College of Education and Human Services
Western Illinois University
DEPARTMENT OF EDUCATIONAL 678',(6
DIVERSITY PARTNERS APPLICATION
1. Name: _____________________________________ 2. Date: _______________
3. W.I.U. ID #: _______________________________
4. Ethnicity: ___________
5. Home Address: ______________________________________________________
(Street Address)
________________________________________ Telephone (____)_____________
(City)
(State)
(ZIP)
E-Mail Address: ____________________________________________
6. Business Address: ____________________________________________________
(Name & Street Address)
________________________________________ Telephone (____)_____________
(City)
(State)
(ZIP)
E-Mail Address: ____________________________________________
7. Academic and Professional Objectives upon completion of program:
Position Objective (elementary or secondary principal, curriculum director, school
business manager, department chairman, special education director, etc.)
_______________________________________________________________________
Please note the program requirements on the following page.
PLEASE RETURN TO:
Reviewed October 2, 2008
Program Secretary
Department of Educational 6WXGLHV
1 Horrabin Hall
Western Illinois University
Macomb, IL 61455
2
Diversity Partners Program
The Department of Educational Studies will be reviewing the policies and procedures
for our Diversity Partners program this fall. In the meantime, our operating procedures
are identified below.
1. Candidate must be a minority.
2. Candidate must meet the stated criteria for admission to the degree program.
3. Candidate must plan to work in a school setting upon completion of the program.
4. Candidate must be eligible for certification as an Illinois school administrator upon
completion of the program.
5. Qualified candidates receive two tuition waivers with a value of three semester hours
each to use for registration in EDL 500 and EDL 505.
6. Candidate receives two additional tuition waivers with a value of three semester hours
each upon successful completion of EDL 500 and EDL 505 and final admission by
the department’s Graduate Committee.