Bennion Community Engaged Scholars Program Application - Community Engaged Learning - Office of Undergraduate Studies

Contact Information

Preferred First Name

Last Name

Pronouns

uNID

Student ID e.g. (u0123456)

Anticipated Graduation Semester

Graduation Year

Birth Month

Are you over 18 years of age?

YesNo

Major(s)

Minor (if applicable)

Preferred Email

Phone

e.g. (xxx-xxx-xxxx)

Community Engaged Learning Interests

How did you hear about the program?

Please specify

Why are you interested in participating in the Bennion Community Engaged Scholars program?

Do you have a specific community need or development area you are most passionate about addressing through the Bennion Community Engaged Scholars program and why? Have you addressed this need or development area in the past?

What other activities are you involved in? How do you plan to accomplish the tasks of the Scholars Program along with all of the other things you are committed to?

Please upload a copy of your unofficial transcript. If this is your first semester at the University of Utah, include an unofficial transcript from your previous institution.

As a Bennion Community Engaged Scholar, I agree to: complete a check-in at least once per semester, attend the Civic Leadership Conference each year, and maintain an overall GPA of at least 3.0.