Please Type
Student’s Name_____________________________ SS#_________________________
Campus Address____________________________ Telephone_____________________
Home Address______________________________ Telephone_____________________
Community College attended (if applicable)____________________________________
Community College GPA________ Age______________
Major_____________________________ Minor________________________________
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.
Signature______________________________________
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.
________________________________ __________________________________________
Name
Position
________________________________ ____________________________________
Signature
School/Dept.
____________________________________
Date
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.