Minority Student Services

Application Form

The following application is for the 2012 KeyBank and Fisher College of Business Leadership & Creativity Undergraduate Minority Student Symposium. Required fields are indicated by a red asterisk (*).

Student Information
* First Name
* Last Name
* Address Line 1
* City
	* State: * ZIP Code:
* Email
* Phone Number
* University
* Class Rank
* GPA above 3.0?	* Overall: * Major:
* Ethnicity
* Gender
* Shirt Size

Current Student Organization Leadership Positions
Organization
Leadership Position
Organization
Leadership Position
Organization
Leadership Position
Organization
Leadership Position
Organization
Leadership Position
Organization
Leadership Position

List Two References
Reference 1
* First Name
* Last Name
* Title
* Email
* Phone
Reference 2
* First Name
* Last Name
* Title
* Email
* Phone

The following documents must be submitted via mail for your application to be complete:

A brief essay on why you are interested in attending the 2012 KeyBank and Fisher College of Business Leadership and Creativity Undergraduate Minority Student Symposium. Please limit your essay to one page.
Resume
Unofficial college transcript
Non-refundable registration fee of $50. Early-bird registration is $30 for applicants who apply on or before June 1, 2012. Check or money orders only made payable to: OSU FCOB OMSS.

Application deadline: August 31, 2012

Please mail the additonal documents to:

The Ohio State University Fisher College of Business
Office of Minority Student Services
Attention: Twhila Holley
2100 Neil Avenue, Suite 351
Columbus, OH 43210

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