Remember! Your high school must select you for the Pacific Powell Scholarship. Please complete this form, along with the Application for Admission, if still needed by the deadline. For more information on the Pacific Powell Scholarship, please visit http://go.pacific.edu/powell.

CANDIDATE INFORMATION
*Indicates required information
*Candidate Last Name:
*Candidate First Name:
Candidate Middle Initial: .

 

INFORMATION ON ADMISSION APPLICATION

Address
Address 2
City, State, ZIP
*e-mail address:
*Date of Birth
Phone ( )
*High School name
*High School City and State.

 

*ESSAY

The University of the Pacific has a long history of producing dynamic graduates who are leaders in their communities and careers. Please describe below a 500-word essay describing a time when you made a difference as a leader. What happened and what difference did you make?

 

 

 

RECOMMENDER INFORMATION (Counselor or Principal)

*Full Name of Recommender:
*E-mail address of Recommender:

AUTHORIZATION AND SIGNATURE

I certify that all information submitted in this form -- including the application, the Personal Essay -- is my own work, factually true, and honestly presented. Please note all recommendations are subject to verification of authenticity without notice. Any attempt to fraudulently complete the online recommendation will impact the candidate's potential recommendation.
*Signature (please enter your full name)