James and Eva Ann Elmer
Scholarship –
Bachelor of Arts in General
Studies
School of Distance Learning,
International Studies, and
Outreach
6 Horrabin Hall
Western Illinois University
1 University Circle
Macomb, IL 61455
Phone: 309/298-1929
FAX: 309/298-2226
Questions regarding the Scholarship
Contact the Executive Director of School of Distance Learning, International Studies, and
Outreach, Horrabin Hall 6, Western Illinois University, 1 University Circle, Macomb, IL 614551390; or by telephone 309/298-1929 or via email BGS@wiu.edu.
Applicant Information (Please Print or Type Legibly)
Last Name:
First Name:
-
WIU Identification Number:
-
Mailing Address:
City:
State:
Telephone Number:
Zip Code:
WIU Email Address:
GPA:
Please provide specific information about the following (use a separate sheet of paper if
necessary):
Describe civic, community, and/or university activities that you have been involved in that
demonstrate your commitment to social responsibility and service to others. Include how
involvement in these activities has enhanced your personal growth.
10/3/12
Please use the space below to explain why you are applying for the James and Eva Elmer
Scholarship through the WIU Bachelor of Arts in General Studies degree program. (Use
additional paper if necessary).
Applicant’s Signature: _____________________________________ Date:
Return completed application and supporting documentation by June 30 to Bachelor of
Arts in General Studies degree program, Horrabin Hall 6, Western Illinois University, 1
University Circle, Macomb, IL 61455.
10/3/12