SCHOLARSHIP APPLICATION*
DEPARTMENT OF POLITICAL SCIENCE
***Return to Department of Political Science***
1 University Circle
Macomb, IL 61455
I AM APPLYING FOR THE ________________________________ SCHOLARSHIP.
NAME __________________________________________________
Permanent Address ________________________________________
______________________________________
Permanent Telephone Number _______________________________
Local Address/Phone Number ________________________________
_________________________________
Social Security Number/WIU ID Number ______________________________________
I AM A/AN:
____ENTERING FRESHMAN STUDENT
____ENTERING TRANSFER STUDENT
____SOPHOMORE
____JUNIOR
____SENIOR
For Freshman Applicants:
High School ______________________________ Address _____________________________
City/State/Zip __________________________________________________________________
ACT Composite Score ____________________ High School Class Rank __________________
Grade Point Average ______________________ on a scale of ___________________________
Choice of Academic Major _________________ Minor ________________________________
Awards Received and/or Activities while in High School:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
(over)
For Transfer Applicants:
Name of College/University previously attended: ___________________________________
Address ____________________________________________________________________
Cumulative College GPA ________________________ on a scale of ___________________
Semester hours of college-level work completed ____________________________________
List college/university activities in which you have participated:
___________________________________________________________________________
___________________________________________________________________________
____________________________________________________________________________
Leadership roles you have assumed in college or your community.
___________________________________________________________________________
___________________________________________________________________________
____________________________________________________________________________
Honors or recognitions you have received while in college.
___________________________________________________________________________
___________________________________________________________________________
____________________________________________________________________________
ALL APPLICANTS should submit two letters of recommendation.
*Feel free to duplicate this form if you wish to apply for multiple scholarships