Me in i g F a m i l y C o r n ell N a t i o nal Sc h o l a r s P r og r a m requ i remen t s Leadership and learning are indispensable to each other.

John F. Kennedy

Requ i remen t s This is the paper version of the Meinig re-application materials, to be used to demonstrate program compliance, either in general, for early submission due to time away from campus, or to meet conditional requirements. Dates related to your particular situation may differ from those stated on this standard form. The following requirements must be met by all scholars between August 22, 2013 and May 14, 2014 (including fall, winter, and spring breaks):

• Submit re-application materials which consist of the following:• Proper completion of verification form(s) that demonstrate your contribution of a minimum of 150 leadership hours to an

on- or off-campus organization (actively participate/make an impact);• Maintain a minimum 2.7 cumulative GPA while enrolled full-time as a Cornell undergraduate in good academic

standing;• A reflective essay on leadership; and• Participate in ALL required Freshman Forum events (current freshmen only, see below for more details.)

D e t a i ls regar d i n g a c tive lea d e r shi p LEADERSHIP does not necessarily mean holding traditional titles such as president, chair, or captain, although if you hold these positions, we would like to know. For the purpose of the re-application, leadership means “making a significant contribution; having an impact.” Leadership does not include membership alone in an organization.All hours on- or off-campus during the academic year and during fall, winter, or spring breaks may count toward your requirements as long as they are:

• Not associated with academic credit;• Unpaid, and•Accompanied by proper documentation (and properly completed and signed endorsement form).

Details Regarding DocumentationIn order to verify your active leadership in an academic year, you must complete 1) the re-application, including activity verification form(s) documenting at least 150 hours and 2) a leadership essay.

ACTIVITY VERIFICATION FORM and ENDORSEMENTS: The first part is a report on your current academic year leadership involvement. You should catalogue all of your leadership involvement, the role within the organization/activity, and the total hours contributed. Each endorsement form must be signed by a faculty, staff, administrator or other professional associated with the activity. An endorsement form that is completed by a student as an organization representative MUST also be co-signed by a professional staff as listed above. Endorsement forms are needed for only those hours for which you wish to verify involvement to meet the hours required.

LEADERSHIP REFLECTIONS: The second piece is the reflective essay, which is designed as an in-depth reflection on your leadership experience over the past year. You may choose one of three questions on which to elaborate. The essay should be a minimum of 2 pages double-spaced and typed. Essay questions can be found on our website.

FRESHMEN: All freshmen must complete and submit an activity verification form listing Freshman Forum as the activity, along with the reflective essay. No other activity verification form is required if Freshman Forum was participated in fully.

Frequently Asked QuestionsDo academic or research activities count as leadership?Activities completed for academic credit, for a course requirement, or for wages or other compensation do not meet the leadership expectation.

May I count time spent in training, practices and rehearsals as active engagement in leadership activities?Time spent in these areas can be counted toward the MFCNS requirements ONLY IF no academic credit for the activity is earned. Travel time does not count toward your required hours.

Are the requirements different if I am off-campus for a semester or an entire year?Semester off-campus: The requirement for scholars who are off-campus for one semester is 75 hours of active leadership for the academic year, the reflective essay on leadership (see above), and a minimum cumulative GPA of 2.7.Entire year off-campus: For students who are away from campus for the entire academic year, all “hours” requirements are waived; however students are expected to meet the minimum cumulative G P A requirement and write a more in-depth reflective essay on how their experience abroad is tied to their prog r am values. Upon return to Ithaca, students will be accepted back into the program and must meet half of their program requirement by the last day of finals the fall semester back on campus.

Meinig Family Cornell National Scholars

Student Name

I. Contact & College Inform ation Update College, Major, and

Grad Date Check here if a change from last year

College: Major:

Grad Date:

In 2013-2014 did your permanent mailing address change?

2014-2015 Local Address (if known)

Best Telephone Number

II. Gener al Inform ation

Were you enrolled in a full-time undergraduate degree program

at Cornell University?

Fall 2013

Spring 2014Yes

Yes

If no, please explainNo

No

In 2013-2014, were you...Participating in a study abroad

or Cornell college-sponsored internship program?

Participating in EngineeringCo-op?

On Leave of Absence (LOA)?

In 2014-2015, will you be...Participating in a study abroad

or Cornell college-sponsored internship program?

Participating in EngineeringCo-op?

