Student�s Name_____________________________ SS#_________________________
Campus Address____________________________ Telephone_____________________
Home Address______________________________ Telephone_____________________
Community College attended (if applicable)____________________________________
Community College GPA________ Age______________
Year ______Fr.______So.______Jr. ______Sr.______Grad 1st yr.______Grad.2nd yr.
Current GPA at WIU ___________
Off Campus Responsibilities (family, work, etc.)
Scholarships/Financial Assistance Currently Being Received
The attached recommendation form should be completed by a current or former instructor and returned by APRIL 1. If this is your first semester of postsecondary education, this recommendation may be waived.
On a separate sheet of paper, please type a brief biographical statement highlighting major endeavors (family or work) between high school and college, and indicate your reasons for entering or returning to college as well as for pursuing a career in education or human services.
Please return completed application to the Dean�s Office, Horrabin Hall 76 by APRIL 1.
COLLEGE OF EDUCATION & HUMAN SERVICES
WESTERN ILLINOIS UNIVERSITY DEAN�S NON-TRADITIONAL STUDENT SCHOLARSHIP RECOMMENDATION
Name of Applicant________________________________________________________
This scholarship is designed to support the older student who decides to attend or return to college, after pursuing family and/or work responsibilities following high school.
In the space below (or on a separate attached sheet) please type a brief
description of the applicant�s suitability for a career in education or
human services and of his/her potential for success in pursuing an education
or human services degree. Please share any information that will
help the College Scholarship Committee determine the need or merit of this
applicant for the financial aid ($500/year) accompanying this scholarship.
Please return by APRIL 1 to:
Joni Deems, Assistant to the Dean, College of Education & Human Services,
HH 76, Western Illinois University, Macomb, IL 61455.