NIU Parents’ Association Endowed
Scholarship Award
Deadline for applicant submission:
Friday, February 14, 2014
Applicants for the NIU Parents’ Association Scholarship must meet the following minimum criteria:
1.
Student must be a junior, degree-seeking NIU student, with declared major
2.
Preference will be given to applicants with a 3.0 cumulative G.P.A.
APPLICATION
Please provide the following information. By completing this form, the applicant attests to the accuracy and
completeness of the information.
Part I: Student Information
Name: __________________________________________________________________________________
(Last)
(First)
(Middle)
Z-ID Number:_______________________ Anticipated Graduation Date (Mo/Yr): _______________________
Local Mailing Address: _____________________________________________________________________
(Street)
(City)
(State)
(Zip)
Permanent Mailing Address: _________________________________________________________________
(Street)
(City)
(State)
(Zip)
Local Phone Number: ______________________________________________________________________
(Area Code)
(Seven digit-number)
Major(s)/Minor(s):__________________________________________________________________________
(Indicate any specialization or area of study)
Student Name: _________________________________________________________________________
(By putting your name here, applicant grants access to his/her NIU academic records to the scholarship committee)
Part II: Extracurricular Activities & Leadership
In the space below, list your involvement in extracurricular activities and make clear indication of any leadership roles and
responsibilities you have held.
List your involvement/leadership:
Organization/Committee/Task Force
Position
Dates
Paid (Y/N)
Organization/Committee/Task Force
Position
Dates
Paid (Y/N)
List awards, honors, and/or other recognitions you have received while attending NIU:
Award
Date Received
Description
List your community service:
Name of Agency Served
Nature of Activity
Dates
Hours
Volunteered
Part III: Personal Essay
Applicant must provide a 1000 word essay. This essay should include a description of family background, how
you’ve been involved with your extracurricular activities, length of time you have been involved with each
activity, career aspirations, and why you feel you deserve to receive the Parents’ Association Endowed
Scholarship Award.
Part IV: Personal References
Applicant must submit three (3) letters of reference. One must be from a professor in applicant’s major field of
study. The remaining letters may be from other personal references, but NOT from friends or family members.
Part V: Transcript
Applicant must supply a current NIU transcript (including fall semester grades) along with your application.
This does not need to be an official transcript.
Disclosure:
I hereby certify that the information provided in this application packet is, to the best of my knowledge, true and correct. I
have not knowingly withheld any facts that could otherwise jeopardize consideration of my application. I further
understand that my academic, judicial, and other pertinent records may be verified by the appropriate school and university
offices.
Name
Date
All required materials must be submitted together. Individual pieces will not be accepted. Students should
compile all necessary components and submit them all at one time. Scholarship availability is based upon
available funds. This scholarship is a one-time award and is non-renewable.
Please e-mail application and supporting materials by Friday, February 14, 2014
at 4:30 p.m. to Lynn Schmitz, Assistant Director for Huskie Family Connections, at
lschmitz1@niu.edu.