You must have JavaScript enabled to use this form. Which Shield Societies are you applying for? Hansen Leadership Program NSF S-STEM SUCCESS Scholars Inclusive Scholars Hansen Leadership Program The Hansen Leadership Program (HLP), named after Zenon C.R. Hansen, has been developing student leaders at Doane since 1994. Each year, 40 incoming students with a desire to develop their leadership skills are selected to receive a $1,000 scholarship and live in Hansen Leadership Hall. HLP supports students through their leadership identity development while at Doane, with the goal of preparing students to use their leadership skills in their workplace and communities after graduation. Early Application Timeline Any student can submit application materials during the early application timeline and receive priority selection for the Shield Society. Fill out the application form below. Early applications open November 1st, 2023. Early applications must be submitted by 11:59 pm on December 1st, 2023. Early applicant interviews take place between November 22nd - December 10th, 2023. Early applicant selection emails are sent by December 18th, 2023. Open Application Timeline All applicants who did not apply for the Shield Society during the early application timeline must submit materials during the open application timeline to be considered for one or more of the Societies. Fill out the application form below. Applications must be submitted by 11:59 pm on January 31st, 2024. Applicant interviews take place between January 24th - February 9th, 2024. Selection emails are sent by February 14th, 2024. The Hansen Leadership Program Application for the 2024/2025 academic year is now closed. If you have any questions, please direct them to doanehousing@doane.edu. To apply for other Shield Societies, uncheck the Hansen Leadership Program box and continue. NSF S-STEM SUCCESS Scholars The Sustaining Undergraduate Classroom and Career Excellence for STEM Students (SUCCESS) program provides scholarships, research stipends, and programmatic support to help 10 new students each year as they pursue majors in selected STEM fields. Over their four years at Doane, these students have access to close mentoring relationships, customized courses, and research experiences that will lay a foundation for their future careers in STEM careers. Applications will be accepted on a rolling basis with the review starting November 15, 2023, and accepted until all 11 spots are filled. Please contact Kris Williams (kristopher.williams@doane.edu) with any questions. Please read through this application for the SUCCESS program at Doane University carefully and send any questions to Kris Williams (kristopher.williams@doane.edu). In particular, you should first apply for admission to Doane University, then complete this application. All SUCCESS applicants and recipients must: be United States citizens/nationals, legal permanent residents, or hold refugee status, declare a major in biology, biochemistry, chemistry, engineering, or environmental and earth science (natural resources and environmental sciences) during their entire time at Doane, enroll as a full-time student at Doane University, complete the FAFSA form, be Pell-eligible (this is determined by information supplied when you complete the FAFSA), demonstrate academic potential through a high school GPA of 3.2 or higher. Please complete the form below and someone will be in touch regarding your application. Be sure to have a teacher complete the recommendation form linked below and submit it directly to kristopher.williams@doane.edu. Inclusive Scholars Inclusive Scholars is a peer network that provides a multi-year leadership experience to prepare the next generation of difference makers. Over four years, students learn to leverage inclusive excellence to positively impact innovation, equity, and engagement where they live and work. The Inclusive Scholars experience facilitates students' personal and professional success through individual and team community projects, leadership coaching, and skills-based workshops. Students admitted to Inclusive Scholars receive scholarships that renew yearly. Applications will be accepted on a rolling basis with the review starting December 1, 2023. Applications received by February 16, 2024, will be given full-consideration for the 2024-2025 academic year. No references necessary. Each Society requires accepted students to live in specific residence halls during their first year at Doane. Hansen Leadership Program: Hansen Leadership Hall (suite style housing) Inclusive Scholars: Sheldon Hall (traditional housing) SUCCESS Scholars: Sheldon Hall (traditional housing) Applicants must fill out regular Doane housing paperwork in case they are not selected for a Society. Students may not transfer out of their housing assignment during their first year without consent of the individual Society Director. Such a move will generally be denied except for demonstrated health or safety needs. After their first year, Shield Society students must follow the standard housing process to acquire rooms for subsequent years on campus. Personal Information First Name Last Name address Mailing Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP Code Primary Phone Secondary Phone Email Date of Birth High School High School City High School State GPA Please enter your approximate current GPA. Final GPA will be checked. Additional Questions Reference Please list one reference who you have worked with closely in some capacity (supervisor, coach, teacher, mentor, etc). References listed here will be contacted via email and asked to respond to a google form before December 1st, 2023 (early application timeline) or January 31st, 2024 (open application timeline) to provide the selection committee with more information about your skills and abilities. Reference Name Reference Email Reference Phone Resume? You can find tips and tricks for creating a resume in our Career Resource Guide. What do you already anticipate being involved in upon your arrival to Doane University? Check all that apply: Forensics Theatre Choir Band Athletics What Sport? Essay Question Hansen Leadership Program - Please describe a time in which you showed leadership when you were NOT in an official leadership role/position. What skills did you use? What were the results? SUCCESS Scholars: Applicants must submit a short video OR written essay introducing themselves and their goals and interests in STEM study and STEM careers. All things being equal, preference will be given to students with interest outside of healthcare. Please link to a video (under 90 seconds). SUCCESS Scholars - Written Essay? SUCCESS Scholars - Video Essay Inclusive Scholars: Please either answer the written essay below or provide a link to a video introducing yourself and answering the essay question. Inclusive Scholars - In a minimum of 300 words, please share how you have been an advocate for diversity and a culture of inclusion through service and/or leadership activities? We encourage you to share specific outcomes. Video Introduction Provide a introduction video sharing the following information: Introduce yourself Explain why you are interested in joining one or more of the Societies Share how you believe this Society or these Societies could benefit you. Please make your video 1 - 5 minutes long. Upload your video to Youtube and list it as unlisted (only people with the link can view it). Please paste your video's link into the text box below OR send it via email to doanehousing@doane.edu. Type “Shield Society-YOUR NAME" in the subject line. Step by Step Process for uploading to Youtube and making it unlisted: Sign into your YouTube Account. Go to your My Videos page. Select the video which you’d like to make an unlisted video. Click the Edit button to access the video’s settings. Go to the Privacy section of the page. There you’ll see the option to mark your video as “unlisted”, “public”, or “private”. Select unlisted. Don’t forget to click the Save Changes button. Once you’ve done this your video will be an unlisted video. After this please paste your YouTube link into the text box above. Transcript? Please upload a copy of your most recent transcript. An unofficial copy is acceptable as long as it has your name, high school, and clear names of your courses. Students are required to have a high school teacher provide a recommendation about the student’s interest in and potential in STEM, outside of healthcare. Please ask a teacher to complete this form, then email directly to kristopher.williams@doane.edu. Download a blank copy of the Teacher Reference Form. I understand I must have a teacher submit the Teacher Reference Form. Possible Majors Please describe your possible majors including at least one from biology, biochemistry, chemistry, engineering, or environmental and earth science (natural resources and environmental sciences).
