growth as a leader. (Feel free to add
additional cells.)

Leadership Position

Semesters Hours per


involved
week

All responsibilities and specific


accomplishments

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III.

Service

Use this section to list all of your service contributions to Iowa State University and the community. This
may include campus volunteer work, church activities, philanthropies, or community volunteer work (i.e.
flood cleanup, Habitat for Humanity). For each contribution include position, semesters involved,
responsibilities, and total hours of volunteer service. If a service is performed on a weekly basis, put /wk
after the number to indicate the number of hours spent per week on that service project. (Feel free to add
additional cells.)

Volunteer Position

Semesters
involved

Hours
per week

All responsibilities and specific


accomplishments

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IV.

Scholarship

List all academic achievements at Iowa State University. Include membership in academic honor societies,
academic scholarships received, and any other academic recognition. Please provide cumulative GPA and
major GPA as the first entries for this section. Major GPA includes only courses required for your major as
indicated on your degree audit report. Courses taken for recreation or for your minor should not be
included in the calculation of major GPA. (Feel free to add additional cells.)

Cumulative GPA
Major GPA

Academic Achievement

Semester(s) Achieved

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V.

Work Experience

List any work experience (i.e. co-ops or internships, part-time employment, etc.) while at Iowa State
University. For each position, describe duties involved, hours per week, and semesters employed. (Feel
free to add additional cells.)

Position Title/Place
of Employment

Semesters Hours per


employed
week

All responsibilities and specific


accomplishments

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VI. Class Schedule


Please list your class, location, time, professor, and professor's office phone number.

Class

Time/Location

Professor

Professors Office Phone


Number

Please answer the following questions on a separate sheet of paper.


VII. Essay Question
What do you consider to be your most significant contribution to Iowa State University?
(Please limit to 200 words.)

VIII. Biographical Summary


This summary will be used in the induction pamphlet if you are selected for membership into Cardinal Key.
Please summarize your college events, activities, and involvement in a short paragraph of 100 words or
less. Include career goals and future plans if you like.

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