Skip to content
The University of Utah
Bennion Center
Main Navigation
Reveal
Menu
Search Site for:
Submit Search
Search Campus for:
Submit Search
Search Location
Search Site
Search Campus
Main Menu
Home
Volunteer
Alternative Breaks
Service Corner
FIRST-YEAR EXPERIENCE
Saturday Service Projects
Community Partnership Programs
Travel, Learn & Serve
Utah Reads
Volunteer Interest Form
Lead
Leadership Positions
Bennion Service House
Bennion Scholars
CEL Courses
Certificate
Community
Partner With Us
Service Line
Faculty
CEL Course Designation
Faculty Awards
Faculty Application for CEL TA
Community Engaged Teaching Fellow
Faculty Profile
Resources
Americorps
Funding Opportunities
Hours Log
Intranet
Kudos
About
About
Values and History
Student Board
Advisory Board
Committees
Our Team
Alumni
Give Now
Volunteer
Meet the Alumni
ANNUAL REPORTS
Community Engagement at the U
Give
Facebook
Twitter
YouTube
Instagram
Home
Forms
Current Page:
Scholars Information Request
Scholars Information Request
Contact Information
*Indicates a required field.
First Name
Last Name
uNID
(e.g. u0123456)
Email
Phone Number
(xxx-xxx-xxxx)
Expected graduation semester
Spring
Summer
Fall
Expected graduation year
Select Year:
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
-----------------
--- Not Applicable ---
How did you hear about the Bennion Scholars program?
Select all that apply.
Tabling
Poster
Classroom presentation
Group presentation
Friend
Academic advisor
Bennion Center website
Social media
Other
Other
Major
Any specific questions you want answered?
Last Updated: 1/24/20