Student Seal of Distinction

STUDENT SEAL OF DISTINCTION

Purpose: The Student Seal of Distinction recognizes students who have met or exceeded the institution's published criteria for academic achievement, demonstrated sustained leadership and community engagement, and completed required culminating work. Submission of this form is an application and certification by the student (or parent/guardian where applicable) that all statements and supporting material are true and accurate. The institution reserves the right to verify records and to rescind the award for any material misrepresentation.

Student Information

Eligibility Criteria — Applicant Checklist

Complete each item below. The applicant must supply evidence where indicated and certify accuracy. The institution will verify academic records and other supporting materials.

I meet the minimum cumulative GPA requirement established for the Seal.   Cumulative GPA:

I have completed or am on track to complete required credits/units.   Credits Earned:

I have completed required community service or verified civic engagement hours.   Hours Completed:

I have documented leadership contributions or sustained extracurricular leadership.   Describe role or position:

I have completed the required culminating project, capstone, or honors thesis.   Capstone Title:

Supporting Documentation

Provide or indicate submission of the following required documentation for verification purposes. Check all that apply.

Official transcript submitted / requested

Letters of recommendation attached

Resume or activity portfolio attached

Personal statement / reflective essay attached

Privacy, Release, and Certification

By submitting this application the applicant authorizes the institution to access and verify academic and disciplinary records necessary to adjudicate eligibility. The applicant grants permission for the institution to use the recipient's name, academic distinctions, and photographic or electronic images for recognition and promotional purposes unless the applicant objects in writing to the Office of Records prior to award conferral.

Certification: I certify under penalty of school disciplinary action and institutional sanction that the statements herein and any attachments are true, complete, and presented in good faith. I understand that falsification or omission of material facts may result in denial or revocation of the Seal of Distinction and may affect academic standing.

Applicant acknowledges review of award criteria and agrees to timely provide records to the verifying official upon request.

Administrative Verification (To be completed by school official)

Verification completed by:

I verify that the student meets the applicable Seal of Distinction criteria after record review.

Note: The administrative attestation above is not a substitute for the applicant's signature below. The applicant (or parent/guardian if applicant is under age of majority) must execute the certification and release that follows.

Applicant Certification and Signature

I hereby certify that I have read and understood the conditions of the Student Seal of Distinction and that the information provided on this form and in any attachments is true and complete to the best of my knowledge.

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