Western Illinois University
Scholarship Office
Sherman Hall 308
ETHAN DOBEREINER MEMORIAL SCHOLARSHIP
HISTORY:
The Ethan Dobereiner Memorial Scholarship was established in 2012 by Josh and Mindy Dobereiner in
honor of their son. Although Ethan’s life was short, his parents believe helping WIU students achieve
their educational goals can preserve his legacy. Mindy is a 1998 graduate of WIU with a degree in early
childhood education; Josh attended WIU and studied secondary social science education.
CRITERIA:
To apply for the scholarship, applicants must:
1. Be a full-time undergraduate student at Western Illinois University.
2. Be a resident of the Quad Cities or Peoria area.
3. Have a cumulative grade point average of 3.0 or above.
4. Be enrolled in a teacher education program; preference given to early childhood
education and secondary social science majors.
5. Financial need is a consideration.
TERMS:
Amount of award will be at least $1000 annually and will be applied to the recipient’s account - divided
between the fall and spring semesters. Two awards will be made each year.
ADDITIONAL COMMENTS:
Scholarship is not automatically renewable, but recipients may reapply to be considered for subsequent
years.
SELECTION PROCESS:
The Office of Scholarship Activities will select recipients.
APPLICATIONS:
Applications are available online and from the Office of Scholarship Activities
DEADLINE FOR APPLICATION:
April 1
INQUIRIES SHOULD BE SENT TO:
Scholarship Office, Sherman Hall 308, 1 University Circle, Macomb, IL 61455
ETHAN DOBEREINER MEMORIAL SCHOLARSHIP
APPLICATION FORM
Please print legibly.
Applicants Name:
Last Name
First Name
Student Identification Number:
Local Address:
Address
City
Address
City
State
Zip
Home Address:
State
Home County:
Local Phone Number (Cell):
Is The Applicant:
Early Childhood Education Major
Secondary Education Social Sciences Major
Elementary Education Major
Entering Freshman
High School Cumulative GPA
_____
Entering Transfer Student_____ Community College or University Cumulative GPA______
Currently Enrolled Student
Cumulative WIU GPA
Is the applicant a resident of the Quad Cities Area?
Total Hours Completed
_______
Is the applicant a resident of the Peoria Area?
Please attach statement explaining financial need.
Applicant's Signature
Please return application to:
Scholarship Office
Sherman Hall 308
1 University Circle
Macomb, IL 61455
Deadline April 1
Date
Zip