If yes, when? Fall 2013 Spring 2014

If yes, describe program:

If yes, when? Fall 2013 Spring 2014

If yes, when? Fall 2013 Spring 2014

If yes, when? Fall 2014 Spring 2015If yes, describe program:

If yes, when? Fall 2014 Spring 2015

On Leave of Absence (LOA)? If yes, when? Fall 2014 Spring 2015

III. Lea d e r shi p A c tivit i es August 22, 2013 through May 14, 2014

(circle on- or off-campus)

Organization/Activity to which you contributed Total Hours

On-campus / Off-campusOn-campus / Off-campusOn-campus / Off-campusOn-campus / Off-campusOn-campus / Off-campusOn-campus / Off-campusOn-campus / Off-campusOn-campus / Off-campus Total # of ALL Leadership Hours must be at least 150 hours for the 2013-

2014 academic year (unless off campus for part or all of the year)

Meinig Family Cornell National Scholars

2 0 13 - 2 0 1 4 ACTIVITY VERIFICATION FORM, Page 1

Important Notes

1. LEADERSHIP does not necessarily mean holding traditional titles such as president, chair, or captain, although if you hold these positions, we would like to know. For the purpose of the AVF, leadership means “making a significant contribution; having an impact.” Leadership does not include membership alone in an organization.

2. All hours on- or off-campus during the academic year and during fall, winter, or spring breaks may count toward your requirements as long as they are:

• Not associated with academic credit;• Unpaid, and•Accompanied by proper documentation (properly signed endorsement form).

3. A completed endorsement form is required for each leadership activity you would like to count toward your MFCNS requirements.

4. Endorsement forms MUST be signed by a faculty, staff, administrator or other professional associated with the activity. An endorsement form that is completed by a student as an organization representative MUST also be co-signed by a professional staff as listed above.

5. The final day on which hours can be counted is May 14, 2014. You should submit all forms, endorsements and your essay to the Cornell Commitment Office by May 19, 2014 at 4:30pm. It is your responsibility to make sure your documentation is complete, clear, and submitted on time.

Student Name

Organization

Description of leadership involvement; contribution to organization

Titles held (president, chairperson, etc.)

Dates of activity: Start Date End Date (not before August 22, 2013) (not after May 14, 2014)

Total Hours Contributed in 2013-2014

I verify that I have read and understand the information provided above and that the information I have presented is accurate to the best of my knowledge.

Student’s Signature Date

PLEASE NOTE: This form must be completed and returned with all of your application materials by May 19, 2014, at 4:30 PM.

The Cornell Commitment Office103 Day Hall, Ithaca New York 14853

Meinig Family Cornell National Scholars Leadership Endorsement Form, page 2 of AVF

To the Organization Advisor: This student is a current member of MFCNS, a unique program designed to encourage academic excellence and active leadership on campus and in the community at large. Applicants are required to verify their participation in leadership activities. It is the applicant’s responsibility to ensure that all endorsements are of an acceptable nature and submitted by May 19, 2014; however, we ask that you kindly provide your timely assistance to them in this endeavor. Your comments on this student’s leadership involvement are extremely helpful and are very much appreciated! Please contact The Cornell Commitment Office at 255-8595 with any questions you may have.

PLEASE COMPLETE THIS FORM AND RETURN TO THE STUDENT. If you wish to maintain confidentiality, please enclose this form in an envelope and sign across the seal or send the form directly to the Cornell Commitment Office at 103 Day Hall, Cornell University. Please type or print.

FOR THE STUDENT TO COMPLETEStudent Name

Advisor Name Title

Organization Email

F OR THE A D VISOR T O C OMPLETE

1. Is the student’s description of their leadership involvement on the reverse side accurate?Yes No If not, please explain (attach separate sheet if necessary).

2. Number of hours the student spent in active leadership to this organization since August 22, 2013:

3. Is this activity being compensated by wages or academic credit? Yes No.

4. Membership in MFCNS is awarded to students who are committed to helping themselves and others through active leadership. In light of this, we would greatly appreciate your candid appraisal of the student’s performance in the following categories:

Reliability/Responsibility Low HighQuality of contribution Low HighMotivation Low HighAttendance Low HighLeadership Low HighFollowership Low High

5. What were the student’s best demonstrated abilities; how did the student’s special talents improve or compliment the organization

Please include additional comments on a separate sheet if necessary.

By signing below, I verify that the information provided herein is correct and the hours listed above indicate the time the student spent making significant contributions to this organization and its mission.

Signature* Date *Are you a Cornell undergraduate? Yes** No **If yes, co-signature of faculty, staff, administrator or other professional associated with the activity is required.Co-Signature Date

To the Applicant:This form must be completed and returned with all of your documentation

to the address below by May 19, 2014, at 4:30 PM103 Day Hall www.commitment.cornell.edu 607.255.8595 fax: 607.255.0284