Western Illinois University: Macomb Campus

Completed by:

Email:

Additional Email (optional):

Academic Department:

Academic College:

Name of Scholarship:

Foundation Account #:

1. Enter student name and WIU ID#
2. Enter the semester year(s) and dollar amount(s) of the award for the appropriate semester(s). Leave box blank for semesters not making an award.
3. Enter A or EFT:
A means the scholarship will be applied to the student's university account (bill).
EFT means the scholarship will be sent to the bank account the student has designated with the university via direct deposit. If direct deposit has not been established, only then will a check be cut for the student. Expect a delay in disbursement to the student if a check must be cut. Departments can no longer request a check.

Student 1

Name:

WIU ID #:

Fall 20 Award Amount: $

Spring 20 Award Amount: $

Summer 20 Award Amount: $

A (account) or EFT (bank acct):

Student 2

Name:

WIU ID #:

Fall 20 Award Amount: $

Spring 20 Award Amount: $

Summer 20 Award Amount: $

A (account) or EFT (bank acct):

Student 3

Name:

WIU ID #:

Fall 20 Award Amount: $

Spring 20 Award Amount: $

Summer 20 Award Amount: $

A (account) or EFT (bank acct):

Student 4

Name:

WIU ID #:

Fall 20 Award Amount: $

Spring 20 Award Amount: $

Summer 20 Award Amount: $

A (account) or EFT (bank acct):

Student 5

Name:

WIU ID #:

Fall 20 Award Amount: $

Spring 20 Award Amount: $

Summer 20 Award Amount: $

A (account) or EFT (bank acct):

Student 6

Name:

WIU ID #:

Fall 20 Award Amount: $

Spring 20 Award Amount: $

Summer 20 Award Amount: $

A (account) or EFT (bank acct):

Student 7

Name:

WIU ID #:

Fall 20 Award Amount: $

Spring 20 Award Amount: $

Summer 20 Award Amount: $

A (account) or EFT (bank acct):

Student 8

Name:

WIU ID #:

Fall 20 Award Amount: $

Spring 20 Award Amount: $

Summer 20 Award Amount: $

A (account) or EFT (bank acct):

Student 9

Name:

WIU ID #:

Fall 20 Award Amount: $

Spring 20 Award Amount: $

Summer 20 Award Amount: $

A (account) or EFT (bank acct):

Student 10

Name:

WIU ID #:

Fall 20 Award Amount: $

Spring 20 Award Amount: $

Summer 20 Award Amount: $

A (account) or EFT (bank acct):

Solve this simple math problem:
What is 3 + 4?